•Address the Cause(s)
vegetarian/vegan
diet, XS tea, heavy periods, GI bleeding
•
•Dietary Advice
healthy
eating – red meat, liver, beans, eggs, green veg; fortified foods - white bread and some
breakfast cereals
•Supplement with appropriate amounts of
nutrient
Ferrous
Sulphate 200 mg 1-2/day always with fruit/juice
Iron
supplements must be taken 2 hrs away from tea/coffee
GI upset likely if
dietary advice not followed or high doses Prolonged use may reduce zinc absorption
•
•Consider need for other nutrients
Vit B2 lack
and rarely vits C, A and copper cause iron lack
Give Vit. B Co Strong x
2/day or Forceval x 1/day as needed
•
•Once main deficiency corrected
Retest (Hb
and ferritin) after 2 months
Continue
supplements for 3 months to replenish stores
Chronic
menorrhagia -iron x 1/day for 7 days/cycle with period