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Naturally Nourished

Episode 451: All About Anemia

Naturally Nourished

Ali Miller RD

Health & Fitness, Nutrition, Health & Fitness:nutrition

4.8655 Ratings

🗓️ 30 June 2025

⏱️ 46 minutes

🧾️ Download transcript

Summary

Anemia is one of the most overlooked yet impactful conditions affecting energy, mood, cognition, and hormone balance. In this episode, we unpack the many root causes of anemia beyond just low iron—including micronutrient deficiencies, MTHFR mutations, lack of intrinsic factor, and the impacts of vegetarian or low-protein diets. We explore the difference between microcytic and macrocytic anemia and how to interpret key markers on an iron panel, including ferritin, transferrin saturation, and total iron-binding capacity. You'll also learn about the important connections between thyroid function and iron status, the role of hormones like estrogen and cortisol, and how symptoms like fatigue, hair loss, or irregular cycles may trace back to suboptimal iron levels. Whether you're dealing with diagnosed anemia or suspect you’re trending low, this episode will help you understand how to restore balance from a functional, root-cause perspective. Also in this episode: What is anemia? Why does anemia occur? Risk factors for anemia Symptoms of anemia Assessment for anemia CBC Ferritin Serum Iron TIBC % saturation Transferrin Other lab considerations Serum B12 Serum Folate MMA Homocysteine Stool Occult Blood (GI Map Includes)  Ferritin and thyroid function Food as Medicine for iron repletion Noble Origins Organ Complex use code ALIMILLERD Liver Pills Force of Nature Ancestral Blends use code ALIMILLERRD Foods to watch out for when low in iron Supplementation MultiAvail Mama Multidefense with Iron Hemagenics MethylComplete Root cause approaches to anemia Gut Health GI Map Digestaid GI Lining Support Inflammation EPA DHA Extra Super Turmeric Cellular Antiox Heavy Metals Cellular Antiox Detox Packs Naturally Nourished Episode 426 Why You Need to Detox and How!  E3 Live Overtraining, chronic dieting and protein restriction   Sponsors for this episode:  This episode is sponsored by Wild Foods, a company that puts quality, sustainability, and health first in all of their products. They have everything from coffee to turmeric to medicinal mushrooms, and every single product is painstakingly sourced from small farms around the globe. They take their mission seriously to fix the broken food system, and believe real food is medicine. They've partnered with us to give you guys an exclusive discount, so use the code ALIMILLERRD for 12% off your order at WildFoods.co!

Transcript

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0:00.0

Welcome to the Naturally Nourished Podcast that delivers cutting-edge food is medicine solutions for optimal health.

0:12.7

Ali Miller is a nutrition expert sought up by the media in America's top medical institutes

0:18.3

for her revolutionary functional medicine interventions.

0:22.6

From disease treatment to prevention, every episode will empower you with ways to put yourself

0:28.3

back in control of your health. Please know, the topics discussed are for educational purposes

0:35.1

only. Now welcome, Integrative dietitians,

0:39.1

Ali Miller and her co-host Becky You.

0:42.7

Welcome to episode 451 of the Naturally Nourished Podcast.

0:46.8

Today we're talking all about anemia,

0:49.5

why it occurs, symptoms of anemia,

0:52.4

the difference between microcetic and macrocytic and what B12

0:57.2

and folate beyond iron can have to do with anemia.

1:00.9

We'll talk about risk factors like MTHFR, low intrinsic factor, being a vegetarian, what your iron panel

1:08.5

actually means, and so much more.

1:13.4

Yes, we'll even talk about the thyroid iron connection, iron hormone connection, and food as medicine and supplement support to ensure

1:20.9

that your iron status is optimized. Yes, I think this is an issue I see with so, so many clients.

1:26.8

I can't believe we haven't done a full episode on iron or anemia.

1:31.1

We're always alluding to iron rich foods and getting liver and grass-fed beef and whatnot.

1:36.6

But I think this will be a good one just for some basic health markers that you can look at

1:42.4

and a really kind of easy-ish fix if that is

1:46.5

you know part of the problem yes and we see anemia all too often and as we'll unpack in today's

1:52.5

episode the variance variance and drivers of again low iron status or low b12 and folate status

...

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