Re: Hemoglobin and iron in a vegetarian dietDuncan <news.20.noos@spamgourmet,com > kirjoitti Fri, 16 Mar 2007 19:57:1=
0 =
+0200:
> I just went to a gastroentorologist for some stomach problems i've bee=
n
> having lately, and he said that a vegetarian diet might be causing the=
m.
> He said it's hard to get enough hemoglobin and iron with a vegetarian
> diet.
Uh, what? Nothing in that paragraph makes any sense. A vegetarian diet
wouldn't cause stomach problems (a switch to a vegetarian diet with plen=
ty
of fiber from a low fiber diet could temporarily cause them, but other t=
han
that, no). The lack of iron wouldn't cause stomach problems either. And
it's not difficult to get enough iron from a vegetarian diet. I used
to have a hemoglobin of about 120 years ago when I still ate meat. Now i=
t's
147. These are European units so they're different from the ones used in=
the states, but I'm a woman and the recommended Hg levels for women here=
are between 120 (or 125) and 150. So my hemoglobin is almost too high.
I've been a vegetarian since 1999.
One thing that is important to keep in mind is to always have foods rich=
in vitamin C with foods rich in iron. That really helps the absorption o=
f
non-heme (="vegetarian") iron. Of course all veggies and fruit have
vitamin C, but some (like carrots and apples) have so little that it mig=
ht
not be enough. Also, foods rich in calcium and coffee and tea can hinder=
the absorption of iron, if you eat them at the same time as iron rich
foods.
There are other possible reasons for anaemia than iron deficiency. With
a fully vegetarian diet a vitamin B12 deficiency would be a possibility,=
but it usually takes years before such a deficiency develops. Since ther=
e
are so few vegetarian sources of B12 (yes, there are such sources, but
they're mostly obscure), it's important to take supplements. Many
omnivores would also benefit from them. Studies have shown that many
people eating meat have a B12 deficiency, because it's not absorbed as
well as it was previously thought.
What kind of stomach problems are you having anyway? Have you tried
probiotics already? IBS is a very common malady these days and it's
definitely not caused by a vegetarian diet. However in IBS and many
other gastrointestinal illnesses certain veggies, fruits, legumes and
grains can cause problems on individual basis. But it's important that
you go through the necessary tests to see if there's another
explanation for your stomach ailments (such as dysbiosis, celiac,
Crohn's, ulcerative colitis, lactose intolerance (if you still eat
dairy) or something else). It's hard to even speculate without
specifics.
> He said he and his wife are both very concerned about animal welfare,
> but that he supplements his own vegetarian diet with fish. I'm allerg=
ic
> to fish... so he said that supplementing one's diet with chicken is
> another option. I asked him about hemoglobin and iron supplements, an=
d
> he said that they don't really get absorbed well... and so I asked him=
> about taking digestive enzymes, and he said they're pretty expensive a=
nd
> don't really work. He also said that iron from spinach doesn't get
> absorbed very well compared to what's in chicken and fish.
Chicken and fish are quite poor sources of iron in fact. Fatty fish is
a very healthy food (I don't eat it though, like I said I'm vegetarian)
regardless, but if you're allergic to fish, then it's a moot point. And
fish and chicken certainly wouldn't help with the stomach problems. I
don't know enough about digestive enzymes to be able to comment on them.=
It's true that the iron in spinach isn't absorbed as well as the iron
in chicken and fish (though like I said chicken and fish are poor
sources of iron). In fact the iron content in spinach has been vastly
overexaggerated. Apparently spinach used to be a great source of iron,
but the way it has been bred for commercial gain and grown in poor
soils it is no longer a significant source of iron, even though it
does contain decent quantities of it. But there's no problem in
getting enough iron from a vegetarian diet if you eat otherwise
nutritious food and not only eg. white rice and salad - not
suggesting that you do.
> I'm pretty thin, but I've already lost about 10% of my weight since
> switching to a vegetarian diet (over about six months)... and now I'm
> having these stomach problems. So if my diet is the cause of it I'm
> going to have to seriously consider eating chicken again.
Weight loss with stomach problems sounds like something potentially
nasty. It could be celiac, it could be cancer, or it could be just that
you're eating something your stomach/gut doesn't fancy, and that you
aren't getting enough calories. Chicken isn't going to change that.
So, go through the necessary medical tests to overrule any serious
illnesses and then experiment to see if there are any foods that cause
or worsen your stomach problems. And to compensate for the weight
loss, try to eat food higher in calories. Remember that fat isn't
bad for you if it's good fat, coming from real food and not cakes,
candy and junk food. Eg. avocado, nuts and seeds are tasty, fairly
high in calories and very good for you.
Also, if you experience gas and bloating, you could try dimethicone/
simethicone tablets or drops. It's essentially silicone which isn't
absorbed from the gut, but it changes the surface tension of the
contents of your stomach so that you won't have the colic like
pains. Very cheap and no side effects. But again I repeat myself,
go through a full evaluation first. It would be silly to medicate
against gas if it was all caused by eg. having lactose intolerance
and eating dairy.
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