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In a message dated 6/15/01 6:45:49 PM Eastern Daylight Time,

writes:

<<

Message: 18

Date: Fri, 15 Jun 2001 20:20:50 -0000

From: StarDantzer@...

Subject: Iron Levels

I just got my reults from my bone marrow iopsy and thankfully there

are no malignancies. They did find though that I have almost no iron

levels in my bone marrow and want me to go on a prescription iron

supplement. i wonder why I would have this deficiency though. Maybe

the Doxy is causing it? I am concerned about taking iron as I have so

many infections and doesn't iron 'feed' them? Anyone else have this

prroblem? a

>>

a

How about a nice liver pate on a bed of spinach? My dad used to make me

sauted chicken livers, too.

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In a message dated 6/15/01 8:34:53 PM Eastern Daylight Time,

clements@... writes:

> a,

>

> Do you know what the iron level in the serum was? I am curious if

> the iron in your blood was low too. Or, if a person can show normal

> blood levels and still be low in the marrow.

>

> Do you have acid reflux, and taking antacid meds?

>

>

> All the best,

> Jim

> clements@...

>

HI Jim,

My blood levels were normal . I am awaiting the actual papers to be sent to

me so that I can read them for myself. I did take alot of antacid meds the

week prior to the biopsy due to a pill burn from doxy in my esophagus. Why

would this be relevant to my bone marrow though?

a

_________________________________________________________________

" Do me a favor, doc, tell me something good. " - Blair -

~~ The Exorcist ~~

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a,

Do you know what the iron level in the serum was? I am curious if

the iron in your blood was low too. Or, if a person can show normal

blood levels and still be low in the marrow.

Do you have acid reflux, and taking antacid meds?

All the best,

Jim

clements@...

> I just got my reults from my bone marrow iopsy and thankfully there

> are no malignancies. They did find though that I have almost no iron

> levels in my bone marrow and want me to go on a prescription iron

> supplement. i wonder why I would have this deficiency though. Maybe

> the Doxy is causing it? I am concerned about taking iron as I have

so

> many infections and doesn't iron 'feed' them? Anyone else have this

> prroblem? a

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Hi! a

I'm a raisin fan for iron. I just eat a handful when I feel like a snack. Also

went back to eating liver once a week, just in case. Also, occasionally have

chicken livers with green peppers.

I know they recommend not eating foods with 'iron' if you are a cancer patient

and lots of vitamin manufacturers no longer put iron in they

multi-vits/minerals.

Merle

foxhillers@... wrote:

> are no malignancies. They did find though that I have almost no iron

> levels in my bone marrow and want me to go on a prescription iron

> supplement. i wonder why I would have this deficiency though. Maybe

> the Doxy is causing it? I am concerned about taking iron as I have so

> many infections and doesn't iron 'feed' them? Anyone else have this

> prroblem? a

> >>

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Dear a,

I was diagnosed as having low ferretin levels and normal blood iron,

probably from monthly blood loss (heavy periods). My doctor has put me on

supplements (150mg iron a day) and iron rich foods. Red Meat, liver, dried

apricots, raisins, blackstrap molasses, cooking in iron pots (especially

tomato based sauces) etc. The ferritin is going up very very very slowly,

almost a joke, but the doctor said to try a different form of supplement and

keep going.

This seems to be common among women, CFS patients especially.

Judy

Re: Iron Levels

> Hi! a

>

> I'm a raisin fan for iron. I just eat a handful when I feel like a snack.

Also went back to eating liver once a week, just in case. Also, occasionally

have chicken livers with green peppers.

>

> I know they recommend not eating foods with 'iron' if you are a cancer

patient and lots of vitamin manufacturers no longer put iron in they

multi-vits/minerals.

>

> Merle

>

> foxhillers@... wrote:

>

> > are no malignancies. They did find though that I have almost no iron

> > levels in my bone marrow and want me to go on a prescription iron

> > supplement. i wonder why I would have this deficiency though. Maybe

> > the Doxy is causing it? I am concerned about taking iron as I have so

> > many infections and doesn't iron 'feed' them? Anyone else have this

> > prroblem? a

> > >>

>

>

> This list is intended for patients to share personal experiences with each

other, not to give medical advice. If you are interested in any treatment

discussed here, please consult your doctor.

