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Mineral

Iron (as Ferrous Fumarate)

Also known as: ferrous fumarate, iron(II) fumarate, Fe2+

A
Evidence

Ferrous fumarate is a highly bioavailable form of iron used to prevent and treat iron deficiency anemia by supporting oxygen transport and energy metabolism. It is one of the most absorbable iron salts available.

Primary uses

  • iron deficiency anemia treatment
  • anemia prevention
  • oxygen transport
  • energy production

How it works

  • component of hemoglobin for oxygen transport
  • component of myoglobin for muscle oxygen storage
  • cofactor in cytochrome P450 enzymes
  • supports cellular energy production

Dosage

Typical range
18-27 mg elemental iron daily (adult women); 8-11 mg daily (adult men)
Timing
take on empty stomach for optimal absorption, or with small amount of food if GI upset occurs
With food
preferably without food, but avoid dairy, calcium, and coffee which reduce absorption
Duration
treatment duration depends on deficiency severity; typically several months for repletion
Special populations
pregnant women: 27 mg daily; children require age-adjusted dosing; avoid in hereditary hemochromatosis

Forms

  • tablet· 70/100
  • capsule· 70/100
  • liquid· 70/100

Safety

Common side effects

  • constipation
  • nausea
  • abdominal discomfort
  • dark stools
  • vomiting

Contraindications

  • hemochromatosis
  • hemosiderosis
  • repeated blood transfusions
  • active GI bleeding

Evidence notes

Iron deficiency anemia treatment is supported by extensive clinical evidence; ferrous fumarate specifically has strong bioavailability data.

Grade A: Multiple well-designed human trials support the main claims.

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Medical disclaimer. This page is educational and does not replace advice from a qualified healthcare provider.