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What to do for low ferritin levels and iron absorption issues?
General Medicine
Consultation #53114
96 days ago
1,098

What to do for low ferritin levels and iron absorption issues? - #53114

Client_83a291
$16

I have low ferritin (18 when last checked), I need it to increase. I take iron supplements but i’m not sure if it’s working. My periods aren’t particularly heavy (occasional clot but not significant in size or quantity), and i think it could be an absorption issue. What to do?

How long have you been taking iron supplements?:

- 3-6 months

Have you noticed any changes in your energy levels since starting the supplements?:

- Some improvement

Do you experience any digestive issues after taking iron supplements?:

- Diarrhea

What does your diet typically include?:

- Moderate iron intake

Have you had any recent blood tests to monitor your ferritin levels?:

- Yes, recent test

Do you have any other symptoms such as dizziness or paleness?:

- Occasional symptoms

How would you describe your overall stress levels?:

- Moderate — occasional stress
Consultation is closed

Doctors' responses

Dr. Ravi Chandra Rushi
Master of Surgery in Ayurveda
96 days ago
5

Don’t worry Improve Digestion (Agni) Take warm water + a pinch of dry ginger powder daily Avoid cold foods, curd at night, heavy/oily food Weak digestion is poor iron absorption Take Punarnava Mandur 1tab 2times after food improves iron & anemia Navayas Loha 1tab 2times after food increases hemoglobin Lohasava 20ml equal quantity of water– improves digestion + iron absorption Iron-rich Ayurvedic Diet Black raisins (soaked overnight) Dates (khajoor) Jaggery (gur) Pomegranate (anar) Beetroot + carrot juice Green leafy vegetables (spinach) Increase Absorption Take iron with Vitamin C (lemon, amla) Avoid tea/coffee for 1–2 hours after iron Take 30days and follow up

16058 answered questions
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Lohasava (450 Ml) - Kerala AyurvedaLohasava 450 Ml
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Dr.Anush Jat
Bachelor of Ayurvedic Medicine and Surgery
96 days ago
5

I can understand your concern—when ferritin stays low despite 3–6 months of supplements, it usually means something deeper like absorption issue, gut imbalance, or ongoing loss is involved. You’ve already done the right thing by checking levels and being consistent This is typically: Pitta + Vata imbalance Weak Rasa & Rakta dhatu formation Impaired Agni So just giving iron is not enough—we need to improve absorption + nourish blood tissue You can take - 1)punarnava mandoor – 1 tab twice daily after meals 2)draksharishta – 10 ml + equal water after lunch & dinner Since you have diarrhea: 3)kutaj ghan vati – short course (5–7 days) Daily include: Black raisins (soaked overnight, 8–10) Pomegranate Beetroot (small amount, not excess) Sesame seeds (til) You’re already doing the right thing, but your case is not just deficiency—it’s absorption-related. Please start the above Ayurvedic treatment regularly and observe the response. Follow-up after 2–3 weeks is very important so we can assess your progress and make any necessary adjustments in medicines or dosage. Take care

182 answered questions
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Draksharishta (450 Ml) - Kerala AyurvedaDraksharishta 450 Ml
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Dr. M.Sushma
Bachelor of Ayurvedic Medicine and Surgery
96 days ago
5

Ferritin at 18 means your iron stores are low and the focus should be on improving absorption along with supplementation You can continue your current iron and add Logen iron tonic 10 to 15 ml twice daily after food after lunch and dinner Along with this take Lohasava 15 to 20 ml with equal lukewarm water twice daily after meals this will help digestion and proper utilisation of iron Before meals you can take a small piece of ginger with a pinch of rock salt to improve agni and support absorption Avoid taking iron with tea coffee milk or calcium keep a gap of one to two hours Include lemon or amla daily to improve iron absorption Food should include black sesame soaked raisins dates jaggery leafy vegetables beetroot and pomegranate and cooking in iron vessels will also help Continue this for two to three months and then recheck ferritin if levels do not improve then underlying absorption issues need to be evaluated

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Lohasava (450 Ml) - Kerala AyurvedaLohasava 450 Ml
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0 replies
Dr. Snehal Vidhate
Bachelor of Ayurvedic Medicine and Surgery
96 days ago
5

Hello I can understand your concern regarding low ferritin level even after taking iron supplements You are having issues like diarrhoea which indicates that the problem is poor absorption and not just low intake ▪️Reason why your iron must not be improving -Mandagni- poor digestive issues -Iron supplements may cause gut irritation -Combination of iron intake should be proper ▪️Ayurvedic plan of treatment ➖Improving absorption What i suggest is to Improve your digestion before increasing iron dose -Hinguvachadu gullika 1 tablet before lunch ▪️Better iron supplement 1.Punarnava mandoor 1 tablet twice daily after food 2.Iogen iron syrup 10ml twice daily after food 3.Draksharistha 15 ml twice daily after food ▪️How to take it correctly -You should take iron supplement after meals ( as you are having diarrhea ) -Combine it with vitamin C like lemon juice Avoid taking tea or coffee and milk This prevents absorption of iron ▪️Diet to. Increase iron -have daily 5 black raisins 2 dates 1 piece of jaggery Beetroot and carrot -Pomegranate Avoid -Tea or coffee -Raw food ▪️Also additional It is better to repeat ferretin after 6 weeks Also check Vitamin b12 Vitamin D Thyroid profile You should focus on absorption not on quantity of supplement Wishing you a good health😊 Warm Regards Dr snehal vidhate

