I got a message on the phone this morning from a gyno at the hospital (just whoever was rostered on at the time I'm guessing!) saying that my iron levels were 'marginally low' and whilst I'm not anaemic he thinks I should go to the pharmacy and get an iron supplement. He didn't give the exact levels but since he said marginally and emphasised that I'm not anaemic then I assume my levels aren't too bad.
However... a lot of what I've been reading suggests a supplement may not be necessary.
:
This diagnosis ignores the fact that pregnant women's bodies use nutrients more efficiently and will be absorbing more iron from their food than they would in their non-pregnant state. It also ignores severel other biochemical facts: a woman's blood volume does double during pregnancy but the 'ingredients' of the blood, the red and white cells and the plasma, do not increase proportionately. The largest increase is in plasma - the fluid which transports red and white blood cells around the body.
A pregnant woman may actually have more iron circulating in her body, but testing methods used primarily on non-pregnant individuals do not allow for the uneven increases in blood constituents.
:
The only way to tell for sure if you are anaemic is to have a blood test, and even then the results are open to wide interpretation. The normal range of haemoglobin in the blood is 13-15 grams per decilitre at less than 8 weeks' gestation. This drops naturally to between 10-12 g/dl from about 28 weeks' gestation.
:
The body chemistry of a healthy woman changes throughout pregnancy to allow greater absorption of iron. At 36 weeks her body's ability to absorb iron is nine times greater than in early pregnancy
:
It may even be that a drop in iron levels is a normal adaption of pregnancy. Certainly there is evidence that women with low iron levels during pregnancy tend to have bigger, healthier babies.
From what I've been reading it seems that trying to boost your iron levels with supplements can cause a whole range of side-effects that don't occur when you get iron naturally from the food in your diet. Also, synthetic irons aren't as easily absorbed and can place greater strain on your body.:
Giving a woman an iron tablet may not help boost her blood iron levels. What the woman may really need is a boost in her vitamin C intake, either through supplements or by simply having a glass of citrus juice with her meals. In addition, excessive iron supplementation can deplete the body of another essential nutrient, zinc.
So. Given all that (plus the fact that I hate taking tablets), I was thinking that if I just increase my intake of iron-rich foods and have a glass of orange juice with dinner it would fix any slight iron deficiency that I may have. What do you think? Has anyone heard anything similar about iron levels or anything to discredit any of the above info?

