Functional iron deficiency (moderately low iron reserves in ferritin with normal hemoglobin) can be corrected with oral iron (pills) when the cause is insufficient daily intake of iron from the diet. Iron pills, even low-dose pills will replenish stores very soon, generally within 3-4 weeks. If functional iron deficiency progresses to anemia, oral iron alone may not be sufficient to replenish stores. A combination oral iron and diets that include lean red meat can be tried for a period of time. Iron deficiency with anemia is a serious threat to health and should be monitored at least monthly. The underlying cause which might be blood loss due to cancer or problems of absorption will determine the best approach to replenish iron stores and red blood cell levels.
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