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Ingredients/Mineral/Iron

Iron.

Oxygen carrier, energy builder. Iron is what red cells build haemoglobin from, so it carries oxygen from your lungs to working muscle. It also sits inside the enzymes that make cellular energy.

StrongResearch strength18 to 65mgDaily amount11Studies read

Reviewed July 2026

Mineral
IronIngredientMD
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Mineral
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EnergyBlood HealthMineral

What Iron is, and what it does.

Does it work
It suits people with higher iron needs: women with heavy cycles, endurance athletes, plant-based eaters. Ask for a ferritin reading first, since iron is one to take on evidence.
How much to take
Start with 18mg a day; 18 to 65mg is the band where iron keeps haemoglobin and stores supplied. Pair it with a vitamin C source, away from tea, coffee and calcium.
Time to feel it
Within 24 hours of a single dose.
The first dose
Day one is mostly digestive: a heavier stomach for some, darker stools for most. The oxygen-carrying work happens in red cells that are built over the following weeks.
With regular use
2-4 weeks for symptoms, months for stores
How well tolerated
Well tolerated at maintenance amounts, though constipation and stomach upset are common. Iron accumulates, so check with your doctor first and keep bottles away from children.
How it feels
You don't feel a single dose. What people notice once stores rebuild is stairs feeling less punishing and the afternoon not flattening them.
The overlooked benefit
Iron sits inside mitochondrial electron transport as haem and iron-sulfur clusters, so it works on cellular energy production directly, not only through oxygen delivery.

How common this is.

Public health figures for this ingredient, reported by the agencies that publish them, cited and dated.

United States

Women of reproductive ageNHANES 2007 to 2010

About 10% of US women of reproductive age

are iron deficient.

Gupta et al. (CDC), American Journal of Clinical Nutrition 2017, NHANES 2007 to 2010, iron deficiency 10.4% in nonpregnant females aged 15 to 49. ↗
4 more figures for United States
Women aged 19 to 30, WWEIA NHANES 2013 to 2016

About 20% of US women aged 19 to 30

take in less iron from food and drink than the estimated average requirement.

USDA ARS, Usual Nutrient Intake from Food and Beverages, by Gender and Age, WWEIA NHANES 2013-2016, Table A 37 (iron), females 19-30: 20% below EAR (SE 1.1). ↗
Women aged 31 to 50, WWEIA NHANES 2013 to 2016

About 19% of US women aged 31 to 50

take in less iron from food and drink than the estimated average requirement.

USDA ARS, Usual Nutrient Intake from Food and Beverages, by Gender and Age, WWEIA NHANES 2013-2016, Table A 37 (iron), females 31-50: 19% below EAR (SE 1.1). ↗
Girls aged 14 to 18, WWEIA NHANES 2013 to 2016

About 17% of US girls aged 14 to 18

take in less iron from food and drink than the estimated average requirement.

USDA ARS, Usual Nutrient Intake from Food and Beverages, by Gender and Age, WWEIA NHANES 2013-2016, Table A 37 (iron), females 14-18: 17% below EAR (SE 1.7). ↗
Men aged 19 and over, WWEIA NHANES 2013 to 2016

Fewer than 3% of US men aged 19 and over

take in less iron from food and drink than the estimated average requirement.

USDA ARS, Usual Nutrient Intake from Food and Beverages, by Gender and Age, WWEIA NHANES 2013-2016, Table A 37 (iron), males 19+: reported as less than 3% below EAR. ↗

United Kingdom

Women aged 19 to 64NDNS 2016 to 2019

About 5% of UK women aged 19 to 64

have biochemical evidence of iron deficiency, shown by low haemoglobin and low iron stores (plasma ferritin).

NDNS Years 9 to 11 of the Rolling Programme (2016/17 to 2018/19), statistical summary, section 4.4 Iron ↗NDNS 2016 to 2019 (Years 9 to 11 combined)
3 more figures for United Kingdom
Women aged 19 to 64, NDNS 2016 to 2019

About 25% of UK women aged 19 to 64

take in less iron from food than the lower reference nutrient intake.

NDNS Years 9 to 11 of the Rolling Programme (2016/17 to 2018/19), statistical summary, section 4.4 Iron ↗

Canada

Women aged 20 to 49CHMS 2009 to 2011

About 9% of Canadian women aged 20 to 49

have depleted iron stores.

Statistics Canada, Health Reports, 2012, "Iron sufficiency of Canadians" ↗
4 more figures for Canada
Women aged 19 to 30, CCHS 2015

About 27% of Canadian women aged 19 to 30

take in less iron from food than their requirement.

Health Canada/Statistics Canada, Total Usual Intakes from Food (2015 CCHS, Nutrition), Open Government Portal dataset; Iron (mg/d), Female, 19-30 years ↗
Women aged 31 to 50, CCHS 2015

About 22% of Canadian women aged 31 to 50

take in less iron from food than their requirement.

Health Canada/Statistics Canada, Total Usual Intakes from Food (2015 CCHS, Nutrition), Open Government Portal dataset; Iron (mg/d), Female, 31-50 years ↗
Girls aged 14 to 18, CCHS 2015

About 20% of Canadian girls aged 14 to 18

take in less iron from food than their requirement.

Health Canada/Statistics Canada, Total Usual Intakes from Food (2015 CCHS, Nutrition), Open Government Portal dataset; Iron (mg/d), Female, 14-18 years ↗
Men aged 19 and over, CCHS 2015

About 1% of Canadian men aged 19 and over

take in less iron from food than their requirement.

Health Canada/Statistics Canada, Total Usual Intakes from Food (2015 CCHS, Nutrition), Open Government Portal dataset; Iron (mg/d), Male, 19 years and over ↗

Australia

Women aged 18 and overNHMS 2022 to 2024

About 6% of Australian women aged 18 and over

have a serum ferritin level below the WHO cut-off for iron deficiency.

ABS, National Health Measures Survey, 2022-24, Iron and haemoglobin section ↗
3 more figures for Australia
Women aged 18 to 29, NNPAS 2023 to 2024

About 47.7% of Australian women aged 18 to 29

take in less iron from food and drink than the estimated average requirement.

