Iron: what the evidence actually shows

Reviewed by Substrate editorial, Independent research collective ·

Evidence by outcome

energy / fatiguegrade Ahigh certaintyreliably reduces fatigue when iron deficiency / IDA is present; no benefit when iron-replete
cognitiongrade Clow certaintyimproves attention/cognition when iron deficiency is present; no benefit if replete
energy / fatiguegrade Dvery-low certainty21-study review: iron supplementation associated with improved fatigue scores (p-values only, no CI/n given) in non-anemic iron deficiency; the review's own meta-analyses were "limited" for most outcomes examined.

People say · Evidence shows

everyone feels more energetic on iron

matchesnegligiblefolk

What it probably doesn't do

Grade history

Re-review cadence: every 12 months (Grade A/B) · next scheduled by · methodology v1.

By outcome — the money pages

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sources: PMID:27087396 · PMID:35011099 · PMID:26256281

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Plain-text citation
Substrate. Iron: what the evidence actually shows. https://evidencebased.info/interventions/iron. Updated 2026-07-16.
BibTeX
@misc{substrate_nfointerventionsiron,
  author = {Substrate editorial},
  title  = {Iron: what the evidence actually shows},
  year   = {2026},
  url    = {https://evidencebased.info/interventions/iron},
  note   = {evidencebased.info}
}