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ADHD and Iron Deficiency Part 2 by Anthony Kane, MD |
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ADHD and Iron Deficiency Part 2 by Anthony Kane, MD
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Also, there is a possibility that your child has a higher than average iron requirement. That means that he might test normal on all the iron blood tests and still be iron deficient because he requires more than the average amount of iron.
So why not just give your child iron supplements and see what happens? Because iron functions in the body like a two edged sword.
Iron exists in the body in two chemical forms. There is the ferrous form, where the iron atom will bond to two electrons and the ferric form where the atom will bond to three electrons. Iron can go back and forth between these two forms.
This is the property of iron that allows it to play a role in carrying oxygen as part of hemoglobin. However, it also makes iron an active player in oxidation-reduction reactions. What that means is that iron has the ability to act like a free radical and cause significant damage to tissues. Whenever iron is not bound to hemoglobin or to some other carrier protein, it travels around the body as free iron and can cause damage anywhere it goes.
To further exacerbate the problem, excess iron is not eliminated well by the body.
Most of the iron in the body gets recycled. Therefore, not only is excess iron toxic, but also once you have excess iron in your body, it is going to stick around for a long time. High amounts of iron have been found in the brains of people with Parkinson's disease. It is very likely that excess iron can aggravate, if not cause, other neurological problems as well.
With that in mind we have to approach iron supplementation with caution. My feeling is that if your child turns out to be one of the 8-13% that is deficient in iron, it is worth giving iron supplements. I doubt that it will help much with his ADHD, but it should help with his general health. This advice applies to your non-ADHD children, also.
How should you test iron deficiency? The hemoglobin and hematocrit counts that come as part of the standard complete blood count (CBC) are good for diagnosing anemia. They do not really give you accurate information about the body's iron status.

E-mail: akane@addadhdadvances.com
Author's URL: http://addadhdadvances.com
Anthony Kane, MD is a physician, an international lecturer, and director of special education. He is the author of a book, numerous articles, and a number of online programs dealing with ADHD treatment, ODD, parenting issues, and education. You may visit his website, ADD ADHD Advances, and sign up for the ADD ADHD Advances online journal.
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