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How to use medicinal supplement for anemia?

BingMag.com <b>How</b> to <b>use</b> <b>medicinal</b> <b>supplement</b> for anemia?

Nutrient deficiency anemia is a common problem that occurs if the body does not get enough of certain vitamins and minerals. Usually, this problem is caused by improper diet, some diseases or taking some medicines. Nutritional deficiencies cause a decrease in the number of red blood cells and a decrease in the level of hemoglobin, which is called anemia. Treating the underlying disease, modifying the diet and using a medicinal supplement for anemia can help to solve this problem.

Iron deficiency anemia is the most common type of anemia, but low levels of folate (vitamin B9) and vitamin B12 are also can lead to its occurrence. According to the World Health Organization (WHO), anemia affects more than 30% of the world's population and is especially common among pregnant women and children. Join us in this article from BingMag to learn more about anemia caused by nutrient deficiency and How to take a medicinal supplement for anemia.

Iron deficiency anemia

Iron It plays a role in many body functions, including energy consumption, maintaining concentration, improving immune system activity, and regulating body temperature. This important mineral helps in fetal development and improves athletic performance, especially in female athletes.

Meat, poultry, seafood, legumes, and fortified foods are the best sources of iron. Iron from vegetable foods is less absorbed than iron from animal foods, and for this reason, it is better to consume it together with foods containing vitamin C.


Iron deficiency and anemia caused by several reasons. which usually includes the following:

  • Blood loss due to heavy menstrual bleeding, gastrointestinal bleeding and...
  • Iron deficiency in the diet
  • Inability to absorb iron from food due to celiac disease or removal of a part of the intestine with surgery
  • Pregnancy due to an increase in the body's need for iron

The following people more than others Are exposed to iron deficiency anemia:

  • Women due to blood loss during menstruation
  • Infants and children, especially low birth weight babies and babies who are born prematurely
  • Vegetarians
  • People who donate blood frequently (the decrease in hemoglobin in these people may be temporary and can be resolved by eating iron-rich foods)

Symptoms and Complications

BingMag.com <b>How</b> to <b>use</b> <b>medicinal</b> <b>supplement</b> for anemia?

At first, iron deficiency anemia may be too mild to notice. Don't worry about it, but gradually the signs and symptoms become more severe. The most important symptoms of iron deficiency anemia are:

  • extreme fatigue
  • weakness
  • pale skin
  • chest pain, heart palpitations Fast or short of breath
  • Headache, dizziness or lightheadedness
  • Cold hands and feet
  • Tongue inflammation
  • Brittle nails
  • Tendency to consume ice, dirt or starch
  • Anorexia, especially in infants and children

Usually mild anemia does not cause complications. But if iron deficiency anemia is not treated, it can lead to the following problems:

  • Heart problems (the heart has to pump more blood to compensate for the lack of oxygen caused by anemia, and this causes the heart to enlarge or heart failure)
  • Problems related to pregnancy such as premature birth and low birth weight baby
  • Growth disorders in infants and children


The doctor prescribes a blood test to check the following and confirm anemia:

  • Size and color of red blood cells: In patients with iron deficiency anemia, red blood cells They are smaller than normal and look pale.
  • Hematocrit: This test shows what percentage of the blood volume is red blood cells. The normal levels of hematocrit depend on age and in adult men and women it is 5.9-35.44 and 38.6-38.6%, respectively.
  • Hemoglobin: Decrease in hemoglobin. It is a sign of anemia. The normal range of hemoglobin for women and men is defined as 11.6-15 and 13.2-16.6 grams per deciliter, respectively. Ferritin: This protein helps to store iron in The body helps, and its decrease indicates a lack of stored iron.

