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The Peter Attia Drive

#297 - AMA #58: Iron: its role in health, testing methods, and strategies for preventing and managing iron deficiency

The Peter Attia Drive

Peter Attia, MD

Health & Fitness, Medicine, Fitness

4.77.3K Ratings

🗓️ 8 April 2024

⏱️ 18 minutes

🧾️ Download transcript

Summary

View the Show Notes Page for This Episode

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In this “Ask Me Anything” (AMA) episode, Peter delves into the crucial yet often overlooked topic of iron and iron deficiency. He explores why iron is indispensable for the body, explains the repercussions of iron deficiency, and sheds light on the prevalence of this issue and who is most susceptible. Peter outlines strategies for increasing iron levels, covering dietary iron, supplementation, and infusion options, while also discussing the suitability of each approach for different individuals. Shifting gears, Peter tackles rapid-fire questions on creatine and sodium, as well as inquiries related to his book.

If you’re not a subscriber and are listening on a podcast player, you’ll only be able to hear a preview of the AMA. If you’re a subscriber, you can now listen to this full episode on your private RSS feed or our website at the AMA #58 show notes page. If you are not a subscriber, you can learn more about the subscriber benefits here.

We discuss:

  • Overview of today’s topics and the importance of understanding iron levels in the body [1:45];
  • The importance and ubiquity of iron in the body, and the role of the protein called ferritin [4:30];
  • The processes of iron absorption, utilization, and transportation [9:30];
  • Options for testing iron levels and how to interpret the results [13:45];
  • What does it mean to be iron deficient, and how is it different from anemia? [17:15];
  • Symptoms of iron deficiency and/or anemia [22:15];
  • How prevalent is iron deficiency, and who is most susceptible? [24:30];
  • The importance of consuming an adequate amount of iron daily to prevent deficiency [30:30];
  • The best way to improve iron levels for someone who is deficient [34:45];
  • Iron supplementation: various formulations and potential side effects [37:45];
  • Intravenous iron infusion as an alternative to oral supplements -- plus restless legs syndrome and other topics [42:00];
  • Iron supplementation: who should and should not consider it [44:00];
  • Peter’s approach to creatine and his pre- and post-workout supplements [50:15];
  • Navigating sodium intake: effect on blood pressure, who should use precaution, and other considerations [54:45];
  • Peter’s thoughts about the potential of writing another book [57:15]; and
  • More.

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Transcript

Click on a timestamp to play from that location

0:00.0

Hey everyone welcome to a sneak peek ask Ask Me Anything, or AMA episode of the Drive Podcast.

0:16.0

I'm your host, Peter Attia.

0:17.7

At the end of this short episode, I'll explain how you can access the AMA episodes in full,

0:22.3

along with a ton of other membership benefits we've created.

0:25.4

Or you can learn more now by going to Peteratia MD.com forward slash subscribe.

0:31.0

So without further delay, here's today's sneak peak of the Ask Me Anything episode.

0:37.0

Welcome to Ask Me Anything episode 58.

0:42.0

I'm once again joined by my co-host Nick Stenson. In today's

0:45.4

episode we focus on one major topic which is iron and iron deficiency.

0:50.4

Throughout this we cover why iron is necessary to the body and I was surprised to learn just how necessary it is beyond the obvious

0:58.3

What happens if you're deficient in iron and how people know if they are iron deficient, even absent anemia.

1:06.0

How prevalent this issue is, who's most susceptible and ultimately what you can do to improve

1:10.6

your iron levels. This is a topic that we really stumbled into just as much

1:16.3

from some of the questions that people asked but also from things that we were seeing

1:19.8

in our own clinical practice and so I'll point some of those things out as we go through this

1:25.1

episode. When we wrap up our discussion on iron, we end with some rapid-fire questions that

1:31.8

came in relatively recently through the site around

1:34.9

creatine, the amount of sodium that's in jerky, and certain questions around the book.

1:41.0

If you're a subscriber and you want to watch the full video of this

1:44.3

podcast you can find it on the show notes page and if you're not a subscriber you can

1:48.4

watch a sneak peek of the video on our YouTube channel. So without further delay I hope you enjoy AMA number 58.

1:55.0

Peter, welcome to another AMA. How you doing?

...

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