>

>

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  • 1 year later...
Guest guest

Hi, all.

I think what a is referring to is the fact that if iron is in

excess in the body, there is more of a chance that some of it will

exist in the free (unbound) ionic state. In this state, it can serve

as a catalyst to form hydroxyl free radicals, via the Fenton

reaction. Dr. Cheney doesn't advocate supplementing iron in CFS for

this reason, I believe. Some general nutritional supplements leave

out iron, again for this reason, I think.

It's also true that there are PWCs who are low in iron, and who

suffer from iron deficiency anemia, and these people do need more

iron. So I would agree that it's a good idea to be tested for iron

before taking very much of it. And it's not sufficient to simply

measure the iron level in the blood. Ferritin or total iron binding

capacity need to be measured to get a true idea of the iron status of

the body. We all have a requirement for some iron, and of course

women who are menstruating have a higher requirement than those of us

who are not menstruating.

Rich

> Perhaps Rich can reply on this in more detail. I recall that the

body

> sometimes reduces iron levels when we have infection. I am not sure

we

> should be adding iron. I know we should not add iron unless we have

tested

> low. I am sorry I no longer have the research articles on this as my

> computer crashed awhile back and I lost files.

> a

>

> From: " " <johnml@o...>

> Subject: Re: Re: hair loss

>

> Two things helped me with hair loss and brittle ridged messy nails

>

> 1) Iron - I had low ferretin levels - it may be worth getting tested

>

> 2) Betaine HCL - I realised that the low Iron was caused by a lack

of

> stomach acid. I now take betaine supplement which has helped my

nails a lot

>

> Oh also MSM 1000mgs helped a bit but not as much as the two above

>

>

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Guest guest

Perhaps Rich can reply on this in more detail. I recall that the body

sometimes reduces iron levels when we have infection. I am not sure we

should be adding iron. I know we should not add iron unless we have tested

low. I am sorry I no longer have the research articles on this as my

computer crashed awhile back and I lost files.

a

Hi a

Yeh I had doubts about the iron for this reason but my ferretin was really low

- under 20 - and I do feel better for taking it.

But I don't think anyone should take it unless they have tests that show they

have iron anaemia or low ferretin

From: " " <johnml@...>

Subject: Re: Re: hair loss

Two things helped me with hair loss and brittle ridged messy nails

1) Iron - I had low ferretin levels - it may be worth getting tested

2) Betaine HCL - I realised that the low Iron was caused by a lack of

stomach acid. I now take betaine supplement which has helped my nails a lot

Oh also MSM 1000mgs helped a bit but not as much as the two above

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I've had low ferritin problems since the last 6 years. My doc rec'd

I take Lactoferrin with my iron supplements, this increases the

bioavailability of iron so that I don't have to take such a high dose.

http://www.lfplus.com/s2/2214.html

Lactoferrin, a natural protein fraction present in both cow's and

mother's milk, has a number of interesting functional and nutritional

properties. Among these, lactoferrin has the ability to bind and

transport iron and release it again at specific receptor cells in the

human intestine. By doing so, lactoferrin enhances the actual

absorption. This enables a lower effective iron dosage level and at

the same time reduces the negative side effects already mentioned in

conjunction with too high iron loads. Prevention of these side

effects will help to improve compliance with the consumer when using

iron supplements or iron fortified foods and drinks.

Iron-supplementation: potential problems and limitations

When considering bioavailability of iron, one routinely distinguishes

between heme-bound iron (animal origin) and non-heme iron. The

bioavailability of heme-iron is considered to be high. On the other

hand, the bioavailability of non-heme iron (inorganic iron salts) is

generally believed to be much lower (1-10%) due to poor solubility

and binding to other components in the diet. Well-known inhibitors of

iron absorption are phytate (e.g., in cereals, soy products) and

polyphenolics (e.g., in tea).

