Skip to content

Iron: how much to take

Iron carries oxygen in the blood. Women before menopause, pregnant women and frequent blood donors need more. Take it only if you know you need it.

Calculator Official intake Study doses Best form Works with Safety Sources

Adults 18+ only
Loading calculator…

Official daily intake

EFSA (European Food Safety Authority)

PRI (population reference intake)

Men11 mg
Women 18-5016 mg
Women 51+11 mg
Pregnancy16 mg
Breastfeeding16 mg

Safe level: 40 mg a day

EFSA could not set a safe limit for iron, so 40 mg is a "safe level of intake". It does not apply to iron prescribed for deficiency.

Women: 16 mg before menopause, 11 mg after. PillMath uses age 51+ as a stand-in for after menopause.

Source: EFSA 2017 · EFSA 2025 · EFSA NDA Panel 2024

NIH / NASEM (United States)

RDA (recommended dietary allowance)

Men8 mg
Women 18-5018 mg
Women 51+8 mg
Pregnancy27 mg
Breastfeeding9 mg

Safe upper limit: 45 mg a day

Source: National Academies (NASEM) 2019

Doses used in studies

These are doses tested in research, not personal advice. Some exceed the upper limit because they were short courses or given under medical care.

Moderate evidenceModerate: smaller trials, mixed results or official guidance.Based on 1 randomised trial.How grades work

Better absorption for low iron stores (every other day)

60 mg every other day

In women with depleted iron, 60 mg every other day was absorbed better than 60 mg every day (about 22% vs 16%), and splitting a dose in two did not help. Treating anaemia needs a doctor.

Stoffel NU et al. 2017

Moderate evidenceModerate: smaller trials, mixed results or official guidance.Based on 1 randomised trial.How grades work

Fatigue in women with low iron stores but no anaemia

80 mg a day

198 menstruating women with unexplained fatigue, ferritin under 50 µg/L and normal haemoglobin took 80 mg iron a day or placebo for 12 weeks. Fatigue fell 48% vs 29%. Get ferritin tested first: this is above the EFSA safe level.

Vaucher P et al. 2012

Best form and why

Best form

Ferrous sulfate, salt weight (~20% Fe)

Why: Ferrous forms (sulfate, fumarate, gluconate) are absorbed better than ferric forms. Ferrous sulfate is the most widely used form and was the form in the key absorption trials.

Alternatives: Up to 4 in 10 people get stomach side effects from ferrous salts. Iron bisglycinate and other newer forms give comparable blood results with fewer complaints, so they are a fair swap if sulfate upsets you. Whatever the form, every other day in the morning, away from tea, coffee and calcium, absorbs best.

Stoffel NU et al. 2017 · NIH Office of Dietary Supplements 2026 · Leone G et al. 2026

Works with

Helps or needs

  • Vitamin CModerate evidenceModerate: smaller trials, mixed results or official guidance.Based on 1 official reference.How grades work

    Vitamin C helps the body absorb iron from plant foods and supplements (non-heme iron). Taking them together is a simple way to absorb more.

    NIH Office of Dietary Supplements 2026

Take apart

  • CalciumModerate evidenceModerate: smaller trials, mixed results or official guidance.Based on 1 official reference.How grades work

    Calcium can reduce how much iron you absorb, both from food and supplements. Take them at different times of day.

    NIH Office of Dietary Supplements 2026

  • ZincModerate evidenceModerate: smaller trials, mixed results or official guidance.Based on 1 official reference.How grades work

    Taking 25 mg iron or more at the same time as zinc can reduce zinc absorption. Take them at different times of day.

    NIH Office of Dietary Supplements 2026

Forms and labels

  • Label shows elemental amount
  • Ferrous sulfate, salt weight (~20% Fe)
  • Ferrous fumarate, salt weight (~33% Fe)
  • Ferrous gluconate, salt weight (~12% Fe)
  • Ferrous bisglycinate, salt weight (~20% Fe)

Elemental shares for salts are typical values. Most EU and US labels already list the elemental amount, so pick the first option when unsure.

Food sources

Red meat, liver, legumes, tofu, spinach, fortified cereals (plant iron absorbs better with vitamin C).

Interactions

Take apart from calcium, zinc, tea, coffee and dairy. Separate from thyroid hormone and some antibiotics.

Safety

Iron overdose is dangerous for children: keep bottles locked away. People with haemochromatosis must not take iron.

Pregnant, breastfeeding, on medication, or managing a health condition? Check with a doctor or pharmacist before starting a supplement.

Sources

  1. Official reference EFSA (2017). Dietary Reference Values for nutrients: Summary report. EFSA Supporting Publications
  2. Official reference EFSA (2025). Overview on Tolerable Upper Intake Levels as derived by the SCF and the EFSA NDA Panel (version 11, August 2025). EFSA
  3. Official reference EFSA NDA Panel (2024). Scientific opinion on the tolerable upper intake level for iron. EFSA Journal 22(6):e8819
  4. Official reference National Academies (NASEM) (2019). Dietary Reference Intakes: RDA, AI and UL tables (via NIH ODS Nutrient Recommendations). Food and Nutrition Board
  5. Randomised trial Stoffel NU et al. (2017). Iron absorption from oral iron supplements given on consecutive versus alternate days and as single morning doses versus twice-daily split dosing in iron-depleted women. Lancet Haematol 4(11):e524-e533
  6. Randomised trial Vaucher P et al. (2012). Effect of iron supplementation on fatigue in nonanemic menstruating women with low ferritin: a randomized controlled trial. CMAJ 184(11):1247-1254
  7. Official reference NIH Office of Dietary Supplements (2026). Iron: fact sheet for health professionals (checked November 2026). NIH ODS
  8. Review / position paper Leone G et al. (2026). Iron therapy in pediatric iron deficiency and iron-deficiency anemia: efficacy, safety, and formulation-specific trade-offs. Hematol Rep 18(1):6
  9. Official reference NIH Office of Dietary Supplements (2026). Zinc: fact sheet for health professionals (checked November 2026). NIH ODS

Values checked: November 12, 2026.

Fact sheets on other sites

Independent summaries to read alongside this page. PillMath is not affiliated with these sites.

Other supplements