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Iron supplements can reduce fatigue

Iron tablets can reduce tiredness by 50 per cent, according to researchers – even if you’re not anaemic.

Taking supplements for 12 weeks reduced fatigue by almost a half in women who had low levels but were not deficient.

Fatigue is commonly reported by patients visiting their GP with nearly a third complaining of the symptom at appointments.

Scientists say women are three times more likely than men to report feelings of fatigue.

A randomised controlled trial involving 198 menstruating women between the ages of 18 and 50 years was conducted, with the women all iron deficient, non anaemic, with unexplained fatigue and ferritin levels below 50g/L. Ferritin is a protein that stores iron and controls its release into the body.

The trial was double-blinded, so neither the participants or the health care providers knew which group was receiving the supplement or placebo.

Iron supplements

Iron supplements

Results showed iron supplementation for 12 weeks decreased fatigue by almost 50 per cent, with a significant difference of 19 per cent compared with the placebo.

Positive effects on haemoglobin, ferritin and other blood levels were clear just six weeks after iron supplementation, the Canadian Medical Association Journal study also showed.


The researchers point out iron did not affect anxiety or depression scores or quality of life indicators, such as physical and psychological performance.

Dr Bernard Favrat, of the University of Lausanne, Switzerland, said: ‘We found that iron supplementation for 12 weeks decreased fatigue by almost 50 per cent from baseline, a significant difference of 19 per cent compared with placebo, in menstruating iron-deficient nonanaemic women with unexplained fatigue and ferritin levels below 50g/L.

‘Iron deficiency may be an under-recognised cause of fatigue in women of child-bearing age.

‘If fatigue is not due to secondary causes, the identification of iron deficiency as a potential cause may prevent inappropriate attribution of symptoms to emotional causes or life stressors, thereby reducing the unnecessary use of health care resources, including inappropriate pharmacologic treatments.’

Iron supplements may fight fatigue

Prescribing iron supplements may help some women with fatigue even if they are not officially anaemic, Swiss researchers suggest.

A severe shortage of iron is the most common cause of anaemia resulting in lethargy, weakness and feeling faint.

A study of 198 women, published in the Canadian Medical Association Journal, showed iron pills may also help those with moderately low iron levels too.

Taking too much iron, however, can be dangerous.

The researchers looked at reproductive age women, between 18 and 53, as menstruation is known to lower iron levels.

They said unexplained fatigue was a common problem in doctors’ surgeries, but it was as yet unknown whether iron supplements could help these women.

Nearly 200 women reporting fatigue, with no medical explanation, took part in the study. Half were given 80mg oral iron tablets every day, while half were given sugar pills.

Medical “fatigue scores” were recorded before treatment and after 12 weeks of taking the medication.

Iron supplements

Iron supplements

One of the researchers, Dr Bernard Favrat from the University of Lausanne in Switzerland, said: “We found that iron supplementation for 12 weeks decreased fatigue [scores] by 50%.


“Iron deficiency may be an under-recognised cause of fatigue in women of child-bearing age.

“For women with unexplained, prolonged fatigue, iron deficiency should be considered.”

Rick Miller, a spokesman for the British Dietetic Association, warned that taking too much iron could result in major organ failure.

He said: “First and foremost, fatigue is multifactorial – it’s never just one root cause or micronutrient.”

He said fatigue was not fully understood and other factors such as exercise, diet and sleep patterns played a role.

However, he added: “I think the study has some validity, but taking everything into consideration is key.”