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Endometriosis and Anemia
Many women with endometriosis also suffer from anemia. Increased blood loss over time can decrease the available components needed by the red blood cells to transport oxygen throughout the body. These include iron, folic acid (folate) and vitamin B-12. Anemia is an important concern because it can present symptoms which are also common to CPT, most notably shortness of breath, dizziness and fatigue. Other symptoms include:
lightheadedness
headache
pounding heart beat / heart palpitations
weakness / tiredness
a general sense of malaise
pale skin / brittle nails
memory loss / confusion / poor concentration
depression
irritibility
pica (desire to eat ice)
ringing in the ears
restless leg syndrome (unpleasant sensations in legs with the urge to continually move them)
Iron deficiency anemia is the type most often seen in menstruating women. Vitamin and mineral deficiencies can be confirmed with a blood panel which can show iron deficiency as low values of serum iron, serum ferritin, hematocrit, hemoglobin and a low red blood cell count.
Although iron levels can be easily tested, it is important to know that a serum iron level toward the low side but still within the "normal limits" can still cause symptoms of deficiency.
Increasing Iron levels
Iron supplements can be taken daily as well as various foods containing iron. Iron supplements are tableted in a variety of milligrams, and can be found in the sulfate, gluconate and the carbonyl forms. The latter two are reported to be easier on the stomach. Beef liver extract supplements are also a good source of iron.
Food sources containing iron include:
Heme-iron (animal source)
red meat
poultry
fish
beef liver
beef liver extract tablets
egg yolks
Non-Heme iron (plant source)
raisins
legumes
iron-fortified cereals, oatmeal, cream of wheat
dried fruit
molasses
leafy green vegetables
It is important to note that heme-iron is more readily absorbed by the body than non-heme iron. In addition, some plant sources like spinach also contain a chemical (phytate) that inhibits iron absorption. It is also important to note that other substances when taken with iron will either increase absorption or inhibit absorption.
Substances which increase iron absorption:
Vitamin A
Vitamin C
Orange or citrus juice
Substances which inhibit iron absorption:
Coffee
Tea
Milk
Calcium
Fiber
Antacids
Another important factor to consider is that an increased iron intake may resolve deficiency symptoms within a few months, but replenishing iron stores could take from six months to one year. It is important to continue with supplements even after symptoms cease, and have your blood levels evaluated after several weeks.
More information on Iron Deficiency Anemia:
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