ABS, Usual nutrient intakes, 2023, Iron, Table: Proportion of people with an inadequate iron intake by age and sex ↗
Women aged 30 to 49, NNPAS 2023 to 2024

About 42.2% of Australian women aged 30 to 49

take in less iron from food and drink than the estimated average requirement.

ABS, Usual nutrient intakes, 2023, Iron, Table: Proportion of people with an inadequate iron intake by age and sex ↗
Girls aged 12 to 17, NNPAS 2023 to 2024

About 37.2% of Australian girls aged 12 to 17

take in less iron from food and drink than the estimated average requirement.

ABS, Usual nutrient intakes, 2023, Iron, Table: Proportion of people with an inadequate iron intake by age and sex ↗

Population figures from public health data. Context for the category, not a statement about any individual and not a claim about this product.

18 to 65mg a day is where Iron works.

How much to take a dayHigh confidence
18 to 65mg
Daily maintenanceThe everyday amount, and where most daily supplements sit. This is the one you take month after month.
MORE EFFECT ↑027mg45mg plateauDAILY DOSE →
The shaded band is where the dosing trials landed.

Source: NIH ODS + WHO guidelines

How long it takesPromising
WHAT THE TRIALS MEASUREDthe level the trials measuredDay 0within 24 hours of a single doseTIME ON IT →
Builds over within 24 hours of a single dose
What the trial measured, in its words

A randomised crossover study in 54 nonanemic young women with plasma ferritin at or below 20 ug/L gave labelled iron sulfate as single fasting morning doses of 40, 60, 80, 160 and 240 mg. Twenty four hours after doses of 60 mg or more, serum hepcidin was raised and fractional iron absorption from the following dose was 35% to 45% lower. Across the dose range a sixfold rise in dose, 40 to 240 mg, produced a threefold rise in iron absorbed, 6.7 to 18.1 mg. Total iron absorbed from three doses inside 24 hours was not significantly greater than from two morning doses. The measure was iron absorption and serum hepcidin, not a symptom.

The proof, claim by claim.

What these words mean

These words describe the research, not the molecule's worth. Research strength is how much work stands behind one claim, and it is never a product score.

Extensively studied.

Iron has solid evidence, with 11 cited human studies on this page.

2 citations on page
  • Reduces fatigue in non-anemic women with low iron stores (ferritin <50 mcg/L)Meta-analysis of 18 RCTs
  • Improves cognitive development and IQ scores in iron-deficient school-aged childrenMeta-analysis of 32 RCTs (n=7,089)

Questions people ask about Iron.

When should I take it?
With food, ideally a meal containing some fat for better absorption. Morning or evening, pick one and stick with it.
5 more questions
How long until I notice something?
If you're deficient, you might notice within 1-2 weeks. For general maintenance, give it 4-8 weeks.
Can I get enough from food?
Sometimes. If your diet is solid and varied, you might not need to supplement. But deficiency is more common than most people think. A blood test is the only way to know for sure.
Can I take too much?
Yes. More isn't better with minerals. Stick to the recommended dose. High doses can compete with other minerals for absorption.
Can I take it with other supplements?
Usually fine. The main thing to watch is not doubling up on the same ingredient from different products. If you're on prescription meds, check with your pharmacist first.
Who benefits most from this?
People with a specific, evidence-backed need. Iron has strong research. If your situation matches the studied use case, it's one of the more reliable supplements you can take.

What the trials show about these together.

Outcomes the engine found studied for these actives as a combination, not one at a time. Each is a finding a named trial measured, cited and dated, never written by the brand.

  • Iron + Vitamin CAbsorption

    In a controlled radioiron study in 63 men, adding ascorbic acid to a non-heme iron meal increased iron absorption in proportion to the dose, from about 1.6 times the meal alone at 25 mg to about 9 times at 1000 mg.

    Promising
How these rows are read

Research strength. Research strength says how much work stands behind the combination. It is never a product score.

Fail closed. Where actives were studied on their own rather than together, each shows on its own evidence, never a combined effect no trial measured.

Independent record. Every finding is cited to a named trial, dated, and never written by the brand.

Findings from trials that studied these actives as a combination. Context for how the actives were tested together, not a statement about any individual and not a claim about this product.

Pairs well with28 on file
Iron + CopperEstablished iron-transport biochemistry
Iron + CalciumDocumented absorption interaction
Iron + ZincDocumented mineral competition
Iron + Vitamin Airon mobilisation
Iron + Vitamin B2 (Riboflavin)cofactor for iron handling
Iron + Vitamin B6 (Pyridoxine)cofactor in heme synthesis
Why these belong in the same formula, 28 pairings

Why these belong in the same formula. Each row says what the basis is, from settled biochemistry through to a trial that measured the pair.

Iron + CopperEstablished iron-transport biochemistry

Copper-dependent enzymes such as ceruloplasmin convert iron into the form that binds transferrin, the protein that carries iron through the blood. With too little copper the body struggles to move stored iron into circulation, so the two minerals work together to keep iron transport normal.

Iron + CalciumDocumented absorption interaction

Calcium competes with iron for uptake in the gut, so a large dose taken in the same sitting can lower how much iron is absorbed from that meal or supplement. Spacing calcium and iron apart during the day keeps one from blunting the other's absorption.

Iron + ZincDocumented mineral competition

Iron and zinc are chemically similar divalent minerals that compete for absorption in the small intestine, so a high dose of one on an empty stomach can reduce how much of the other is taken up. Taking them with food or at separate times eases that competition.

Iron + Vitamin Airon mobilisation

Retinoids act on the release of iron from liver stores and on erythroid precursor differentiation. Poor vitamin A status leaves iron sequestered even when intake is adequate.

Iron + Vitamin B2 (Riboflavin)cofactor for iron handling

Riboflavin derived FAD drives the ferrireductases and the release of iron from ferritin. Riboflavin status changes how much of an iron dose becomes usable.

Iron + Vitamin B6 (Pyridoxine)cofactor in heme synthesis

Delta-aminolevulinate synthase, the first and controlling step of heme synthesis, requires pyridoxal phosphate. Iron cannot be inserted into a porphyrin ring that was never built.

Iron + Folateco-nutrient for red cell formation

Folate supplies the one-carbon units for DNA synthesis in rapidly dividing erythroid precursors while iron supplies the heme. Both are needed for normal red cell production.

