Are the Lower Iron Stores in Vegetarians a Risk or a Benefit?
NutritionFacts.org Video Podcast
Michael Greger, M.D. FACLM
4.8 • 951 Ratings
🗓️ 11 March 2026
⏱️ 6 minutes
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| 0:00.0 | In this three-part video series, I'll be doing a deep dive into iron. |
| 0:04.6 | We'll look at the ferretin blood test, what that tells us about iron stores, and why vegetarians |
| 0:12.2 | tend to hit the sweet spot, since higher levels are associated with chronic disease like |
| 0:17.3 | type 2 diabetes and cancer. |
| 0:18.6 | That's why you can decrease cancer rates when you bleed people through blood donations. What's the healthiest way to maintain optimal iron levels? |
| 0:27.1 | Let's dig in. |
| 0:32.5 | The ferretin blood test measures iron stores, and a typical normal value is in a 30-300 range. |
| 0:44.7 | Almost universally, vegetarians have lower ferretin levels than non-vegetarians, |
| 0:50.9 | for example 39 versus 77. |
| 0:53.8 | One of the largest studies ever done, using that 30 cutoff as a sign of iron deficiency, |
| 0:59.0 | about half of the menstruating vegetarians scored as iron deficient compared to only |
| 1:04.0 | about a third of the menstruating omnivores. |
| 1:07.0 | But lower iron stores may actually be better, shooting for scores between 15, |
| 1:12.6 | which is the World Health Organization's cut off for iron deficiency, and 50, |
| 1:16.6 | because levels above 50 are associated with disease. |
| 1:21.6 | In that case, it could be vegetarians are in the sweet spot, |
| 1:25.6 | because iron is a double-edged sword, producing free radicals |
| 1:30.2 | in the body that can cause oxidative damage to our proteins and varied DNA. |
| 1:36.0 | For example, high iron intake is a risk factor for type 2 diabetes, contributing to all the |
| 1:40.7 | cardinal features of the disease, and that's true across the normal |
| 1:44.5 | range of iron levels, not just for people with some kind of iron overload disease. |
| 1:49.2 | So the quote-unquote elevated ferretin, that's a risk factor for diabetes, can just be |
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