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about the signs and symptoms of iron deficiency anemia (IDA) and how to get started on the road to treatment. IDA symptoms can be vague and confusing, so if you’re feeling like less than yourself lately, it may be time to get your iron level up.

It’s not just in your head.

Headaches, fatigue, and weakness are just a few of the common symptoms of iron deficiency anemia. Take the Iron Check-Up and bring it to your next doctor’s appointment.

Iron Check-Up

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Not sure where to start?

It can be difficult to start a conversation about your symptoms. So start with our discussion guide—download it and take it to your next doctor’s appointment.

Get your guide

Anemia is the name for the condition in which your body does not have enough healthy red blood cells or enough of a protein found in your blood called hemoglobin. This can be because your body doesn’t make enough red blood cells, loses too many red blood cells, or your body breaks down red blood cells faster than it is replacing them.

Iron deficiency anemia (IDA) is a type of anemia. IDA happens when your body does not have enough iron stored or available for making healthy red blood cells.

The good news is that once it’s diagnosed, IDA can be treated.

IDA is the most common type of anemia.

Who is at risk of IDA?

IDA can happen to anyone, but some people are at higher risk. Sometimes these risk factors are outside of your control, which may be frustrating, but remember IDA can be treated.
People at higher risk of IDA
Mode de vie

Vegans and vegetarians, since meat and fish are iron-rich foods

Individuals who donate blood

Athletes, particularly females and endurance athletes

Lifestyle

Facteurs génétiques

People living with certain inherited blood diseases

Genetics

Sexe

Young females and women, who tend to need more iron than boys and men

Menstruating women, as heavy periods increase the risk of IDA

Pregnant, breastfeeding, and postpartum women, since iron needs are increased during these times

Gender

Environnement

Children who have lead in their blood from lead-contaminated water

Environment

Âge

Premature babies and babies aged 6 to 12 months, because they haven’t built up iron stores in their body yet

Adolescents, who need iron during growth spurts

Older adults, especially those over age 65

Age

grossesse

Pregnant, breastfeeding, and postpartum women,
since iron needs are increased during these times

Pregnancy

Iron has a lot of important jobs in your body, such as:

What are the signs and symptoms of anemia?

The symptoms of anemia that can occur with IDA may be serious enough to interfere with your life. These symptoms can include:

Swollen tongue

Swollen and painful tongue

Dizziness

Dizziness

Pale appearance

Pale skin or pale eyelining

Fatigue

Exhaustion and fatigue

Palpitations

Fast or racing heartbeat

Shortness of breathe

Shortness of breath and chest pain

Brittle nails

Spoon nails

Weakness

Weakness

Feeling low?

If you’re experiencing any of these symptoms, it could be IDA. Take the Iron Check-Up and bring it to your next doctor’s appointment.

Download the Iron Check-Up

Iron deficiency and pregnancy

Pregnancy places a high demand for iron on a woman’s body.

Estimates suggest it takes 1000 mg of iron during pregnancy to support the growth of the fetus. That’s the equivalent of all the iron in 177 large steaks.

1000 mg iron =
1000 mg iron
A Canadian study found that after 26 weeks of pregnancy:
Nearly 9 of 10 women were iron deficient
More than 1 of 15 experienced IDA
women
women
What’s more, the demand for iron increases over the term of the pregnancy.

In an international study:

SECOND TRIMESTER
THIRD TRIMESTER
2 of 10 women were iron deficient
4 of 10 women were iron deficient
8 of 10 women were iron deficient
women
women
women
Week 15
Week 20
Week 33
pregnant woman

Sufficient iron levels in the mother can help support the well-being of the unborn child.

Adequate iron levels can help support normal brain development in the fetus

Iron supplementation during pregnancy has been shown to increase birth weight and reduce the risk of low-birth-weight babies

Sufficient iron levels in the mother can help support the well-being of the unborn child.