If the blood test confirms iron deficiency anemia, the doctor may recommend the following diagnostic methods to determine the underlying cause:

  • Endoscopy to find evidence of bleeding in the upper digestive tract (stomach and esophagus)
  • Colonoscopy to check for intestinal bleeding
  • Ultrasound to find the cause Heavy menstrual bleeding in women

Treatment of anemia

Treatment of iron deficiency anemia depends on its cause. But in general, the consumption of iron-rich foods and the use of medicinal supplements for anemia play an important role. If the use of anemia pills cannot increase the level of iron in the blood, anemia is probably caused by other causes such as bleeding or malabsorption. In this situation, depending on the cause, treatment can include one of the following:

  • Medication, such as oral contraceptives to reduce menstrual bleeding
  • Use of antibiotics and other drugs to treat stomach ulcers
  • Surgery to remove a bleeding tumor or polyp

Pharmaceutical supplement for iron deficiency anemia

BingMag.com <b>How</b> to <b>use</b> <b>medicinal</b> <b>supplement</b> for anemia?

Oral or intravenous iron intake ( IV) It is effective in treating anemia. Note that injectable iron must be prescribed by a doctor. Iron deficiency cannot be corrected overnight, and it may be necessary to continue taking iron supplements for several months to replenish iron reserves. reduces. However, if you experience digestive problems, nausea and vomiting, you can take it with food to reduce side effects. Taking iron tablets with sources of vitamin C, such as natural orange juice, improves its absorption.

Oral iron supplements with a dose of less than 45 mg per day are safe for most adults. Children's intake of iron should not exceed 40 mg per day. You can use higher doses of iron only under the supervision of a doctor.

Iron supplements may cause constipation. Consuming high-fiber foods and drinking plenty of water will reduce the possibility of this problem. Also, if necessary, you can use stool softeners after consulting a doctor. Blackening of stool is another complication of iron pills, which is considered harmless.

Excessive iron consumption leads to diarrhea, vomiting, and abdominal pain, and increases the risk of premature birth in pregnant women. Research has shown that high consumption of this mineral increases the risk of heart disease in women with type 2 diabetes. If you have diabetes, consult your doctor before taking a medicinal supplement for anemia.

Iron supplement interacts with some antibiotics and affects their effectiveness by reducing the absorption of these drugs. To avoid this interaction, take iron two hours before or four hours after taking antibiotics. Other drugs that should not be used simultaneously with iron include antacids, levothyroxine, levodopa, methyldopa, penicillamine and some AIDS drugs.

Vitamin deficiency anemia

BingMag.com <b>How</b> to <b>use</b> <b>medicinal</b> <b>supplement</b> for anemia?

When you don't consume enough foods containing folate and vitamin B12 or your body is unable to absorb these nutrients, You get infected with blood. Anemia caused by folate and vitamin B12 deficiency is a type of megaloblastic anemia. This term means that the red blood cells are not growing normally; That is, they are oval in shape and have a larger size compared to healthy and mature red blood cells. New red blood cells need it. Folate intake is essential for everyone, especially pregnant women. This vitamin helps the growth and development of the fetus and prevents birth defects.

Folate is naturally found in many foods such as grains, leafy vegetables, citrus fruits, nuts, beans, peas, seafood, eggs, and dairy products. , meat and chicken.

Folic acid is a synthetic form of folate that is made by humans. Folic acid is sold as a supplement in pharmacies and some foods such as rice, bread and pasta are enriched with it.


One of the most common causes of folate deficiency is not having a healthy diet. Is. Other causes include:

  • Disturbance in vitamin absorption due to gastrointestinal diseases such as Crohn's or celiac disease
  • Excessive alcohol consumption
  • From Loss of folate in food due to overcooking of fruits and vegetables
  • Usage of certain medications including anticonvulsants and medications prescribed to treat ulcerative colitis
  • Dialysis
  • >

Symptoms and complications

BingMag.com <b>How</b> to <b>use</b> <b>medicinal</b> <b>supplement</b> for anemia?

One of the first symptoms of folate deficiency is excessive fatigue. Is. Other symptoms can include:

  • paleness
  • shortness of breath
  • dizziness
  • mouth sores
  • decreased sense of taste
  • memory loss
  • difficulty concentrating
  • confusion
  • lack of energy
  • Muscle weakness
  • Depression
  • Weight loss
  • Diarrhea

Folate deficiency during pregnancy can cause severe complications and cause Congenital defects. Spina bifida or neural tube defect is a congenital disease in which the neural tube does not grow and close properly. This tube is formed early in pregnancy and its two edges must be connected on the 28th fetal day. In addition, folate deficiency increases the possibility of placental abruption and may lead to premature labor or stillbirth. lead to underweight. Some studies have shown that the lack of this vitamin during pregnancy is related to the occurrence of autism in children. Other complications of folate deficiency include infertility, cancer, cardiovascular disease, depression, dementia, Alzheimer's and reduced cognitive function.

