Iron deficiency
Get your energy back with a clear plan for low iron
You are flat by mid-afternoon, the stairs feel harder than they should, and a blood test has come back showing low iron. Iron deficiency responds well to the right foods, the right timing and a plan you can stick to.
Medicare, NDIS, DVA and private health funds accepted.
Understanding Iron deficiency
Iron deficiency means your body does not have enough iron to make healthy red blood cells and move oxygen around your body. When oxygen delivery drops, you feel tired, foggy and short of breath doing things that used to feel easy.
Your GP confirms low iron with a blood test. From there, a dietitian helps you lift your iron intake, absorb more of what you eat, and manage supplements so they actually work and stay tolerable.
Who does it affect?
women with heavy periods, teenagers, endurance athletes, pregnant women, and people who eat little or no red meat.
How common is it?
one of the most frequently seen nutrient deficiencies in Australia [CONFIRM: prevalence statistic and source for Australian adults].
What is the recovery like?
iron stores rebuild slowly, and the time this takes varies from person to person.
Who should I see for treatment?
your dietitian, working alongside your GP.
What funding options are available?
Medicare, NDIS, DVA and private health funds accepted.
What is iron deficiency?
Iron deficiency is a shortage of iron in your body. It usually develops slowly, in stages. First your stored iron falls, which shows on a blood test as low ferritin. If that continues, your body cannot make enough haemoglobin, and you develop iron deficiency anaemia.
The shortage comes from taking in too little iron, absorbing too little of it, losing blood, or needing more than usual.
Common contributing factors include:
Heavy or long menstrual periods, which are one of the leading causes in women.
Diets low in red meat, including vegetarian and vegan eating patterns.
Conditions that reduce absorption, such as coeliac disease, inflammatory bowel disease or gastric surgery.
Picky or fussy eating, which can limit the range of iron-rich foods eaten.
Developmental conditions in children that affect eating, such as sensory sensitivities or swallowing difficulties.
Higher demand during pregnancy, growth spurts in teenagers, and heavy endurance training.
Slow blood loss from the gut, including from regular anti-inflammatory use.
Frequent blood donation.
Symptoms of Iron deficiency
Iron deficiency often builds up so gradually that you adjust to it. Common signs include:
Persistent tiredness that rest does not fix.
Shortness of breath or a pounding heart during ordinary activity.
Poor concentration, low mood and reduced exercise tolerance.
Pale skin, brittle nails, hair shedding and mouth ulcers.
Your dietitian builds the plan around your blood results, your eating pattern and what is causing the loss.
What to expect at your first appointment
Tell us what is going on
You talk through your symptoms, your blood results, any supplements you have tried and how they went.
A full assessment
Your dietitian reviews your usual intake, your iron sources, absorption blockers, medications and menstrual or gut history.
A clear plan
You leave with specific foods, meal combinations and supplement timing, written down.
Review and adjust
You come back to check progress against repeat bloods and fine-tune the plan.

When to book an appointment
You have felt persistently tired for more than a few weeks.
Low energy is affecting your work, training or ability to keep up with your family.
You have tried iron tablets and either could not tolerate them or your levels have not moved.
Your blood test shows low iron or low ferritin and you are not sure what to change.
Book an assessment if:
Looking after yourself at home
Small, repeatable habits do more than one big effort.
Heavy or long menstrual periods, which are one of the leading causes in women.
Diets low in red meat, including vegetarian and vegan eating patterns.
Conditions that reduce absorption, such as coeliac disease, inflammatory bowel disease or gastric surgery.
Picky or fussy eating, which can limit the range of iron-rich foods eaten.
Developmental conditions in children that affect eating, such as sensory sensitivities or swallowing difficulties.
Higher demand during pregnancy, growth spurts in teenagers, and heavy endurance training.
Slow blood loss from the gut, including from regular anti-inflammatory use.
Frequent blood donation.

Meet the team who treat this
Behind every appointment is a team of practitioners who know each other, trust each other and work together for you. Across seven clinics and nine disciplines, our team shares expertise, coordinates treatment plans and celebrates your progress together.
Seven clinics across three regions
Find a clinic near you. Each location is staffed by local practitioners who know your community.
Penrith
Western SydneyOur largest centre, with our full range of services under one roof.
Ropes Crossing
Western SydneyPodiatry, at Ropes Crossing Village.
Blaxland
Blue MountainsPodiatry, physiotherapy, exercise physiology and group classes.
Springwood
Blue MountainsPodiatry, dietetics and a boutique footwear store.
Katoomba
Blue MountainsPodiatry, physiotherapy and dietetics, in a restored 1914 cottage.
Ryde
North ShorePodiatry, physiotherapy, dietetics and exercise physiology, with a footwear store and gait analysis.
Lindfield
North ShorePodiatry, with mobile podiatry across the North Shore and Northern Beaches.
Ready to stop feeling wiped out?
Book with a dietitian and get a practical plan to rebuild your iron.
Frequently asked questions
What does a low ferritin result mean?
Ferritin measures the iron your body has in storage. A low result means your reserves are running down, even when your haemoglobin still looks normal and you are not classed as anaemic. Symptoms such as fatigue and hair shedding can start at this stage. Your GP interprets the number alongside your symptoms, and some people, including endurance athletes, are managed at a higher target.
How long does it take to restore iron levels?
This varies. Symptoms often ease within weeks of consistent treatment, but refilling stored iron takes considerably longer, which is why your GP usually rechecks your bloods a few months in. Stopping early is the most common reason levels fall again. Ongoing loss, such as heavy periods, also slows progress until the cause is addressed.
Can I get enough iron without eating red meat?
Yes, with planning. Plant sources such as lentils, chickpeas, tofu, tempeh, wholegrains, nuts and fortified cereals provide non-haem iron, which your body absorbs less readily than iron from meat. Combining them with vitamin C, soaking or sprouting legumes, and spacing out tea and coffee all improve uptake. Your dietitian works out the quantities you realistically need each day.
Why do iron supplements upset my stomach?
Iron that is not absorbed stays in your gut and irritates the lining, causing nausea, cramping, constipation or dark stools. Higher doses do not always mean better absorption, and taking iron less frequently can improve both tolerance and uptake for some people. Do not change your dose on your own; talk to your GP or dietitian about the form, timing and amount.
Do I need a referral to see a dietitian about iron deficiency?
No. You can book directly. A GP referral under a Chronic Disease Management plan may give you a Medicare rebate for a set number of visits each year if you meet the criteria. Private health extras cover dietetics depending on your policy. Bringing recent blood results to your first appointment means your dietitian can be specific from day one.
Does cooking in cast iron cookware boost my iron intake?
It can contribute a small amount, particularly with acidic foods like tomato-based sauces that draw iron from the pan surface. The amount varies widely with the pan, the food and cooking time, so treat it as a bonus rather than a treatment. Food choices, absorption timing and any prescribed supplement do the real work.


















































