Quoted message said:
If someone is really interested in being a vegetarian special concern needs to be taken that enough
iron is being consumed and the mix of foods consumed. Iron anemia is one of the world's greatest
nutritional problems, especially in those areas where a vegetarian diet is common and/or in areas
where poverty allows mostly only veggie sources of food; especially grain foods. India has a big
problem in this area, here is an article discussing it:
It may not be the vegetarian diet per se that may induce iron-deficiency, but the lack of a diverse
diet. In India, a great deal of the diet rests in dal (lentils) and rice. The phytic acid may help
deplete iron. Those who eat a more diverse diet probably will not have as much of a trouble with
iron deficiency.
Clearly, for many globally, there IS a problem with iron deficiency, especially among menstruating
women. Some supplementation may help. Iodine deficiencies are also widely recognized.
By contrast, in some populations, iron overload can be a significant problem. Adult men probably do
NOT need to supplement with any iron, even in a resource poor environment. There are studies showing
that excess iron may lead to heightened susceptibility to tuberculosis infection, for example. In
the setting of certain chronic diseases such as a chronic hepatitis viral infection or HIV, excess
iron is contraindicated for the most part.
Making blanket statements that apply to all humans is part of the problem. "It worked for me,
therefore it is good for all!" This kind of narrow thinking is not holistic nor sensible. Dietary
advice, for example. Individuals must be evaluated -- and each of us should do this more for
ourselves than rely solely on physicians with little time to actually practice the ART of medicine
-- based on our gender, age, body mass index/weight, medical history, etc. Then choices about
whether and what and if to supplement, how to modify diet, levels of exercise and amounts of rest
can be made based on extant data, personal choice, income and access issues and the time and
willingness one will put into such modifications.
That doesn't mean generalizations need never be made. For example, I think a good multivitamin is an
inexpensive and extremely valuable intervention for each and every individual with HIV. Iron-free
for men! This view is based on numerous data from studies done in Africa, the United States and
elsewhere.
George M. Carter