Iron + Vitamin B12co-nutrient for red cell formation

B12 keeps the folate cycle turning for precursor cell division while iron builds the hemoglobin those cells fill with. The two limit normal red cell formation at different steps.

Iron + Manganeseshared DMT1 transporter

Divalent manganese and ferrous iron both cross the enterocyte on DMT1, so a large dose of one lowers uptake of the other. Iron status also changes DMT1 expression, which shifts manganese absorption in turn.

Iron + Green Tea Extractpolyphenol chelation

Catechins and gallate groups bind non heme iron in the gut lumen into complexes the transporter cannot take up. Separating the two by a couple of hours is the standard handling.

Iron + Turmeric (Curcumin)polyphenol chelation

Curcumin is a recognised iron chelator with two keto-enol sites that bind the metal. Taken with an iron dose it lowers the fraction available for absorption.

Iron + Grape Seed Extractpolyphenol chelation

Proanthocyanidin galloyl and catechol groups bind luminal non heme iron the same way tea polyphenols do. The complex is not taken up by the intestinal transporter.

Iron + Quercetinpolyphenol chelation

Quercetin coordinates iron at its catechol B ring, which is part of how it acts as an antioxidant. That same binding removes iron from the absorbable pool when the two are taken together.

Iron + Phytaseremoves an absorption inhibitor

Phytate from grains and legumes is the main dietary chelator holding non heme iron unavailable, and phytase hydrolyses it. Degrading phytate raises the share of iron that can be absorbed from a plant based meal.

Iron + Vitamin Eoxidative incompatibility in formulation

Free iron catalyses lipid peroxidation, which degrades tocopherol and any oils sharing the capsule. Formulators separate the two or use a chelated iron form for this reason.

Iron + Histidineamino acid chelation at absorption

Histidine chelates non heme iron through its imidazole nitrogen and keeps it soluble at intestinal pH. This is one of the amino acid effects behind the meat factor in iron uptake.

Iron + L-Lysineamino acid chelation at absorption

Lysine forms soluble complexes with non heme iron and is used in iron amino acid chelate salts. The complex keeps iron available for uptake in the upper small bowel.

Iron + Tannic acidPolyphenolic tannins chelate non-heme iron in the gut lumen into complexes that are not absorbed, the mechanism behind tea and coffee lowering iron uptake.

Galloyl groups on tannins bind ferric iron tightly and hold it in an unabsorbable complex. The effect happens in the lumen, so it depends on the two being present at the same time rather than on total daily intake. Spacing tannin-rich drinks and extracts away from an iron dose is the standard workaround.

Iron + Calcium carbonateCalcium taken in the same meal reduces non-heme iron uptake, an interaction described consistently in absorption studies.

A large calcium dose in the same window lowers how much iron crosses the enterocyte, and the effect is seen with both heme and non-heme iron. Because it is dose-and-timing dependent, splitting a calcium supplement away from an iron dose is the usual formulation answer. What is measured is absorption, a marker of uptake, not a longer-term change in iron stores.

Iron + InulinPrebiotic fermentable fibre was tested alongside iron in a controlled absorption study in children.

Fermentable fibres acidify the colon and shift the microbial community that unabsorbed iron passes through, which is the reasoning behind pairing them with an iron dose. A controlled study measured iron absorption and loss in children given iron with and without a prebiotic. The endpoint there is absorption and microbial composition, both markers rather than clinical outcomes.

Iron + GOS (galactooligosaccharides)Galactooligosaccharides are the prebiotic most often paired with iron in absorption work, on the same colonic-fermentation reasoning.

GOS is fermented to short-chain fatty acids, lowering colonic pH and favouring bifidobacteria over the organisms that thrive on free luminal iron. That is the stated rationale for co-dosing it with supplemental iron. Studies in this area report absorption and microbiota measures, so the finding is a marker and not an outcome.

Iron + ProbioticsOral iron dosing changes gut microbiome composition in a dose-dependent way, which is the reason probiotics are considered alongside it.

Unabsorbed iron reaches the colon and shifts which organisms grow there, and a randomised study documented that shift across iron doses. Adding a probiotic is a plausible counterweight to that shift, though the pairing itself has not been shown to change how someone feels. Microbiome composition is a marker of the gut environment, not a clinical result.

Iron + LactoferrinLactoferrin is an iron-binding glycoprotein that carries ferric iron and is used as an iron-delivery ingredient in its own right.

Each lactoferrin molecule binds two ferric ions with high affinity and is taken up through its own receptor rather than through DMT1. That gives an alternative route into the body and keeps free iron out of the lumen, which is the rationale for combining or substituting it. Head-to-head human data on the pairing remains limited.

Iron + Betaine HClGastric acidity keeps iron salts dissolved and favours the ferrous state, so acid-supporting ingredients are used with iron in practice.

Ferric iron precipitates as the pH rises, so a low stomach pH matters for keeping an iron salt in solution before it reaches the duodenum. Betaine hydrochloride is used in formulation to support that acidity. The reasoning is chemical and formulation-based. It has not been quantified in a combination trial.

Iron + Psyllium huskViscous fibre slows gastric emptying and can bind minerals in the gut lumen.

A gel-forming fibre changes the physical environment an iron dose travels through and can hold minerals within the gel. Taking a bulk fibre and an iron dose in the same window is therefore avoided in practice. The size of the effect on iron specifically has not been well quantified in people.

Iron + Activated charcoalActivated charcoal adsorbs a broad range of luminal substances without selectivity.

Charcoal is used precisely because it binds indiscriminately, and anything in the gut at the same time can be caught, including a mineral dose. Separating charcoal from an iron dose by several hours is the standard handling. This follows from the adsorbent's general behaviour rather than from an iron-specific measurement.

Iron + SeleniumSelenium, vitamin E and iron were supplemented together in a controlled animal nutrition study.

Free iron drives Fenton chemistry that generates hydroxyl radicals, and selenium-dependent glutathione peroxidase is part of what clears the resulting peroxides. A targeted supplementation study in calves combined selenium, vitamin E and iron and tracked nutrient retention. Measured in animals, so it grounds the mechanism and is not human evidence.

