How long after iron pills can I start eating?
Along the same lines, is it acceptable (not preferrable) to take calcium one hour after iron or must we wait two hours for proper absorption?
In fact, I've never even seen a number put to it -- where'd you get it? I don't trust it, but am curious where you got it.
But since we'd already been taking 300mg with excellent results, I just threw it out, like so many things that don't apply to malabsorbers.
RNY, distal, 10/5/94
P.S. My year + long absence has NOTHING to do with my WLS, or my type of WLS. See my profile.
If it's really difficult, you can switch to heme iron -- the threshold is much higher than ionic iron (600mg of calcium versus 300mg) but you pay quite a bit more for the added absorption and for the ability to take it with more stuff.
"2 hours if you can" -- so the occasional 1.5 hours or so won't have a huge impact? I'm thinking a lot of the iron is already absorbing in the system by the time the calcium is swallowed, dissolves, and starts getting absorbed. Make sense?
A sip of milk is not going to negate your iron dose. 300mg of calcium is when your ionic iron gets negated. Too many people seem to think that it's an all or nothing -- it's not quite so black and white. This is why you'll typically see 300mg of calcium in your multivites with iron -- because 300mg is where the calcium begins to impair ionic iron absorption.
It's just easier to say "don't take with calcium" rather than say "avoid with calcium above 300mgs" -- especially when it's so overwhelming already.
But remember that high amounts of tanins, as well as whole grains are enemies of ionic iron as well.
You'll get absorption, yes -- but maybe not all of it. There's no way to tell how much you'll have for certain.
Where are tanins found?
I'm assuming you're taking something like a ferrous "something" that's 500mg that's equivalent to x amount of elemental iron, right?
Tanins are found in coffee (decaf and regular), tea (decaf and tea), and red wine.
I don't drink coffee or red wine and tea only infrequently.
I generally try to take 2 SlowFE iron per day now, and I'm just wondering if you know how these would compare to that?
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You can't equate heme with ionic iron. Anyone who says you can is lying. It just doesn't work.
The Iron Disorders Institute says this about heme, though:
"About Proferrin(tm): Performance studies indicate that iron absorption rates are between 15% and 20% withoute erythropoietin (EPO) therapy and as high as 30% with EPO therapy even in patients with high serum ferritin values (>600 ng/ml). In one study, the change in serum iron from Proferrin(tm) was nearly 23 times greater than from an identical dose of ferrous fumarate. Also, study participants were able to tolerate up to 60 mgs per dose on an empty stomach with fewer gastrointestinal side effects; a common complaint from patients taking traditional oral iron preparations. An additional benefit of heme iron supplementation is that patients can take it with their meals, unlike ionic iron preparations, which must be taken on an empty stomach between meals."
So with that said, I like the fact that heme can be purchased redily by normal folk -- and paired with poly iron, which is also a highly absorbable iron -- this is a good product.
It's expensive, though -- given it's $19.99 price tag for 30 pills -- it is much more than the ferrous sulfate tabs that people can easily take 6x as many of for the same price of the Bifera. This is why monopolies are bad (I think only one company really does heme in the US).
But I have to tell you -- I got amazing results with the Proferrin alone that I didn't get with ionic -- including poly blends. So it's worth a shot -- especially since I think I'm just broken for ionic iron (like some people are unable to absorb D, some for B12, etc).
You CAN get Proferrin from vitalady -- a 12mg heme only pill for about $57 for a 90 pill bottle. It comes out cheaper if you don't want the poly part -- and you double the amount of heme. You can get the same deal from the manufacturer directly, of course -- but I have to tell you that their shipping is much slower, and their communication isn't the greatest. I'd place the order and never know when it would actually ship -- with Vitalady I knew when it shipped and had a tracking number. For the same price, it seems silly to deal with the question of when and I can help a fellow WLSer out. But that's just me.
Actually, iron should be taken on an empty stomach. It loves an acidic environment.