ConditionsMetabolic / Hematological
Metabolic / Hematological

Iron Deficiency Anemia

Gabriel investigates WHY iron is low, not just repleting iron.

Root Causes

9 identified

Supplements

7 recommended

Lab Markers

10 to test

Treatments

1 modalities

Gabriel's Approach

Gabriel investigates WHY iron is low, not just repleting iron. He tests for celiac disease, H. pylori, inflammatory bowel disease, checks for GI blood loss (occult stool blood, endoscopy/colonoscopy if indicated), assesses for heavy menstruation or endometriosis, optimizes stomach acid and absorption, uses highly absorbable iron forms that don't cause constipation, pairs with vitamin C, addresses gut health, and monitors ferritin to ensure adequate repletion (ferritin >50-70, not just 'normal'). Root cause investigation prevents recurrence.

Root Causes

Inadequate dietary intake (vegetarian/vegan diet without supplementation)
Poor absorption (celiac disease, inflammatory bowel disease, H. pylori, low stomach acid)
Blood loss (menstruation, GI bleeding from ulcers, polyps, cancer, hemorrhoids)
Increased demands (pregnancy, breastfeeding, growth spurts)
Medications (PPIs reducing iron absorption, NSAIDs causing GI bleeding)
Parasites (hookworm in endemic areas)
Frequent blood donation
Endometriosis (hidden blood loss)
Genetic disorders affecting iron metabolism

Why Conventional Fails

Standard Treatment

Oral iron supplementation (ferrous sulfate - often causes constipation), IV iron infusion if severe or not absorbing, blood transfusion if critically low, investigation for sources of bleeding if cause unclear, treat underlying conditions.

The Problem

Often prescribes iron without investigating cause (bleeding, malabsorption), uses ferrous sulfate which causes severe constipation and GI upset (poor compliance), doesn't optimize ferritin adequately (repletes to 'normal' >12 but optimal is >50-70), doesn't address gut health or stomach acid for absorption, misses celiac disease and H. pylori commonly, doesn't pair with vitamin C or avoid iron blockers, doesn't monitor adequately after repletion (recurrence common if cause not addressed).

Your Complete Protocol

A comprehensive, tiered approach combining supplements, herbs, and advanced therapies

Functional MedicineChinese Herbal MedicinePeptide TherapyWhole Food Nutrition

Your Protocol for Iron Deficiency Anemia

Choose the level that's right for your healing journey

Essential Protocol

Start Here
$75/mo

What's Included

  • Iron bisglycinate 25-50mg daily (or as directed - gentle form)
  • Vitamin C 500-1000mg with iron (enhances absorption)
  • B-Complex (B12 and folate support RBC production)
  • Copper 2mg (needed for iron utilization)
  • Iron — Essential mineral to rebuild red blood cells
  • Vitamin B12 — Supports red blood cell production
Get Essential Protocol

Available through Fullscript

Practitioner-Grade Protocol

Most Popular

Practitioner-Grade — Not Available on Amazon

$165/mo

What's Included

  • Standard Process whole food protocol
  • Four Substance Decoction (Si Wu Tang) — Classic blood-nourishing formula for anemia
  • Restore the Spleen Decoction (Gui Pi Tang) — Strengthens spleen to build blood and improve absorption
Get Practitioner Protocol

Whole food supplements by Standard Process

Complete Protocol

Best Value
$245/mo

What's Included

  • All Practitioner-Grade supplements & herbs
  • BPC-157 (tissue repair + gut healing)
  • Thymosin Alpha-1 (immune modulation)
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Standard Process + Matter peptides

Recommended Supplements

Iron bisglycinate 25-50mg daily (or as directed - gentle form)
Vitamin C 500-1000mg with iron (enhances absorption)
B-Complex (B12 and folate support RBC production)
Copper 2mg (needed for iron utilization)
Vitamin A 5000 IU (supports iron metabolism)
Lactoferrin (improves iron absorption)
Digestive enzymes with HCl if low stomach acid

Key Lab Markers

Complete blood count (hemoglobin, MCV, MCH)
Iron panel (serum iron, TIBC, transferrin saturation, ferritin)
Reticulocyte count
Vitamin B12
Folate
Celiac panel
H. pylori testing
Stool occult blood
Comprehensive stool test
Consider endoscopy/colonoscopy if unexplained or severe

Dietary Guidance

Iron-rich foods: grass-fed red meat, liver and organ meats (highest bioavailable heme iron), dark leafy greens, lentils, beans, pumpkin seeds, quinoa, blackstrap molasses, pair plant-based iron sources with vitamin C foods (citrus, bell peppers, tomatoes, broccoli) to enhance absorption, avoid iron blockers (coffee, tea, dairy, calcium supplements) within 2 hours of iron-rich meals or supplements, cook in cast iron pans (increases iron content of food), adequate protein for hemoglobin production, if vegetarian/vegan: supplement is often necessary despite good diet.

Lifestyle Factors

Address heavy menstrual bleeding (consider hormonal issues, fibroids, endometriosis), avoid NSAIDs if possible (cause GI bleeding), space out blood donations if frequent donor, optimize stomach acid (avoid PPIs unless absolutely necessary, use bitters, apple cider vinegar with meals), treat constipation from iron gently (magnesium, fiber, probiotics), adequate sleep (body produces RBCs during sleep), moderate exercise (improves but intense exercise can increase iron losses through foot strike hemolysis and sweat).

Mind, Body & Spirit

Evidence-based practices that complement physical treatment protocols

Mind

Stress Management

moderate

Managing anxiety and fatigue from chronic anemia.

Body

Energy Management

moderate

Pacing and rest during acute anemia to conserve energy.

Gentle Movement

moderate

Light exercise appropriate for energy levels, avoiding overexertion.

Iron-Rich Meal Planning

strong

Education on food combinations and timing for optimal absorption.

Spirit

Foods That Help

🥗Grass Fed Liver
🥗Dulse
🥗Sauerkraut
🥗Aloe Vera
🥗Jerusalem Artichoke
🥗Beef Liver Grass Fed

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