Posts Tagged ‘iron deficiency’

Helicobacter pylori infection and iron deficiency anemia

Wednesday, June 2nd, 2010

Postgraduate Medical JournalEven borderline anemia needs attention because it reduces the functional capability of every cell in the body. Iron deficiency anemia can sometimes respond incompletely to iron supplementation for a variety of reasons. Data from the World Health Organization (WHO) suggest that Helicobacter pylori is the most common infection in the world, with research showing links to cardiovascular disease, stomach cancer and other diseases. This paper recently published in the Post Graduate Medical Journal was inspired by the observation that…

“Recent guidelines on iron deficiency anaemia (IDA) have confirmed the aetiological role of Helicobacter pylori (H pylori), but the relationship still remains controversial.”

The authors documented data from eight studies that showed improvement in IDA with increases in hemoglobin and serum ferritin after H. pylori eradication were superior to those seen when iron was given alone. Thus their conclusion:

“H pylori eradication therapy combined with iron administration is more effective than iron administration alone for the treatment of IDA.”

Note: Helicobacter pylori infection is most accurately diagnosed by either stool antigens or a breath test for exhaled gases (not blood or stool antibodies). I have seen excellent results confirmed by follow-up tests with an evidence-based antimicrobial botanical formula.

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Iron supplementation can cause a zinc deficiency—implications for anger and depression

Friday, May 7th, 2010

British Journal of NutritionEven borderline anemia due to mild iron deficiency has profound effects. But as this study recently published in the British Journal of Nutrition reveals, care must be taken to avoid creating a functional zinc deficiency even when iron supplementation is necessary. The authors begin by observing…

“Interventions to combat mild Fe deficiency in women of childbearing age may affect Zn nutriture.”

Three groups of subjects with low iron were randomly assigned to one of three groups: dietary advice, a daily iron supplement and placebo. Their data showed that serum zinc increased in the dietary advice group (who ate more meat) and the placebo group. In the iron supplement group zinc decreased, leading to their conclusion:

“Zn status was not improved compared with placebo by an Fe-based dietary intervention. However, a daily moderate-dose Fe supplement with meals appeared to lower Zn status in these young adult women.”

European Journal of Clinical NutritionAmong its many functions, zinc is involved in neurotransmitter production and the regulation of mood. This important study recently published in the European Journal of Clinical Nutrition begins with the observation…

“The relation of zinc (Zn) nutriture to brain development and function has been elucidated. The purpose of this study is to examine whether Zn supplementation improves mood states in young women.”

The authors used a double-blind, randomized and placebo-controlled procedure to correlate psychological measures, somatic symptoms and serum zinc in two groups who took either a multivitamin or a multivitamin with zinc daily for 10 weeks. What did their data reveal?

Women who took MV and Zn showed a significant reduction in anger–hostility score and depression–dejection score in the Profile of Moods State (POMS) and a significant increase in serum Zn concentration, whereas women who took only MV did not.”

The authors summarized their findings by concluding:

“Our results suggest that Zn supplementation may be effective in reducing anger and depression.”

It’s easy to see the strong biological momentum to feeling angry and/or depressed around menstruation? Iron is a necessary co-factor for both serotonin and dopamine. Supplementing iron can reduce zinc status, also an important mood-regulating co-factor. Even without adding the hormonal component it’s clear why so many women need help with this.

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Iron deficiency anemia, Helicobacter infection and autoimmune gastritis

Tuesday, November 17th, 2009

Anemia, even low grade, should never be dismissed no matter the primary complaint because it affects the ability of every cell in the body to do its job. Iron deficiency has numerous causes. This fascinating paper recently published in Acta Hæmatologica describes the fairly common phenomenon of iron deficiency anemia (IDA) that does not respond to iron supplementation. The authors state: “Recent studies indicate that 20-27% of patients with unexplained IDA have autoimmune gastritis, about 50% have evidence of active H. pylori infection, and 4-6% have celiac disease. The implications for abnormal iron absorption of celiac disease or autoimmune gastritis are obvious.” [Helicobacter is an extremely common stomach infection and the cause of most gastric ulcers.]

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