Due to the rather poor bioavailability of the inorganic iron used in

most iron supplements, relatively high intakes of iron are required.

Several authors have pointed out that these high iron levels in

supplements may have detrimental effects. Among these are promoting

bacterial infections, gastro-intestinal discomfort, diarrhea or

constipation, iron toxicity, but also a reduction of the

bioavailability of other minerals or trace elements.

Lactoferrin in iron supplements and fortified foods

In 1988, rat studies showed that at marginal iron intakes, the

induced anemia, measured as very low hemoglobin values after being

fed with iron deficient diets, could be relieved by iron bound to

lactoferrin. Figure 1 shows this effect of 50 ug of iron per day in

combination with lactoferrin. Hemoglobin levels could be normalized

with iron sulphate only: However a daily dosage of 200 ug iron was

required, an increase by a factor of 4. The results of this study

justify the conclusion that lactoferrin is able to enhance

bioavailability of iron.

Human studies have been performed as well, basically supporting the

results of the aforementioned rat study. Iron-lactoferrin tablets

were given to volunteers with suboptimal hemoglobin levels. Tablets

containing only 7 mg of elemental iron and 100 mg lactoferrin were

taken one per day for the duration of the test period (five weeks).

The results showed a statistical significant difference in hemoglobin

levels. Important to note as well is that no side-effects, possibly

resulting from the iron-lactoferrin tablets used, were reported by

the volunteers.

As mentioned above, studies with rats have shown that iron bound to

lactoferrin is about four times more effective than iron sulphate in

relieving anemia [1].

The reason for this difference in bioavailability of iron probably

lies in the adaptive mechanism of cells to synthesize specific

receptors on their surfaces when intracellular pools of metabolites

are depleted. For transferrin, the iron-transport protein in blood,

it is now well established that cells increase their synthesis of

receptors as soon as there is a need for iron [2]. A similar

situation exists for lactoferrin as shown recently for human

intestinal cells.

Iron deprivation of cells by an iron chelator results in increased

binding of lactoferrin to these cells, a direct reflection of the

number of receptors on the cells. This process of targeted delivery

of iron, tightly bound to lactoferrin, reduces the detrimental

effects that may occur with much higher dosages of simple iron salts.

Iron deficiency continues to be a major problem, and its elimination

would improve the health and quality of life for millions of

sufferers. An efficient and superior tool to help combat this

deficiency is iron supplemented with lactoferrin.

The benefits for athletes must also be stressed. In cases where body

iron is being depleted, iron supplementation with the support of

lactoferrin is a good alternative.

Iron-binding properties

Most of the reported functional properties of lactoferrin are related

to its iron-binding activity (Figure 3). Lactoferrin's affinity for

iron is very high (e.g., 260 times that of blood serum transferrin)

with an affinity constant of about 1020

This enables the use of lactoferrin for the prevention of such iron-

catalyzed processes as the generation of free (hydroxyl) radicals and

lipid peroxydation [5-7].

The iron-binding capacity of lactoferrin is dependent upon the

presence of (small amounts) of bicarbonate. Depending on the

bicarbonate concentration, high concentrations of citrate can

counteract the iron-binding efficiency of lactoferrin.

Targeted delivery of iron by lactoferrin

One mole of lactoferrin binds two moles of ferric iron. Assuming a

molecular weight of 80,000 for lactoferrin and 56 for iron, this

means that 1 gram of fully iron-saturated lactoferrin tightly binds

1.4 mg of iron. In vitro studies have shown that lactoferrin can keep

more iron in solution than anticipated based on this molar ratio of

2:1.

This supersaturation occurs over a wide pH range. In an acid

environment, the oxidation of Fe2+ to Fe3+ is not favored, yet

Nagasako at al. [8] demonstrated higher solubility of ferrous

sulphate solution at pH 3 and pH 5 upon inclusion of bovine

lactoferrin. Conditions can be met whereby lactoferrin solubilizes a

140-fold molar equivalent of iron.

