Iron Supplements That Don't Cause Constipation
Some types of iron supplements may increase the likelihood of constipation, as well as gas and bloating. Although it's unclear why some people become constipated due to iron supplementation, you can reduce your risk by taking other forms of iron that are less likely to cause gastrointestinal side effects. Discuss any concerns you about about supplementation with your physician.
Ferrous Sulfate
Iron sulfate, also called ferrous sulfate, is the most commonly prescribed iron supplement for women with a deficiency. The typical recommended dose is 325 milligrams, taken two or three times a day. Unfortunately, ferrous sulfate is the form of iron most often associated with constipation. If you are experiencing this problem, it can help to lower your total daily dose or switch to an alternative iron supplement.
- Iron sulfate, also called ferrous sulfate, is the most commonly prescribed iron supplement for women with a deficiency.
Ferrous Gluconate
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Ferrous gluconate, a different iron salt, contains a lower concentration of iron per milligram and is less likely to cause constipation. However, it only contains about 57 percent the amount of iron in a ferrous sulfate supplement. Its lower potency means that you will likely have to take the supplement for a longer period of time. Liquid versions are also available. Lowering your total dose of iron gradually should help you find a dose that does not cause you constipation.
- Ferrous gluconate, a different iron salt, contains a lower concentration of iron per milligram and is less likely to cause constipation.
- However, it only contains about 57 percent the amount of iron in a ferrous sulfate supplement.
Iron Polysaccharide
Iron polysaccharide is a product engineered to cause less constipation and nausea. It is available under various brand names, such as Niferex, Niferex Elixir, Ezfe, Ferrex-150, Nu-Iron 150 and Poly Iron. You should take it with vitamin C to boost iron absorption. Another alternative is slow-release iron. However, these supplements, while less constipating, may not be absorbed properly.
- Iron polysaccharide is a product engineered to cause less constipation and nausea.
- However, these supplements, while less constipating, may not be absorbed properly.
Additional Information
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Iron supplements are readily available without a prescription. They are typically recommended for iron deficiency associated with anemia or blood loss from conditions such heavy menstruation. Pregnancy also increases your need for iron. If you do not have an iron deficiency, you may not need extra supplementation, so consult with your health care provider to determine whether or not iron supplementation is necessary.
- Iron supplements are readily available without a prescription.
- If you do not have an iron deficiency, you may not need extra supplementation, so consult with your health care provider to determine whether or not iron supplementation is necessary.
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References
- "The new Harvard guide to women's health; Karen Carlson, et al.; p. 320; 2004
- Drugs.com: "Niferex"
- Tolkien Z, Stecher L, Mander AP, Pereira DI, Powell JJ. Ferrous sulfate supplementation causes significant gastrointestinal side-effects in adults: a systematic review and meta-analysis. PLoS One. 2015;10(2):e0117383. doi:10.1371/journal.pone.0117383
- https://www.who.int/elena/titles/guidance_summaries/daily_iron_pregnancy/en/
- National Institutes of Health Office of Dietary Supplements. Iron Fact Sheet for Consumers. Updated December 10, 2019.
Writer Bio
Lexa W. Lee is a New Orleans-based writer with more than 20 years of experience. She has contributed to "Central Nervous System News" and the "Journal of Naturopathic Medicine," as well as several online publications. Lee holds a Bachelor of Science in biology from Reed College, a naturopathic medical degree from the National College of Naturopathic Medicine and served as a postdoctoral researcher in immunology.