12035 answered questions
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Dr. Prasad Pentakota
Bachelor of Ayurvedic Medicine and Surgery
96 days ago
5

hello thank you for contacting ask ayurveda i want to known your age , height and weight , your profession ? can you send me your hemoglobin , ferritin reports ? did you had done complete iron profiles? any ultrasound abdomen? what medicines you are taking? by this i can properly plan a treatment protocol. i want to tell you that is a common problems which is faced by a majority of females. don`t worry i will prescribe some medication but after seeing all the answers i can prescribe accurate medication. meanwhile you can start this medication i will be waiting for your reply

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Dr. Narendrakumar V Mishra
Bachelor of Ayurvedic Medicine and Surgery
96 days ago
5

Avoid oily spicy and processed foods. Regular exercise. Increase intake of raw vegetables and fruits. Drink sufficient quantity of water. Tab.Arogyavardhini 2-0-2 Tab.Punarnava mandur 2-0-2 Sy.Amyron 10 ml twice a day Follow up after 4weeks.

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Dr. Khushboo
Bachelor of Ayurvedic Medicine and Surgery
96 days ago
5

The condition which you describe above is pointing towards Pandu Rog with grahni dosh aur impaired digestive fire which complicates the iron uptake Adding iron is often in effective if metabolic fire is to weak the diarrhoea indicates that the current supplement maybe aggravating the Pitta or the bowel lining is to Sensitive to absorb the metallic salts 1) draksharishtam - 20 ml twice daily after food 2) dadimadi ghrita- one teaspoon on empty stomach in morning with warm water 3) hingu vachadi gulika- one tablet before lunch 4) amla sparkle/ powder- 1 sachet or 5 gram with lunch Lifestyle and food Always consume iron-rich foods with a squeeze of lemon or a side of Amla. Vitamin C is essential for converting non-heme iron into an absorbable form. Do not consume tea, coffee, or calcium-rich dairy within 2 hours of taking your iron supplements or meals. Tannins and calcium compete with iron for absorption. Incorporate Pomegranate (Dadima), Black Raisins (soaked overnight), Beetroot, and Moringa (Sahjan) leaves into your daily diet. Cooking Utensils: Switch to Iron cookware (Kadhal) for preparing vegetables to naturally Infuse the food with elemental Iron. Drink only warm water throughout the day to support Agni. Avoid heavy strenuous exercise while ferritin is low, as it depletes Ojas (vitality). Focus on Pranayama (Anulom Vilom) to Improve oxygenation of the blood. Ensure 7-8 hours of sleep, as blood tissue formation is most active during deep rest.

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Dr. Nayan Wale
Bachelor of Ayurvedic Medicine and Surgery
96 days ago
5

●I will understand your problem and tell you some medicine and home remedies. Eat iron rich food fruits vegetables. Eat on time and sleep is necessary. You have to increase digestion. ●Iron and Blood Formation The iron in raisins aids in hemoglobin synthesis. This: • Benefits anemia • Reduces fatigue • Improves skin complexion • Strengthens hair roots When blood improves, skin automatically improves. ●Plant-Based Iron and Problems Heme iron (from animals) is easily absorbed by the body. Non-heme iron (from plants – such as spinach, chickpeas, kidney beans, and lentils) is not easily absorbed by the body. Because of this, iron deficiency is more likely in vegetarians. ●Why is Vitamin C important? Vitamin C (amla, lemon, orange, tomato, capsicum, etc.) converts non-heme iron in the body into a soluble and absorbable form. This means that iron that would normally be wasted is now useful to the body.Iron + Vitamin C Combination Sprinkle lemon juice over spinach or green vegetables. Eat kidney beans/chickpeas/lentils with tomato or lemon salad. Eat amla or orange with soaked chickpeas in the morning. Cooking in an iron pan also provides a little extra iron. ●Liver and Skin Both science and Ayurveda believe that skin is a mirror of the liver. Raisins: • Improves liver function • Helps eliminate toxins • Purifies the blood. The result: natural, lasting skin glow ●Dates-Blood Booster: The iron content of dates and the calcium of milk revitalize the body.Blood purifier: Helps in purifying the blood and increasing haemoglobin. ●How to consume: Boil 2-3 dried figs in a cup of milk for 5-7 minutes. Consume lukewarm. It’s best before bedtime. Caution: People with diabetes and obesity should consume this product in limited quantities.Blood Boosting and Energy • Figs are high in iron and copper. Milk is rich in vitamin B12 and protein. This combination helps relieve anemia, fatigue, and weakness.

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