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.
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.
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.