Diagnosis and treatment

The doctor examines your medical history and symptoms and, if necessary, measures the blood folate level with a blood test. Diet modification helps treat folate deficiency. But if the deficiency is severe or has led to anemia, you should use an anemia supplement.

Drug supplement for folate deficiency anemia

Folic acid supplement is used to treat folate deficiency and anemia caused by it. . This supplement is produced orally and injectably, and its injectable type must be prescribed by a doctor.

Consumption of folic acid in doses less than 1000 micrograms per day is safe for most adults. Children and adolescents aged 1-3 years, 4-8 years, 9-13 and 14-18 years should not receive more than 300, 400, 600 and 800 micrograms respectively.

Doses higher than 1000 micrograms are possible. It can be dangerous and lead to stomach upset, nausea, diarrhea, confusion, behavioral changes, skin reactions, seizures and other side effects. A special form of folic acid called L-5-methyltetrahydrofolate (L-5-MTHF) is found in some supplements and is probably safe up to 400 micrograms per day.

Some studies have shown that Taking too much folic acid over a long period of time increases the risk of cancer, worsens seizures in people with seizure disorders, and increases the risk of heart attacks in people with heart problems. Until researchers learn more about this, these patients should avoid receiving high doses of folic acid.

Vitamin B12 deficiency

BingMag.com <b>How</b> to <b>use</b> <b>medicinal</b> <b>supplement</b> for anemia?

Vitamin B12, sometimes called cobalamin, is involved in red blood cell production, DNA synthesis, fat and protein metabolism, and brain and nerve function.

This vitamin is found in animal foods such as red meat, poultry, fish, eggs and dairy products. Some foods, such as cereals and plant-based milks, are enriched with vitamin B12, which vegetarians can use.


The most common causes of cobalamin deficiency are:

  • Pernicious anemia: is an autoimmune disease that affects the lining of the stomach and prevents the production of a protein called intrinsic factor. This protein helps the body absorb cobalamin in the small intestine.
  • Digestive problems: Chronic gastritis (inflammation of the stomach) from the secretion of intrinsic factor and stomach acids that play a key role in absorption. They have cobalamin, it prevents. Crohn's disease and celiac disease can also cause a lack of this vitamin.
  • Surgery: Slimming surgeries that are associated with the removal of a part of the stomach or intestine make absorption of the vitamin difficult.
  • Drugs: Long-term use of metformin (treatment of type 2 diabetes), proton pump inhibitors (treatment of gastric reflux and stomach ulcers) and colchicine (treatment of gout) have a negative effect on vitamin absorption. It does.
  • Diet: Cobalamin is only found in animal foods. For this reason, vegetarians may be deficient.

The following factors increase the risk of cobalamin deficiency anemia:

  • Family history. This disease
  • Suffering from an autoimmune disease such as diabetes, thyroid disease and vitiligo (leprosy or psii)
  • Old age


  • Weakness
  • Tingling or numbness in hands and feet
  • Nausea
  • Decreased appetite
  • fatigue
  • weight loss
  • diarrhea
  • pale skin
  • rapid heartbeat
  • Difficulty in walking


BingMag.com <b>How</b> to <b>use</b> <b>medicinal</b> <b>supplement</b> for anemia?

Mostly lack of this vitamin It causes symptoms that are similar to those of other diseases. For this reason, it is sometimes difficult to diagnose and often doctors discover it accidentally through a blood test.

To diagnose cobalamin deficiency, the doctor performs a physical examination and reviews the patient's medical history. He also orders a blood test to measure the number of red blood cells, hemoglobin and serum level of vitamin B12. If blood tests confirm anemia, more tests are likely needed to find the cause.