Iron + Vitamin CEstablished nutrient chemistry

Non-heme iron, the kind in plants and most supplements, is absorbed as ferrous iron, and vitamin C keeps it in that reduced form and binds it into a soluble complex in the stomach. Taken in the same dose, vitamin C raises how much of the iron the gut takes up and blunts the inhibiting effect of the phytates and polyphenols in a meal.

Who should be cautious

Talk to a doctor before taking Iron if any of these apply to you: Toxic in high doses. Keep away from children, Hemochromatosis (Iron overload). These are flags to check first, not effects Iron is known to cause.

Not medical advice. Show the label to your pharmacist.

What Iron actually does.

Established

The last step of building haem drops an iron atom into a ring, and haem is what carries oxygen.

3 more mechanisms
Established

Iron is the part of your blood and muscle proteins that oxygen actually sticks to.

Established

Iron from plants has to be converted to a different chemical state before the gut can take it in. Iron from meat uses its own door.

Established

The body keeps iron in a storage protein and uses a hormone to control how much is released.

Mineral, 7 steps on record

Where Iron comes from.

Iron in a supplement starts as the metal or its ore and is turned into a salt, a chelate or a fine powder. A couple of forms are instead grown into yeast or taken from animal blood protein.

What this route gives you

From a mineral source, then refined and usually bound to a carrier so the body can take it up.

7 steps on record
Starts as
Iron metal or iron ore

Supplement iron traces back to metallic iron or an iron oxide feedstock rather than to a plant or animal source.

Converted by
Acid reaction to a simple salt

Ferrous sulfate is produced by reacting iron with sulfuric acid. Ferrous fumarate and ferrous gluconate come from reacting an iron source with the corresponding organic acid.

Converted by
Chelation to an amino acid complex

Ferrous bisglycinate is formed by reacting an iron salt with glycine so that two glycine molecules coordinate the metal, which changes how the iron behaves in the gut lumen.

Converted by
Physical or electrolytic reduction

Carbonyl iron, electrolytic iron and reduced iron are elemental iron powders made by thermal decomposition, electrodeposition or hydrogen reduction, and they depend on stomach acid to become ionised.

Converted by
Biological incorporation

Iron-enriched yeast is grown in an iron-rich medium so the metal is bound into yeast biomass, and haem iron polypeptide is prepared from animal haemoglobin.

Purified by
Heavy-metal and moisture control

Iron raw materials are tested for lead, arsenic, cadmium and mercury, and ferrous salts are dried and coated because they oxidise and cake in humid conditions.

Ends up as
Coated tablet, capsule or liposomal dispersion

Finished forms include coated tablets, sucrosomial and liposomal dispersions that shield the iron from the stomach, and liquid drops stabilised with ascorbate.

Getting Iron from food.

The whole-food sources on file. A supplement closes the gap, it does not replace dinner.

Red meatSpinachLegumesFortified foods

A gram-for-gram figure (how much of each you would eat to match a dose) will appear here once it is sourced and reviewed. This page will not print a number it cannot cite.

The forms it comes in.

