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Iron deficiency (sideropenia) is the medical state in which the body lacks enough iron to meet its needs. Iron is present in all human cells and is essential for multiple vital processes, including transporting oxygen to tissues via hemoglobin, supporting electron transport through cytochromes, and enabling oxygen-dependent enzyme reactions in many tissues. When iron is too low, these functions are disrupted, which can progress to morbidity and even death. Iron deficiency develops when iron loss is not adequately compensated by dietary intake. The condition can occur before anemia appears; “latent iron deficiency” (iron deficiency without anemia) precedes iron-deficiency anemia, a common form of anemia characterized by inadequate red blood cells or hemoglobin. People at higher risk include women of childbearing age, children, and those with poor dietary intake; in non-pregnant women, menstrual blood loss is a major cause. Symptoms may include fatigue, dizziness, pallor, headache, and shortness of breath, and if untreated it can contribute to complications such as irregular heartbeat, pregnancy problems, and impaired growth and cognitive/behavioral development in infants and children. Iron metabolism is tightly regulated, with the gastrointestinal tract (especially the duodenum) being the main site of absorption. Several factors influence iron status, including dietary intake and bioavailability, blood loss, malabsorption, inflammation (which can lower available iron through hepcidin), and certain conditions or medications. Diagnosis typically involves blood tests such as complete blood count and serum ferritin/iron studies, and treatment focuses on identifying and addressing the underlying cause while replenishing iron through dietary sources and/or iron supplements (oral or intravenous, depending on circumstances).
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