More than a third of women under 50 are iron deficient. Most of them have been told their blood results are normal. This episode is about the gap between those two things.

Iron deficiency without anaemia is the stage most women are in when they come to see me, and the stage that standard blood testing isn't quite looking for. It's also the stage where women are experiencing very real, measurable symptoms and being told everything is fine.

This week's question comes from my lovely friend Sarah on parenting children differently - and yes, Immy does get away with everything as the third child. My recco this week is a podcast that is technically for children but that I am just as obsessed with as they are.

In this episode:

  • Why iron deficiency without anaemia is chronically missed and what that means for you
  • What iron actually does in the body - it's a lot more than most people realise
  • The three stages of iron depletion and why most women aren't found until stage three
  • Hepcidin - the master iron regulator most people have never heard of
  • The fascinating relationship between hepcidin and your menstrual cycle and why having a period isn't inherently going to make you deficient
  • Why the body's clever iron regulation system gets overwhelmed and what tips the balance toward deficiency
  • The full symptom picture including the neurological symptoms that get dismissed most often
  • The ferritin reference range problem and what number you're actually aiming for
  • Who is most at risk
  • Exactly what to ask your GP to test and why CRP matters


What to request from your GP:

  • Serum ferritin
  • Serum iron
  • Total iron binding capacity (TIBC) / transferrin
  • Transferrin saturation
  • Full blood count
  • CRP (C-reactive protein)


Links mentioned:


New here? Find me on Instagram (@kate__holm) or at kateholm.com. Thanks for listening!

Podden och tillhörande omslagsbild på den här sidan tillhör kate holm.. Innehållet i podden är skapat av kate holm. och inte av, eller tillsammans med, Poddtoppen.