Ferrous sulfateThe form most trials use. In anaemic infants and young children it raised haemoglobin more than an iron polysaccharide, and stomach upset is the common complaint.Fits reaching a therapeutic dose, and any formula that wants to stand on the same evidence base as the trialsTrade-off gastrointestinal side effects are more frequent than on placebo, and a meta-analysis of 43 trials found no relationship between that risk and the dose
20 more forms
Ferrous fumarateA stable-isotope study measured absorption close to ferrous sulfate across women, infants and young children.Trade-off at 40 mg elemental iron daily in pregnancy its gastrointestinal complaint profile was similar to ferrous sulfate at 50 mg, and at 80 mg daily constipation and laxative use rose significantly
Ferrous bisglycinatePregnancy trials measured higher haemoglobin with fewer stomach complaints. At a lower dose it did not match standard ferrous sulfate for iron stores.Trade-off at 18 mg it did not match 60 mg of ferrous sulfate for ferritin in a non-inferiority trial, and the meta-analysis found no significant difference in haemoglobin or ferritin among children
Ferric maltolIron held in the ferric state by three maltol ligands, a sugar-derived complex rather than a salt or an amino acid chelate.Trade-off against an intravenous iron it did not meet its non-inferiority margin at week 12, and treatment-emergent adverse events were more frequent (59 against 36 per cent), leading to discontinuation in 10 against 3 per cent
Ferrous gluconateA 15-person crossover trial measured 12.6 percent of a 21 mg dose absorbed, and in a nine-person subgroup a 600 mg calcium dose taken at the same time cut that by about half.Fits Formats where a water-soluble iron salt is needed and where the lower elemental share per gram gives finer control over small doses, such as low-dose daily capsules and multi-ingredient blends. Gluconate salts are a long-standing pharmacy-shelf choice for iron, so supply, pharmacopoeial monographs and excipient know-how are all mature. The documented handling point for a formulator or a label instruction is separation from calcium.Trade-off The human evidence for this form is a single-dose measurement of serum iron appearance in a very small sample, not iron-status outcomes over weeks, and the gluconate arm was the control rather than the subject of that trial. Taking 600 mg of calcium with the same dose cut absorption roughly in half. No study cited here tested a liquid or chewable format.Wawer 2014, PLoS One ↗
Carbonyl ironIn female blood donors, 52 percent were still iron deficient at twelve weeks on carbonyl iron, against 80 percent on placebo.Fits Formulations that need a large amount of elemental iron in a small pill, since almost the whole ingredient weight is iron. Its insolubility and low reactivity make it a quiet neighbour in multivitamin blends where soluble ferrous salts can act on other actives, and the gradual dissolution profile is the delivery mechanism the form is chosen for. Well established in over-the-counter iron products with mature pharmacopoeial and supply support.Trade-off At an equal elemental dose the amount of iron reaching body stores is around 70 percent of that from ferrous sulfate. In the donor trial, gastrointestinal complaints were significantly more frequent than with placebo, and about half the treated donors were still iron-deficient at week 12, so an 8-week 45 mg course narrows a deficit rather than closing it.
Polysaccharide iron complexFerric iron held inside a partially hydrolysed starch matrix rather than paired with a simple anion. The complex disperses in water without behaving as a free ionic salt, carries a high proportion of iron by weight, and has little of the metallic astringency that dissolved ferrous salts bring. Iron is released from the carbohydrate carrier as the complex breaks down in the gut.Fits Liquid drops, elixirs and other paediatric or taste-sensitive formats, where a near-neutral carrier matters and staining or astringency from a dissolved ferrous salt would be a formulation problem. The complex is stable enough to sit in flavoured liquids, and its high iron content per gram keeps capsule and dose volumes small. Widely used in prescription and over-the-counter paediatric iron products, so sourcing and dosing conventions are established.Trade-off In the head-to-head against ferrous sulfate at the same 3 mg/kg elemental dose, haemoglobin rose 1.0 g/dL less and median ferritin 10.2 ng/mL less over 12 weeks, and diarrhoea was reported by 58 percent of this arm against 35 percent. The haemodialysis finding is a post hoc subgroup analysis whose authors describe it as suggestive and call for prospective study.
Heme iron polypeptideHaemoglobin did not differ from monthly IV iron in a 40-person kidney-disease trial, though stored iron ran much lower, and reviewers reported it does not appear to add benefit over standard iron.Fits Products aimed at people who tolerate conventional iron salts poorly, and formulas taken with meals or alongside other minerals, where an iron that is not present as a free ion simplifies the food-timing instructions. The low iron load per dose suits three-times-daily regimens and non-animal-free positioning is a constraint to note since the raw material is animal-derived.
Ferric pyrophosphateIn young women with normal iron stores, 1.7 percent of the iron in fortified rice was absorbed, rising to 3.2 percent with a citrate solubiliser co-extruded.Fits Food and premix fortification systems, and extruded rice in particular, where an insoluble iron compound that stays put in the matrix is the requirement rather than a dissolving salt. Its micronised form is engineered for suspension stability, and the tested design pairs it with a co-extruded solubiliser, so it fits programmes that can control the whole matrix rather than a single capsule. Also used as an iron carrier in co-fortified premixes alongside zinc.Trade-off Without a solubiliser, fractional absorption in the human isotope study was about half that of the ferrous sulfate reference meal, 1.7 against 3.4 percent, so the form depends on the surrounding formulation. Both studies tested extruded rice only, in small groups of iron-sufficient young women, so nothing here extends to beverages or to capsules.Hackl 2016, American Journal of Clinical Nutrition ↗Formulation aid
Ferrous succinateThe iron(II) salt of succinic acid, a four-carbon dicarboxylic acid that is itself an ordinary intermediate of the citric acid cycle. A reddish-brown powder, about a third iron by weight, with modest rather than free water solubility. The counter-ion is a small dietary organic acid rather than a mineral acid such as sulfate.Fits Tablets and capsules where a high elemental share per milligram of raw material keeps the finished dosage form small, which matters when iron shares a tablet with folate, B12 and other actives. The limited water solubility also suits sustained-release matrices and coated tablets, where a formulator wants the iron released along the tract rather than dumped at once in the stomach.Trade-off Ferrous salts as a class carry the familiar gastrointestinal complaints and a metallic taste, and this one is no exception. Its modest solubility makes it awkward in liquids and syrups. It is a less widely traded raw material than sulfate or fumarate, so grade documentation varies between suppliers. No human outcome trial is carried on this row.
Ferrous ascorbateA compound of iron(II) with ascorbic acid, in which ascorbate acts both as the counter-ion and as a reducing partner that holds the iron in its ferrous state instead of letting it oxidise to ferric. Around 14 percent iron by weight, so the printed weight of the compound is far larger than the elemental iron figure beside it. Water-soluble, pale to greyish in colour, and widely traded in India and other Asian markets as syrups, drops and tablets.Fits Liquid formats, drops and syrups, where an unprotected ferrous salt would oxidise in the bottle and darken over shelf life. It also lets a formulator carry vitamin C alongside iron inside one raw material rather than as a second ingredient line, which simplifies a short panel on a small pack.Trade-off The low elemental share makes for a bulky dose, and the ascorbic acid content is fixed by the stoichiometry of the salt, so it cannot be dialled up or down independently of the iron. Ascorbate is heat and light sensitive, which constrains processing and packaging. Ferrous salts as a class carry the usual gastrointestinal complaints and a metallic taste in liquids. No human outcome trial is carried on this row.
Iron protein succinylateIron(III) bound inside a shell of succinylated casein, a milk protein whose lysine residues have been reacted with succinic anhydride to make the shell strongly acidic in character. Around 5 percent iron by weight. The succinylated protein stays insoluble at the pH of the stomach and dissolves as the pH rises further down the tract, which is the design intent of the material: the iron is not presented as free ions in the stomach.Fits Single-dose liquid vials, sachets and drops aimed at people who find plain ionic ferrous salts hard to take. The protein shell also masks the metallic character of iron, which is why the form is common in flavoured liquids sold across Italy, Spain and Latin America.Trade-off At roughly 5 percent iron by weight this is a large mass of raw material per milligram of iron, which drives dose volume and cost of goods. It is milk-derived, so it closes off vegan positioning and is unsuitable for a milk-allergy line. There is a body of older clinical work on this material, but none is carried on this row, so no outcome is claimed here.