Kawakami et al. [9] showed increased solubility at neutral pH with a

70-fold molar equivalent of iron to lactoferrin. This property was

unaffected by phosphate or persin/trypsin digestion. The binding

efficiency of a purified (negatively charged) phosphoserine-rich

casein peptide (CCP) was only 1/10 of that observed with lactoferrin.

This supersaturation with iron indicates that apart from the iron

chelation in the lobes, other parts of the lactoferrin molecule may

bind iron; histidine residues on the outer surface of the molecule

are involved in this extra binding.

The significance of these findings are quite relevant when

formulating products with lactoferrin because the cost/price effects

of adding lactoferrin may be substantially reduced.

In a study, Mikogami et al. [3] showed that a human colon derived

cell line that differentiates as small intestine enterocytes responds

to iron deprivation with increased lactoferrin binding to the cells.

This study used native human lactoferrin, but it has been shown

repeatedly that bovine lactoferrin binds to the human cell receptors

as well [10-11]. The iron-loaded lactoferrin bound to the receptor

will be internalized with the iron being released in the lysosomal

cell compartment [12-13].

This process of upregulation of the synthesis of cell membrane

receptors for iron-containing proteins upon iron deprivation is very

reminiscent of serum transferrin regulated iron transport between

tissues [2].

So it seems that lactoferrin can solubilize iron in the intestinal

tract and deliver iron to mucosal cells with increased amounts of

lactoferrin receptors.

Literature references

[1] Kawakami, H., et al. (1988). Effects of iron-saturated

lactoferrin on iron absorption. Agric. Biol. Chem. 52 (4), 903-908.

[2] Fairweather-Tait, S. (1993). Iron. FLAIR Concerted Action No. 10,

Status Papers. International Journal of Vitamin and Nutrition

Research, 63, 296-301.

[3] Mikogami, T., et al. Effect of intracellular iron depletion by

pieolinic acid on expression of the lactoferrin receptor in the human

colon carcinoma cell subclone HT29-18-C1. Biochemical Journal 308,

391-397.

[4] Baker, E.N., et al. (1994). In: Hutchens, T.W. and Lonnerdal, B.

(1997), Lactoferrin: interactions and biological functions, Humana

Press, 1-12.

[5] Cotte, J. (1991). Le Lait, une matière d'avenir pour la

cosmetique. Le Lait, 71, 213-224.

[6] Demande de Brevet d' Invention. No 2596986. Utilisation de la

lactoferrine dans les preparations cosmetique antiradicaux fibres.

[7] Monteiro, H.P., and Winterbourn, C.C. (1988). The superoxide-

dependent transfer of iron from ferritin to transferrin and

lactoferrin. Biochem. J., 256, 923-928.

[8] Nagasako, Y., et al. (1993). Iron-binding properties of bovine

lactoferrin in iron-rich solution. J. Dairy Sci., 76, 1876-1881.

[9] Kawakami, H. et al. (1993). Effect of lactoferrin on iron

solubility under neutral conditions. Biosci. Biotech. Biochem. 57(8),

1376-1377.

[10] Spik, G., et al. (1993). Binding properties of different

lactotransferrins to human lactotransferrin receptor. In: New

perspectives in infant nutrition (eds. Renner, B. and Sawatzki, G.),

Thieme Verlag, Stuugart, 77-83.

[11] Raju, U. and Hutchens, T.W. (1995). Lactoferrin-induced

alterations in the synthesis of specific proteins in human target

cells. Second Int. Symp. on Lactoferrin Structure and Function, Feb.

19-22, Honolulu, to be published.

[12] Mikogami, T., et al. (1994). Apical-to-basolateral

transepithelial transport of human lactoferrin in the intestinal cell

line HT-29cl.19A. Am J. Physiol., 267, G308-G315.

[13] Bi, B.Y., et al. (1996). Internalization of human lactoferrin by

the Jurkat human lymphoblastic T-cell line. Eur. J. Cell. Biol. 69,

288-296.

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  • 8 years later...

my iron levels with 27 mg. of elemental iron came up from 75 to 119. is it ok to

stop the iron or do i continue. even with supplements it is not good to go over

the top of the range is it?

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