Treatment for this condition depends on the cause. If the diet plays a role in the occurrence of anemia, increasing the consumption of foods containing cobalamin and taking an anemia medicinal supplement is helpful.

The most popular B12 supplements contain cyanocobalamin or methylcobalamin. Other forms of B12 include hydroxocobalamin and adenosylcobalamin. Methylcobalamin, hydroxocobalamin, and adenosylcobalamin are similar to the vitamin found in the body and in foods, but cyanocobalamin is a synthetic vitamin made by humans.

The results of one study have shown that all forms of B12 are effective in treating Its deficiency helps, but the rate of absorption of cyanocobalamin is lower than others. On the other hand, some researchers They are worried that cyanocobalamin cyanide will accumulate in the body with long-term use. However, there is no consensus on this claim.

Cyanocobalamin is better known for being more stable and cheaper than other vitamin supplements. If you are not sure what type of supplement you should use for anemia, consult your doctor.

Supplements for Vitamin B12 Deficiency Anemia

BingMag.com <b>How</b> to <b>use</b> <b>medicinal</b> <b>supplement</b> for anemia?

Oral and injectable cobalamin supplements help treat the deficiency of this nutrient and the resulting anemia. Usually, doctors prescribe the injectable form of cobalamin for those who suffer from malabsorption of this vitamin.

You can take cobalamin supplements in the morning or at night. Some people believe that this vitamin increases energy and should not be taken before bed, but there is no research to support this claim. One study has even shown that cobalamin is associated with improved sleep quality and a reduced need for sleeping pills.

Cobalamin is a water-soluble vitamin, meaning the kidneys excrete excess amounts of it through the urine. However, if you are not deficient, taking supplements is harmful. Evidence shows that excessive intake of cobalamin supplementation is associated with acne and an increased risk of colon cancer, and its use during chemotherapy can affect the effectiveness of the treatment.

In rare cases, the use of vitamin B12 supplementation , especially in injection form, causes allergic reactions. If you notice skin rashes, itching and hives after taking this vitamin supplement, see a doctor.

Sometimes a serious allergic reaction may occur, which is called anaphylaxis, with difficulty in swallowing and Breathing as well as swelling of the face, tongue and throat are noted. If these symptoms occur, immediately call the emergency number (115) or go to the hospital. Therefore, it is recommended to consult a doctor before taking high doses of cobalamin or its injectable form.

Important points about taking medicinal supplements for anemia

Supplements help treat nutritional deficiencies. And using them can be beneficial for many people, especially pregnant women, children, the elderly and vegetarians. But their consumption is not necessary for all people and may even lead to serious problems. When taking a nutritional supplement for anemia, pay attention to the following points:

  • Do not take the supplement more than the dose indicated on the package or prescribed by your doctor.
  • Always take the supplement as directed on the label. Some supplements may need to be taken on an empty stomach, while others should be taken with a meal.
  • Some dietary supplements and medications interact. If you are using a certain medication, consult your doctor about this.
  • Never use supplements as a substitute for following a healthy diet.
  • Store supplements in a dry and cool place. Keep cool and out of the reach of children.


Nutrient deficiency anemia is a common problem that occurs when the body does not get enough iron, folate, and vitamin B12. It doesn't, it happens. Sometimes underlying diseases or some drugs make it difficult to absorb these nutrients in the intestine and cause their deficiency.

Using anemia supplements is one of the best ways to treat anemia. These supplements are produced in various forms and in different doses, and to choose the best type of them, you should consult a doctor, pharmacist or nutritionist.

Do not overdo the use of supplements and stop using them in case of any side effects. Discontinue and inform your doctor. If you experience an allergic reaction (skin rash, shortness of breath, and swelling of the face, lips, tongue, and throat) by taking a medicinal supplement for anemia, go to the emergency room immediately.

This article is for educational and informational purposes only. Before using the recommendations of this article, be sure to consult a specialist doctor. For more information, read BingMag Disclaimer.

Sources: webmd, mayoclinic, webmd, my.clevelandclinic, greatist, medicalnewstoday

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