Sucrosomial ironFerric pyrophosphate carried inside a matrix of phospholipids and sucrose esters of fatty acids, produced as a free-flowing powder. The iron is physically enclosed rather than chemically changed, so the underlying salt is still ferric pyrophosphate. The surrounding matrix is what distinguishes the material. It is tasteless, odourless and non-ionic in the pack.Fits Capsules, stick packs, chewables and children's formats where the metallic character of iron is the formulation problem to solve. The neutral taste and the absence of free ionic iron also make it workable alongside sensitive actives such as vitamin C, probiotics and omega oils in the same blend, and it is plant-derived, so it fits vegan positioning.Trade-off It is a proprietary, single-source ingredient, which ties a formula to one supplier for price and continuity. The elemental iron share of the finished powder is low relative to plain salts, so capsule fill runs high. Much of the published work sits with the ingredient owner and none of it is carried on this row, so no outcome is claimed here.
Electrolytic ironIron metal deposited from an iron salt solution onto a cathode, then stripped and milled into flaky, dendritic particles of high surface area. Typically 97 percent or more elemental iron, grey, tasteless and magnetic, which is how quality control confirms it is present in a finished flour or cereal.Fits Dry blends, flour and breakfast cereal fortification, and tablet formulas where the material must not react with anything around it during a long shelf life. Its high surface area relative to other metallic iron grades is the reason a formulator picks it over plain reduced iron in a dry matrix.Trade-off Everything about how this material behaves in the body follows from particle size and surface area, and neither number appears on a supplement panel, so two products naming electrolytic iron are not necessarily comparable. Like all metallic iron it depends on stomach acid to dissolve. No human outcome trial is carried on this row.
Reduced ironIron metal produced by reducing iron oxide with hydrogen or carbon monoxide at high temperature, leaving porous, sponge-like particles. Iron content is typically in the mid to high nineties by percentage, with the balance made up of residual oxide and trace metals from the ore.Fits Long-life dry goods: flour, pasta, breakfast cereals and low-cost tablet blends, where the deciding factors are that the material adds no colour, no taste and no reactivity to a matrix stored for months. It is the cheapest way to put a large elemental iron figure on a panel, which is why it appears so widely in staple food fortification programmes.Trade-off The porous particles vary in size and residual oxide content between suppliers and even between lots, and none of that reaches the label. Like other metallic irons it depends on gastric acid to dissolve at all. No human outcome trial is carried on this row.
Ferric ammonium citrateA mixed iron(III) ammonium salt of citric acid, traded in a brown grade and a green grade that differ in iron content and ammonia share. Roughly 16 to 18 percent iron by weight in the brown grade. Unlike most ferric compounds it is freely and quickly soluble in water, because citrate keeps the iron in solution as a complex rather than letting it drop out as hydroxide.Fits Clear liquids, fortified beverages, effervescent tablets and any format where the iron has to go fully into solution and stay there at drinking pH. The citrate complex is also less prone to interacting with proteins in a beverage than a simple ferric salt would be.Trade-off It is hygroscopic and light sensitive, so it needs protective packaging, and both grades add a distinct colour and a metallic edge to a clear drink at higher inclusion levels. The ammonium content is a flavour and labelling consideration in its own right. No human outcome trial is carried on this row.
Iron polymaltose complexA ferric hydroxide core wrapped in a shell of polymaltose, a partly hydrolysed dextrin. The whole particle behaves as one large, water-soluble, non-ionic unit, so no free ferric ion is released in the stomach. Brown in colour, near-neutral in taste, and stable in solution across a wide pH range.Fits Chewable tablets, syrups and drops sold across Europe, Australia and much of Asia, particularly children's and pregnancy formats where taste and staining are the design constraints. The non-ionic character means it does not blacken teeth or react with tannins in tea and coffee the way a ferrous salt does.Trade-off Like other polymer-shelled irons it is defined by its process, so specifications differ between manufacturers. It is a bulky material per milligram of iron, which sets a practical ceiling on the dose that fits in one chewable. No human outcome trial is carried on this row.
Sodium feredetateIron(III) locked into the six-armed chelate EDTA with sodium as the counter-ion, roughly 13 percent iron by weight. The chelate is unusually stable: it holds the iron across a wide pH range, keeps it out of reach of phytate and polyphenols in a food matrix, and stops it acting as a catalyst for fat oxidation in the pack.Fits Fortification of high-phytate staples such as soy sauce, fish sauce, curry powder and wheat flour, where a plain iron salt would bind up with phytate or turn the product dark. In supplements it appears in liquids and syrups that also carry plant material, since the chelate does not react with the polyphenols around it. EDTA in the same molecule doubles as a stabiliser for the rest of the formula.Trade-off Regulators cap EDTA intake, so the amount of iron that can be delivered this way is limited by the chelator rather than by the iron, and some markets restrict the ingredient to named food categories. Low elemental share makes it bulky. No human outcome trial is carried on this row.Active and formulation aid
Ferrous lactateThe iron(II) salt of lactic acid, about 21 percent iron by weight as the dihydrate, a greenish-white to pale powder that dissolves readily in water. Lactate is a common food acid, and the salt is an established food ingredient outside supplements, used among other things to keep ripe olives dark.Fits Fortified foods, dairy alternatives and beverages where a soluble ferrous salt is needed but sulfate is too aggressive on flavour, since lactate carries a milder character. Its solubility and food-ingredient status also suit gummies and chews, where the iron must be in solution when the gel sets.Trade-off It is still a soluble ferrous salt, so it can darken a light-coloured matrix over shelf life and it can drive oxidation of fats and vitamin C sitting beside it. The elemental share is middling, so the dose is not compact. No human outcome trial is carried on this row.
Ferric orthophosphateIron(III) phosphate, FePO4, an off-white to buff powder that is practically insoluble in water, with roughly 29 percent iron by weight in the hydrated grade sold for foods. Being insoluble and near-colourless, it sits in a food matrix without tinting it and without catalysing the oxidation reactions that a soluble iron salt drives.Fits Flour, cereal, pasta and infant food fortification, and dry supplement blends where colour stability over a long shelf life is the governing constraint. It is the sort of material a formulator reaches for when the finished product is pale, fatty or stored for a year.Trade-off The properties that make it inert in the pack also mean it depends entirely on stomach acid to release any iron at all, and particle size, which is not on the label, governs how readily that happens. It is a fortification material more than a therapeutic-dose one. No human outcome trial is carried on this row.
Iron-enriched yeastSaccharomyces cerevisiae grown in a medium rich in an iron salt, then washed, inactivated and dried, so that the iron ends up carried within the yeast biomass and associated with its proteins and other cell constituents rather than sitting in the capsule as a free salt. The finished powder is a low-percentage iron material with the colour, smell and taste of dried yeast.Fits Whole-food and food-state positioning lines, low-dose daily multivitamins and prenatal formats aimed at shoppers who prefer a food matrix on the panel. The yeast base also brings B vitamins and protein with it, which some brands count as part of the story rather than as a diluent.Trade-off The elemental iron share is low, so a therapeutic-size dose is impractical in this form and these products sit at maintenance levels. Yeast-derived material is a consideration for anyone avoiding yeast, and the iron content is set by a fermentation process that varies between producers. No human outcome trial is carried on this row.
Iron in our library7 forms