Adequate iron levels can help support normal brain development in the fetus

Iron supplementation during pregnancy has been shown to increase birth weight and reduce the risk of low-birth-weight babies

Low iron levels or IDA in the mother can affect the growing baby.

icon_Body_Brain Without treatment, iron deficiency during pregnancy may increase an infant’s risk of:

  • Autism
  • Schizophrenia
  • Other issues that may impact mood/mental health, motor skills, or memory

icon_Benefits Canadian guidelines recommend iron supplements for healthy pregnant women, to help maintain adequate iron levels.

Where oral supplements cannot be tolerated or fail to boost iron levels sufficiently, IV iron supplementation may be considered.

Woman with hand on head and expression of pain Woman with hand on head and expression of pain

Anemia is not the first sign of ID

IDA develops slowly over time as iron gets used up by your body.

Anemia is not usually the first sign of iron deficiency.

People who are living with untreated IDA may be experiencing:

  • Migraines (particularly women)
  • Heart conditions
  • Restless legs syndrome
  • Pica, a condition that makes you want to eat non-food items (such as dirt or ice)
  • Pregnancy complications
  • Higher-than-normal risk of infection
  • Depression

Can’t put your finger on it?

Low iron can make you feel like less than yourself. Download the Iron Check-Up and take it to your next doctor’s appointment.

Take the Iron Check-Up

How does my doctor test for IDA?

Having these symptoms, or even having anemia, does not mean that you have IDA—anemia can exist without IDA. To know for sure that you have IDA, you will need to have your blood tested.

There are a few different tests that are usually done to confirm if you have IDA. Some of the tests that your doctor might order are listed below—but your doctor may order other tests as well, to rule out other conditions. If your doctor orders a test and you’re not sure what it’s for, it’s okay to ask!

Test
Purpose
Hemoglobin
Measures the amount of oxygen-carrying protein in your blood
Mean corpuscular volume
Measures the typical size of your red blood cells
Reticulocyte count
Shows whether your body is producing new red blood cells
Serum iron
Measures the total amount of iron available in your blood
Serum ferritin
Shows the amount of iron stored in your body
Total iron binding capacity (TIBC)/unsaturated iron binding capacity
Measures the total amount of iron that can be held by a protein called transferrin that transports iron in your blood
Transferrin saturation (TSAT)

Shows how much of the transferrin in your blood is carrying iron

Blood vial and finger with blood drop

It may be time to level up your iron. Download the Iron Check-Up and take it to your next doctor’s appointment.
Download the Iron Check-Up

Managing IDA

If you’re diagnosed with IDA, the good news is that it can be treated. How you and your doctor decide to manage your IDA will depend on what is causing your IDA as well as the severity of your IDA.

Treating the cause of your IDA is an important part of IDA management.
Doctor comforting patient

Treatment options

There are many effective options available for the treatment of IDA. In addition to adding more iron into your diet, treatment of IDA can include:

Medication tablet

Oral iron

Oral capsules, tablets, or liquid taken once a day.

It generally takes 3 to 6 months to build your iron back up using oral iron

Medication vial

Intravenous (IV) iron

IV iron can replenish your iron level in one or a few infusions

IV iron may be more appropriate for people who have iron deficiency, who are unable to absorb oral iron properly, or have bad side effects from oral iron

IV bag with line going into arm

Red blood cell transfusion

Blood transfusions can quickly increase the amount of red blood cells and iron in your blood

Blood transfusions may be used for people with severe iron deficiency or who have serious complications from IDA (for example, chest pain)

These treatments may not be right for you and may cause adverse events. Talk to your healthcare professional.

There’s a wide variety of foods that can help increase your iron. Below are some examples:

  • Nuts and seeds
  • Legumes (beans, lentils, etc.)
  • Fish and shellfish
  • Dark green leafy vegetables
  • Lean red meat
  • Whole grains
Including a source of vitamin C (like orange juice) can help your body absorb iron from foods.

Unsure about how to start the IDA conversation?

Download the discussion guide and take it to your next doctor’s appointment.

Get your guide