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Nutrition

Iron Deficiency

Iron deficiency means your body has too little iron, with or without anaemia. Finding out why matters most: your GP orders iron studies, and our dietitians work on food and absorption.

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Understanding the condition

Iron deficiency means the body has too little iron to make enough haemoglobin, the protein in red blood cells that carries oxygen.1,2 It can be present without anaemia, and iron deficiency anaemia is the form where there is not enough iron to produce enough red blood cells.1,3 Symptoms are easy to dismiss: tiredness and weakness, breathlessness, dizziness, headaches, poor concentration and memory, pale skin, irritability, and performance dropping off at work, school or sport.1,3 Plenty of other conditions cause the same feelings.1

The cause has to be found, and that is medical work. Low intake matters, but so do higher needs in childhood, adolescence, menstruation, pregnancy and breastfeeding; poor absorption in coeliac disease, inflammatory bowel disease and after stomach surgery; and blood loss from heavy periods, ulcers, polyps, anti-inflammatory medicines or cancer.1 Healthdirect advises seeing a doctor so the cause can be found, and your GP may order tests looking for unexpected blood loss, or refer you to a gastroenterologist or a gynaecologist.1

Food is where a dietitian helps. Haem iron from meat, poultry and fish is absorbed readily, while non-haem iron from legumes, tofu, tempeh, nuts, seeds, eggs, leafy greens, wholegrains and fortified cereals is not absorbed as easily.2 Vitamin C rich food at the same meal improves absorption, while tea, coffee, wine and large amounts of calcium reduce it, so timing matters as much as the shopping list.1,2 Tablets, liquids and intravenous iron are prescriber decisions, and iron should only be taken under medical supervision.1,2

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Iron Deficiency

What to look out for, and how we help

Symptoms are a guide, not a diagnosis. Your GP confirms the diagnosis; our team helps you manage it day to day.

What you might notice

  • Tiredness, weakness and feeling listless even after a decent sleep
  • Breathlessness, dizziness or light-headedness, and a fast or pounding heartbeat
  • Headaches, poor concentration and memory, and irritability
  • Pale skin, cold hands and feet
  • Performance dropping off at work, school or sport, or reduced libido
  • Red flag: black, tar-like stools, or vomiting blood or material that looks like coffee grounds, mean bleeding in the gut and need a hospital emergency department or 000 straight away, without waiting for pain or fever to appear. Any bleeding with light-headedness or weakness needs the same.5 Bright red bleeding from your back passage needs an emergency department if it is heavy or comes with severe abdominal pain, fever, nausea or an inability to pass a bowel motion, and call 000 for an ambulance if you faint or have signs of shock such as dizziness, rapid shallow breathing or confusion.4

How our team helps

  • Accredited Practising Dietitian consultations that lift the iron in your food and move tea, coffee and calcium away from iron containing meals
  • Accredited Practising Dietitian consultations for children as well as adults, including pregnancy and breastfeeding, when iron needs are higher
  • Health and nutrition checks, with findings written back to your GP so the cause gets investigated and treatment decided there
  • Pharmacist medication support, including which oral iron forms exist, how they are taken, and how to manage constipation and dark stools
  • ESSA accredited exercise physiology for people whose training load has pushed iron needs up, built around your GP's results
  • Telehealth across all disciplines, services to residential aged care facilities and through Support at Home, and NDIS, DVA and WorkCover WA funding

Your PDC care team

The teams and services that most often support people with this condition. They work from one shared plan, and one GP referral reaches all of them.

Allied health teams

Dietitian
Dietitian
Allied health team
Dietitian
Personalised nutrition advice from Accredited Practising Dietitians to help manage blood glucose levels, weight management and overall nutritional health.
Read more

Pharmacy
Pharmacy
Allied health team
Pharmacy
On-site pharmacy services providing expert medication management, diabetes supplies, and health consultations.
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Related services

Related conditions

Terms explained

Plain English explanations for this condition are being added.
See all conditions

Sources and clinical review

This page follows Australian guidance: healthdirect Australia's iron deficiency and anaemia information, and Dietitians Australia's advice on dietary iron.

  1. healthdirect Australia. Iron deficiency. 2025. https://www.healthdirect.gov.au/iron-deficiency
  2. Dietitians Australia. Dietary iron makes healthy bodies. 2022. https://dietitiansaustralia.org.au/health-advice/dietary-iron-makes-healthy-bodies
  3. healthdirect Australia. Anaemia. 2024. https://www.healthdirect.gov.au/anaemia
  4. healthdirect Australia. Rectal bleeding. 2025. https://www.healthdirect.gov.au/rectal-bleeding
  5. healthdirect Australia. Gastrointestinal bleeding. 2024. https://www.healthdirect.gov.au/gastrointestinal-bleeding
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Common questions

Can I fix low iron with diet alone?
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Sometimes, and sometimes not. Diet is the right place for prevention and it supports any treatment, but if your iron is already low your GP decides whether you need tablets or an infusion. Iron should only be taken under medical supervision, because too much iron is harmful.

Why does my GP want to investigate when I just need iron?
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Because iron deficiency is a clue, not a diagnosis. Blood loss from the gut, heavy periods, coeliac disease and inflammatory bowel disease are all common reasons, and some of them need treatment of their own. Your GP may order tests looking for unexpected blood loss, or refer you to a gastroenterologist or gynaecologist.

Does tea really block iron?
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Yes, and so do coffee, wine and large amounts of calcium, when they are taken at the same time as iron containing food. The fix is usually timing rather than giving them up. Having a vitamin C rich food with the same meal pulls absorption the other way.

I am vegetarian. Am I at higher risk?
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Not necessarily. Plant foods supply non-haem iron, which is not absorbed as easily as the haem iron in meat, poultry and fish, and a balanced vegetarian diet usually covers needs. We make sure legumes, tofu, tempeh, nuts, seeds, wholegrains and fortified cereals are doing enough work, and that timing is not undermining absorption.

Who orders an iron infusion?
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Your GP or specialist. An infusion may be needed for severe deficiency, when tablets cause side effects, in inflammatory bowel disease, or in heart failure. We do not prescribe and we do not give infusions. We work on the food side and send our findings back to your doctor.

Not sure where to start?

Tell us what is going on and we will point you to the right discipline, or to more than one. Most people start with a single appointment and leave with a plan the rest of the team can see.

Or go straight to a service

Phone (08) 6110 0570 · Medicare, NDIS, DVA and private options across our services

For GPs and health professionals

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