Same mineral in different salts. Each is its own molecule with its own page, and absorption and feel differ from one to the next.

See all 7 forms
What the strongest studies found

The essence, in one line each.

  1. In a Cochrane review of 67 randomized trials in menstruating women, daily iron raised hemoglobin by about 5.3 g/L versus control and lowered the risk of iron deficiency (risk ratio 0.62).Systematic review and meta-analysis. Low et al., 2016 (Cochrane Database of Systematic Reviews). PMID 27087396 ↗
21 more findings
  1. In iron-deficient adults with normal hemoglobin, iron lowered self-reported fatigue (standardized mean difference -0.38), with no measurable change in maximal oxygen uptake.Systematic review and meta-analysis. Houston et al., 2018 (BMJ Open). PMID 29626044 ↗
  2. In women of reproductive age, daily iron raised maximal oxygen uptake by about 2.35 mL/kg/min and lowered submaximal exercise heart rate by about 4 beats per minute.Systematic review and meta-analysis. Pasricha et al., 2014 (The Journal of Nutrition). PMID 24717371 ↗
  3. In iron-deficient children, adolescents and menstruating adults with normal hemoglobin, iron improved short-term memory (standardized mean difference 0.53) in randomized trials.Systematic review and meta-analysis. Fiani et al., 2025 (Neuroscience and Biobehavioral Reviews). PMID 40945632 ↗
  4. Daily oral iron in pregnancy raised haemoglobin and iron stores and lowered the chance of low haemoglobin at term.Meta-analysis. Systematic review and meta-analysis, 2024. PMID 39145520 ↗
  5. In a meta-analysis of 11 trials in 1,014 people with diagnosed iron deficiency, alternate-day oral iron raised hemoglobin to a similar degree as daily dosing, with similar rates of adverse effects.Meta-analysis, in participants with iron deficiency anemia (IDA). Systematic review and meta-analysis, 2025. PMID 40841680 ↗
  6. Among blood donors, iron supplementation raised iron stores and reduced the number turned away for low haemoglobin.Meta-analysis. Systematic review and meta-analysis, 2026. PMID 42240175 ↗
  7. In young women with a diagnosed iron deficiency, eight weeks of oral iron improved muscle endurance and lowered scores for fatigue, but did not detectably improve aerobic fitness or muscle strength.Clinical trial (single-arm), in young women with iron deficiency anemia (IDA). Clinical trial, 2025. PMID 41100554 ↗
  8. Iron after blood donation sped the recovery of blood measures, while no difference in exercise performance was detected between groups, which is a failure to detect a difference and not evidence that none exists.Randomised trial. Judd et al., 2025 (Journal of Strength and Conditioning Research). PMID 40030077 ↗
  9. Oral iron altered the gut microbiome in a dose-dependent pattern in a 4-week randomised trial in 30 women with iron deficiency and normal hemoglobin levels.Randomised trial. Schubert et al., 2026 (Nutrients). PMID 42124000 ↗
  10. A review of studies in people with diagnosed iron deficiency found that certain intravenous iron formulations are associated with reduced blood phosphate levels.Narrative review, in patients with iron-deficiency anemia (IDA). Inghilleri et al., 2026 (Journal of Clinical Medicine). PMID 42355917 ↗
  11. Describes pigmentation of the small-bowel lining found on endoscopy in one person after long-term oral iron use. A single case, so it establishes possibility and not frequency.Case report, in a 42-year-old female with iron deficiency anaemia. Youssef et al., 2026 (European Journal of Case Reports in Internal Medicine). PMID 42466221 ↗
  12. Summarises current practice around enteral iron dosing in newborn care, including timing and monitoring of iron measures.Narrative review. Bell, 2026 (Neonatal Network). PMID 42062100 ↗
  13. Combined selenium, vitamin E and iron supplementation changed nutrient retention and metabolic measures in calves. Measured in animals, so it supports mechanism rather than human effect.Animal study. Salles et al., 2025 (Tropical Animal Health and Production). PMID 40471350 ↗
  14. A multicentre placebo-controlled randomised trial in 198 nonanemic menstruating women aged 18 to 53, all with ferritin below 50 ug/L and haemoglobin above 12.0 g/dL, gave 80 mg elemental iron as ferrous sulfate daily for 12 weeks. Fatigue on the Current and Past Psychological Scale fell 47.7% with iron and 28.8% with placebo, a modest between-group difference of 18.9%. At 12 weeks iron raised haemoglobin by 0.32 g/dL and ferritin by 11.4 ug/L against placebo. Biological markers were measured at 6 and 12 weeks. No effect was seen on quality of life, depression or anxiety.Randomised controlled trial. Vaucher et al., 2012 (CMAJ). PMID 22777991 ↗
  15. Ferrous sulfate. A systematic review and meta-analysis of 43 randomised trials in 6,831 adults found ferrous sulfate raised the odds of gastrointestinal side effects against placebo (OR 2.32, 95 per cent CI 1.74 to 3.08) and against intravenous iron (OR 3.05, 95 per cent CI 2.07 to 4.48), with meta-regression showing no significant association between the odds ratio and the iron dose. In a double-blind randomised trial in 80 infants and children aged 9 to 48 months with nutritional iron-deficiency anaemia, ferrous sulfate at 3 mg/kg daily raised haemoglobin from 7.9 to 11.9 g/dL against 7.7 to 11.1 g/dL for iron polysaccharide complex over 12 weeks, a greater difference of 1.0 g/dL (95 per cent CI 0.4 to 1.6, P < 0.001), and diarrhoea was reported more often in the polysaccharide arm (58 against 35 per cent, P = 0.04).Clinical trial. Tolkien et al., 2015 (PLoS One). PMID 25700159 ↗
  16. Ferrous fumarate. In a randomised stable-isotope study in non-anaemic Mexican women, infants and young children consuming a sweetened maize and milk drink, iron absorption did not differ significantly between ferrous fumarate and ferrous sulfate in any group: 17.5 against 20.5 per cent in women (relative bioavailability 86), 7.0 against 7.2 per cent in infants (97), and 6.3 against 5.9 per cent in young children (106). In two randomised double-blind studies of low-dose prophylaxis in pregnancy, ferrous fumarate at 40 mg and ferrous sulfate at 50 mg showed higher but similar gastrointestinal side-effect profiles, and no participant needed a dose reduction or a change of formula.Clinical trial. Harrington et al., 2010 (European Journal of Clinical Nutrition). PMID 20842166 ↗
  17. Ferrous bisglycinate. A systematic review and meta-analysis of 17 randomised trials found that, against other iron supplements, ferrous bisglycinate over 4 to 20 weeks gave higher haemoglobin in pregnant women (SMD 0.54 g/dL, 95 per cent CI 0.15 to 0.94, P < 0.01) and fewer reported gastrointestinal adverse events (IRR 0.36, 95 per cent CI 0.17 to 0.76, P < 0.01), with no significant differences detected among children. In a double-blind randomised placebo-controlled non-inferiority trial in 480 Cambodian women, 18 mg ferrous bisglycinate was not as effective as 60 mg ferrous sulfate at raising ferritin over 12 weeks (84 against 99 micrograms/L), and the trial did not meet its non-inferiority margin. In pregnancy prophylaxis, ferrous bisglycinate at 25 mg carried significantly fewer gastrointestinal complaints than ferrous fumarate at 40 mg or ferrous sulfate at 50 mg, and fewer black stools (8 against 22 and 31 per cent).Clinical trial. Fischer et al., 2023 (Nutrition Reviews). PMID 36728680 ↗
  18. Ferric maltol. Studied in inflammatory bowel disease, where it raised haemoglobin over a year but trailed an intravenous iron at 12 weeks.Clinical trial. Howaldt et al., 2022 (Inflammatory Bowel Diseases). PMID 33988236 ↗
  19. Carbonyl iron. A randomised double-blind trial in 49 female blood donors with iron-deficiency anaemia, given equal iron doses as carbonyl iron or ferrous sulfate, found no significant difference in haemoglobin, mean corpuscular volume, corrected reticulocyte count, serum iron, total iron-binding capacity, transferrin saturation or erythrocyte protoporphyrin across 16 weeks, with net body-iron estimates putting overall bioavailability at about 70 percent that of ferrous sulfate. This is the canonical foundational bioavailability trial for the form. A later randomised double-blind placebo-controlled trial in 282 female whole-blood donors aged 18 to 45, given 45 mg daily for 8 weeks, found 51.9 percent still iron-deficient at 12 weeks against 80.5 percent on placebo (p < 0.001), with significantly more gastrointestinal side effects than placebo.Clinical trial. Devasthali 1991, European Journal of Haematology (canonical foundational trial). PMID 2044721 ↗
  20. Polysaccharide iron complex. In young children with anaemia, haemoglobin rose from 7.7 to 11.1 g/dL over twelve weeks at 3 mg/kg daily.Clinical trial. Powers 2017, JAMA. PMID 28609534 ↗
  21. Heme iron polypeptide. A randomised trial in 40 non-dialysis chronic kidney disease patients with iron-deficiency anaemia compared heme iron polypeptide 11 mg orally three times daily with 200 mg monthly intravenous iron sucrose over 6 months. Haemoglobin was 117 against 113 g/L (p = 0.37) and transferrin saturation did not differ (p = 0.82), while serum ferritin was 85.5 against 244 ug/L (p = 0.004). Adverse events did not differ. A review of the three randomised trials in this population, totalling 161 patients, reported that heme iron polypeptide was consistently associated with lower ferritin values than comparator iron, and concluded that it does not appear to confer benefit over traditional iron supplementation in anaemia of chronic kidney disease and is more expensive.Clinical trial. Nagaraju 2013, BMC Nephrology. PMID 23514036 ↗

