Advice to someone trying to build their iron stores before surgery...

I've been working on building my blood over the past months, I had some bleeding problems related to my miscarriage that have left me anemic once again.

Here's a totally wacky suggestion but since I was just up in the Andes you should know that your body will produce more red blood cells at higher altitudes. You could plan on spending the next month up at a higher elevation.

I don't have it in front of me but the book Healing with Whole Foods (Pitchford) had suggestions for what to take for anemia. You might check it out at a book shop if you have time; I love this book as it provides information on how to correct illness and various conditions through diet. B6, B12, Magnesium, Vitamin C and of course Iron work together to bolster blood development. There was some other theory about transmutation or something where one other nutrient turns into iron into the body but I don't remember what it was you have to read the book.

There are also blood building herbs you can take, from what I recall these are yellowdock, nettles, and dong quai but I wouldn't use them on my own -- better to work with an herbalist, naturopath or chinese medical specialist than dabble. Also, since surgery is so close at most you might be able to use them for a couple of weeks.

If you are still bleeding in the meantime Potassium is supposed to help control bleeding so make sure you are getting enough in your diet. Also, things like garlic and onions are blood thinners so you will want to be careful of that.

I just wanted to show you this quote that I just found which explains from a chinese medicine perspective why just eating iron rich foods might not help treat anemia:

"Of course, knowing that a patient suffers from a specific type of anemia may influence the treatment strategy as a whole, i.e., if a patient suffers from iron deficiency anemia, iron rich foods and possibly iron supplements should be consumed. However, even in such a scenario, if the patient suffers from the spleen and stomach vacuity weakness pattern of blood vacuity, iron supplementation plays only a secondary role; the fortification of the spleen and stomach are primary. As long as foods are not absorbed correctly, no iron supplement will be of any help. This explains why certain iron deficiency anemia patients fail to improve even though they are on megadoses of iron." (from A Clarification of Andrew Gaeddert’s Article Key Blood-Building Strategies)

I've been eating lots of iron rich foods, even more so since I've been back from vacation and I'm still ailing -- pale gums, pettichae (little red spots on my breasts that are associated with anemia in Western medicine). When I went to see my acupuncturist yesterday he said I had blood stagnation and qi depletion and already after one treatment I'm feeling a bit better though we still have a ways to go. He's going to treat me with herbs after this period (which started today) is finished. Hopefully I'm not going to be hemorrhaging again, so far so good.

Anemia & Iron Rich Foods

Here are some links to pages with information about iron rich foods and some others about anemia generally. B vitamins are also important in healty blood production so make sure you eat a balanced diet with enough B vitamins.

Rules about iron include - take it with vitamin C, don't overcook foods (steaming is best), antacids, calcium (dairy products) and caffeine all block absorption so definately don't take at the same time. Iron from red meat and liver (heme iron) is more easily absorbed than from plant sources (non-heme) though taking non-heme foods at the same time as heme foods can improve iron absorption.

Here's a great link about iron absorption

Also, since some of the iron supplements are hard on people's stomachs I though I would share what I'm taking which hasn't caused me any difficulty (although if you are severely anemic this probably isn't strong enough) -- Nutrition Now Chewable Iron (25 mg of elemental iron per tab -- though they recently changed their formulation to ferric pyrophosphate and I don't recommend it anymore. Others I've met online have had good luck with Slow FE or Floradix.

"Which forms of supplemental iron are best?
All iron supplements are not the same. Ferrous iron (e.g. ferrous sulfate) is much better absorbed than ferric iron (e.g. ferric citrate).13 14 The most common form of iron supplement is ferrous sulfate, but it is known to produce intestinal side effects (such as constipation, nausea, and bloating) in many users. Some forms of ferrous sulfate are enteric-coated to delay tablet dissolving and prevent some side effects,16 but enteric-coated iron may not absorb as well as iron from standard supplements. Other forms of iron supplements, such as ferrous fumarate, ferrous gluconate, heme iron concentrate, and iron glycine amino acid chelate are readily absorbed and less likely to cause intestinal side effects."
From: Vitacost's Iron Information page


What foods contain high amounts of iron?

Eat Iron-Rich Foods

Iron: Vegan Society

Menorrhagia Diet

Iron

How much iron do certain foods contain?

Iron deficiency anemia in pregnancy: a short account

Iron Deficiency Anemia

Iron Balance - explains iron intake, losses and affects of iron
deficiency in women

Anemia and Fatigue

Iron Deficiency

and kind of unrelated but interesting information:

Workshop on Maintaining Iron Balance in Women Blood Donors of Child-Bearing Age