Feeling Run Down? Luke Coutinho Explains Why Your Iron Levels Might Be the Problem (Even With Normal Haemoglobin)

2025-05-14
Feeling Run Down? Luke Coutinho Explains Why Your Iron Levels Might Be the Problem (Even With Normal Haemoglobin)
NDTV

Do you often feel tired, sluggish, and lacking energy, even though your haemoglobin levels appear normal? You're not alone. Lifestyle expert Luke Coutinho is shedding light on a lesser-known condition called Iron Deficiency Without Anemia (IDWA) – a potential culprit behind that persistent fatigue.

What is Iron Deficiency Without Anemia (IDWA)?

IDWA isn't your typical iron deficiency. In classic iron deficiency anemia, haemoglobin – the protein in red blood cells that carries oxygen – drops to a concerning level. However, with IDWA, haemoglobin remains within the 'normal' range. The problem lies elsewhere: your ferritin levels. Ferritin is essentially your body's iron storage tank. When ferritin levels are low, even if haemoglobin is okay, it indicates that your iron reserves are depleted.

Why is Ferritin Important?

Think of ferritin as your body's emergency iron supply. It’s not just about carrying oxygen; iron plays a crucial role in numerous bodily functions, including:

  • Energy Production: Iron is vital for cellular energy production. Low ferritin means your cells aren't getting enough iron to function optimally, leading to fatigue.
  • Immune Function: Iron supports a healthy immune system. Deficiency can weaken your defenses, making you more susceptible to illness.
  • Cognitive Function: Iron is essential for brain health. Low levels can impact concentration, memory, and mood.
  • Hair & Nail Health: Iron deficiency can manifest in brittle nails and hair loss.

Symptoms of IDWA – Beyond Just Tiredness

While fatigue is the most common symptom, IDWA can present with a range of other signs, including:

  • Brain fog
  • Headaches
  • Dizziness
  • Pale skin
  • Restless legs syndrome
  • Weakness
  • Frequent infections

How is IDWA Diagnosed?

The key to diagnosing IDWA is a blood test that measures both haemoglobin and ferritin levels. Your doctor may also check other iron-related markers. Don’t just focus on haemoglobin; insist on a ferritin test if you suspect a problem.

What Can You Do About It?

Addressing IDWA involves replenishing your iron stores. Here are some strategies:

  • Dietary Changes: Increase your intake of iron-rich foods like red meat, poultry, fish, beans, lentils, spinach, and fortified cereals.
  • Vitamin C: Consume vitamin C-rich foods alongside iron-rich meals to enhance iron absorption.
  • Iron Supplements: Your doctor may recommend iron supplements, but it's crucial to take them under medical supervision to avoid excessive iron levels.
  • Address Underlying Causes: Sometimes, IDWA can be caused by underlying medical conditions. It’s important to rule these out.

The Takeaway

Don't dismiss persistent fatigue as simply stress or lack of sleep. Iron Deficiency Without Anemia is a real condition that can significantly impact your well-being. Talk to your doctor, get your ferritin levels checked, and take steps to restore your iron stores for increased energy and overall health. Luke Coutinho’s insights highlight the importance of looking beyond just haemoglobin when assessing your iron status. Prioritise your health and address this often-overlooked deficiency!

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