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Do you feel constantly fatigued, even though your haemoglobin levels appear normal? You're not alone. Lifestyle expert Luke Coutinho sheds light on a frequently overlooked condition called Iron Deficiency Without Anemia (IDWA) – a hidden culprit behind persistent tiredness and a range of other health concerns.

What is Iron Deficiency Without Anemia (IDWA)?

While anemia is well-known (and characterized by low haemoglobin), IDWA presents a more subtle challenge. It occurs when your body's iron stores, measured by ferritin levels, are depleted, even when your haemoglobin remains within the normal range. Think of it like this: haemoglobin is the oxygen carrier in your blood, while ferritin is your body's iron reserve tank. You can have enough fuel (haemoglobin) to run, but if your reserve tank (ferritin) is low, you'll eventually run out of energy.

Why Does IDWA Happen?

Several factors can contribute to low ferritin levels and IDWA, including:

• Poor Diet: Inadequate iron intake through food is a primary cause.
• Malabsorption: Certain medical conditions or medications can hinder your body's ability to absorb iron from food.
• Chronic Inflammation: Inflammation can deplete iron stores, even if you're consuming enough.
• Heavy Menstrual Bleeding: Women experiencing heavy periods are at higher risk.
• Intense Exercise: Regular, strenuous exercise can also deplete iron stores.

Symptoms Beyond Tiredness

While fatigue is the most common symptom, IDWA can manifest in various ways. Be on the lookout for:

• Brittle Nails: Nails that crack or break easily.
• Hair Loss: Increased shedding or thinning hair.
• Pale Skin: Although less pronounced than in anemia, skin can appear paler.
• Restless Legs Syndrome: An uncomfortable urge to move your legs, especially at night.
• Weakened Immune System: Increased susceptibility to infections.
• Difficulty Concentrating: Brain fog and trouble focusing.

Diagnosis and Treatment

The only way to confirm IDWA is through a blood test that measures ferritin levels. Treatment typically involves:

• Iron-Rich Diet: Focus on foods like red meat, poultry, fish, beans, lentils, and leafy green vegetables.
• Iron Supplements: Your doctor may recommend iron supplements, especially if dietary changes aren't enough. It's crucial to take these under medical supervision, as excessive iron can be harmful.
• Addressing Underlying Conditions: If malabsorption or inflammation is contributing to the issue, addressing those conditions is essential.

Don't Ignore the Signs

Feeling consistently tired, even with normal haemoglobin, shouldn’t be dismissed. Iron Deficiency Without Anemia is a real and manageable condition. By understanding the symptoms and seeking appropriate testing and treatment, you can reclaim your energy and improve your overall well-being. Consult with a healthcare professional to determine the best course of action for your individual needs.