Chosen from the 12,815 we read for Iron.

Primary evidence

The studies, linked.

12 sources behind our Iron verdict, every one linked to PubMed, the journal or ClinicalTrials.gov.

  1. Meta-analysisThe safety of intravenous iron preparations: systematic review and meta-analysis.
    Mayo Clinic proceedings, 2015, cited 422 times, open access
    PubMed ↗
11 more linked trials
  1. PubMed ↗
  2. PubMed ↗
  3. ReviewIron deficiency: new insights into diagnosis and treatment.
    Hematology. American Society of Hematology. Education Program, 2015, cited 169 times, open access
    PubMed ↗
  4. ReviewConsiderations and challenges in defining optimal iron utilization in hemodialysis.
    Journal of the American Society of Nephrology : JASN, 2015, cited 85 times, open access
    PubMed ↗
  5. ReviewIntravenous Iron Administration and Hypophosphatemia in Clinical Practice
    International Journal of Rheumatology, 2015, cited 82 times, open access
    PubMed ↗
  6. ReviewModulation of hepcidin to treat iron deregulation: potential clinical applications
    Expert review of hematology, 2015, cited 58 times, open access
    PubMed ↗
  7. PubMed ↗
  8. ClinicalTrials.gov ↗
  9. ClinicalTrials.gov ↗
  10. ClinicalTrials.gov ↗
  11. Clinical trialEfficacy of Probiotics on Iron Status During Pregnancy
    326 participants, Completed
    ClinicalTrials.gov ↗

From clinical trials and PubMed, ranked by study type and citation weight, not cherry-picked.

Side effects reported to the FDA

Problems people have reported.

Read this carefully. These are 217,791 voluntary, unverified reactions reported to the FDA (openFDA). The number mostly reflects how popular Iron is, not how risky it is. A report is not proof Iron caused anything. It is a signal of what to watch for, nothing more.

Fatigue
7,764
Nausea
7,140
Off Label Use
6,715
3 more reported effects
Diarrhoea
6,706
Dyspnoea
5,857
Drug Ineffective
5,563

Source: openFDA adverse-event reports. Voluntary reporting, not an incidence rate.

Every figure on this page, at source

Labs test. IngredientMD verifies.

Moretti et al., 2015 (Blood)Crossover trial. Time to effect, within 24 hours of a single dose.PMID 26289639
Cook & Monsen, 1977 (Am J Clin Nutr)Studied together, absorption.PMID 835510
Sources checked 21 July 2026. A strength word says how much research stands behind a claim. It is never a product score.Educational information about an ingredient, not medical advice and not a claim about any specific product. Statements about ingredients have not been evaluated by the Food and Drug Administration. Bring the label to your pharmacist.

FDA Disclaimer: These statements have not been evaluated by the Food and Drug Administration. This information is for educational purposes only and is not intended to diagnose, treat, cure, or prevent any disease. Consult your healthcare provider before starting any supplement regimen.