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ForumsNutrition & SupplementationIron deficiency on GLP-1 — what worked for you?

Iron deficiency on GLP-1 — what worked for you?

Admin Fri, Apr 5, 2024 at 12:53 PM 48 replies 2,507 viewsPage 1 of 10
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Admin
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Apr 5, 2024 at 12:53 PM#1

I started taking a multivitamin as insurance and then found out that two of the things I was actually short of were the two it barely contains.

Cheap and worth having: ferritin, B12, vitamin D. Everything else on the deficiency list is adequately covered by a standard multivitamin at ordinary doses.

So the question, as narrowly as I can put it: which deficiencies actually show up when intake drops this far, and which are worth testing rather than supplementing blind.

Happy to be told the question itself is wrong.

19 14PedsEndoPhilly, SleepDoc_PDX, RegAffairsDC and 16 others
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Dr.CardioMD
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Apr 5, 2024 at 2:38 PM#2
Admin said:
I started taking a multivitamin as insurance and then found out that two of the things I was actually short of were the two it barely contains.

Iron studies on micronutrients — important especially for women:

MarkerBaselineMonth 6After Supplementation
Ferritin582653
Iron885896
TIBC318388348
Transferrin Sat34%18%27%

My ferritin cratered at month 6 from reduced dietary intake. Iron bisglycinate 36mg with vitamin C brought it back up. Don't wait for anemia symptoms — test proactively.

Last edited: Apr 5, 2024 at 8:38 PM
18 13Dr.NephBHM_UK, kim_atl_prep, sarah_TO and 15 others
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FranDenver
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Apr 5, 2024 at 4:23 PM#3
Dr.CardioMD said:
Iron studies on micronutrients — important especially for women: Marker Baseline Month 6 After Supplementation Ferritin 58 26 53 Iron 88 58 96 TIBC…

Blood count monitoring for micronutrients: my doctor noticed my MCV (mean corpuscular volume) trending up at month 6: 91 → 98 fL. This flagged potential B12 or folate deficiency.

Sure enough, B12 had dropped from 620 to 340 pg/mL. Started B12 injections monthly and MCV normalized within 2 months. GLP-1 agonists can impair B12 absorption — this is a real clinical concern that deserves routine monitoring.

17 12BariatricNurseD, MASHdoc_SA, GenomicsKate and 14 others
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LeilaHI
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Apr 5, 2024 at 6:08 PM#4
Admin said:
I started taking a multivitamin as insurance and then found out that two of the things I was actually short of were the two it barely contains.

Adding a me-too, because a thread of one person's experience is not much use. Nothing to add that would improve it.

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BariatricNurseD
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Apr 6, 2024 at 4:26 AM#5

Adding the clinical framing, because it changes how the question reads.

Vitamin D levels and micronutrients: an often-overlooked connection. Obese individuals store vitamin D in adipose tissue, making it less bioavailable. As you lose fat, vitamin D can actually increase WITHOUT supplementation.

My trajectory: Baseline 18 ng/mL → Month 6 (with supplement) 42 ng/mL → Month 12 48 ng/mL. Target is 40-60 ng/mL. Adequate vitamin D supports immune function, bone health, and mood — all relevant during weight loss.

Last edited: Apr 6, 2024 at 9:26 AM
15 10Dr.EndoIndy, tom_AK, josh_phd_bmore and 12 others
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