1 00:00:07,133 --> 00:00:10,453 Speaker 1: You're listening to the Saturday Morning with Jack team podcast 2 00:00:10,573 --> 00:00:13,453 Speaker 1: from news Talks at be Morning Jack. 3 00:00:13,493 --> 00:00:16,053 Speaker 2: My seven year old car has sea callers, very effective 4 00:00:16,053 --> 00:00:17,693 Speaker 2: after the gym or on a summer's day. Not a 5 00:00:17,693 --> 00:00:19,973 Speaker 2: new thing. There you go. See this is you can 6 00:00:20,013 --> 00:00:22,253 Speaker 2: tell that I don't drive a cool car, can't you? Well? 7 00:00:22,293 --> 00:00:25,213 Speaker 2: Literally as a zing do. 8 00:00:25,213 --> 00:00:25,613 Speaker 1: They use it? 9 00:00:25,693 --> 00:00:29,253 Speaker 2: It's like a refrigerant or is it just a fan situation? Look, 10 00:00:29,253 --> 00:00:31,773 Speaker 2: I'm all he is, I'm learning something this morning. Time 11 00:00:31,813 --> 00:00:34,053 Speaker 2: to catch up with our resident doctor, Doctor Brian Betty 12 00:00:34,133 --> 00:00:36,533 Speaker 2: is in with us this morning. Call to Brian, Oh 13 00:00:36,653 --> 00:00:38,333 Speaker 2: cure Jack, Do you do you have a seat cooler? 14 00:00:40,093 --> 00:00:40,213 Speaker 1: No? 15 00:00:40,293 --> 00:00:41,853 Speaker 3: I don't, No, absolutely not. 16 00:00:41,933 --> 00:00:44,693 Speaker 4: No, no, no, you and I've got to see I've 17 00:00:44,693 --> 00:00:50,373 Speaker 4: got to seat warmer. So right Hey, anyway, we're talking 18 00:00:50,373 --> 00:00:53,653 Speaker 4: to iron deficiency this morning. This is something that affects 19 00:00:53,893 --> 00:00:58,693 Speaker 4: so many people, the most common mineral deficiency worldwide. Why 20 00:00:58,893 --> 00:01:00,613 Speaker 4: is iron so important in the body. 21 00:01:01,613 --> 00:01:04,213 Speaker 3: Look, it's really important for making red blood cells in 22 00:01:04,253 --> 00:01:07,653 Speaker 3: our blood. Now, these carry oxygen from our lungs around 23 00:01:07,653 --> 00:01:10,573 Speaker 3: our body, so very very important. So if we don't 24 00:01:10,613 --> 00:01:13,133 Speaker 3: have enough iron in our body, we don't produce enough 25 00:01:13,173 --> 00:01:17,813 Speaker 3: red blood cells and we develop something called iron deficiency anemia, 26 00:01:18,213 --> 00:01:22,293 Speaker 3: and that causes all sorts of problems. Also very important 27 00:01:22,293 --> 00:01:25,693 Speaker 3: for the immune system and growth and development and children, 28 00:01:25,773 --> 00:01:28,213 Speaker 3: So a number of really really important functions for iron. 29 00:01:28,493 --> 00:01:30,933 Speaker 2: Yeah, okay, how does it affect us if we don't 30 00:01:30,973 --> 00:01:32,213 Speaker 2: have enough iron on board? 31 00:01:33,053 --> 00:01:36,293 Speaker 3: Look, whole range of symptoms. However, the commonest thing we 32 00:01:36,373 --> 00:01:40,093 Speaker 3: do see in practice is someone presents feeling tired or 33 00:01:40,093 --> 00:01:43,013 Speaker 3: fatigued or just run down, or may even comment that 34 00:01:43,053 --> 00:01:47,173 Speaker 3: they look pale or just light. There can be other 35 00:01:47,413 --> 00:01:51,213 Speaker 3: other symptoms such as headaches, feeling shorter breath, and very 36 00:01:51,293 --> 00:01:56,213 Speaker 3: interesting things like hair loss or brittle nails, are racing hard, 37 00:01:56,293 --> 00:01:58,933 Speaker 3: or sometimes just feeling really really cold or just feeling 38 00:01:58,933 --> 00:02:02,373 Speaker 3: the cold. So yeah, there's a range of very very 39 00:02:02,373 --> 00:02:07,573 Speaker 3: different symptoms that can occur with with iron efficiency anemia. 40 00:02:07,053 --> 00:02:08,493 Speaker 2: And what causes it to happen. 41 00:02:09,573 --> 00:02:13,133 Speaker 3: Look, there's three major causes. One, you can get blood 42 00:02:13,173 --> 00:02:16,733 Speaker 3: loss over time. So probably the commonest cause we do 43 00:02:16,813 --> 00:02:20,493 Speaker 3: see in practice is heavy period bleeding. So that's heavy 44 00:02:20,493 --> 00:02:24,493 Speaker 3: menstrual bleeding in woman, and that's very very common. Sometimes 45 00:02:24,493 --> 00:02:26,973 Speaker 3: there can be very hidden blood loss causes such as 46 00:02:27,013 --> 00:02:29,133 Speaker 3: bleeding from the gut and this can indicate a more 47 00:02:29,213 --> 00:02:33,373 Speaker 3: serious problem like bowel cancer for instance, and that needs 48 00:02:33,373 --> 00:02:36,573 Speaker 3: to be investigated. Now, the other one, big one, is 49 00:02:36,613 --> 00:02:39,173 Speaker 3: not eating enough iron in our diet. Now, this is 50 00:02:39,333 --> 00:02:43,653 Speaker 3: especially an issue if you're vegan or vegetarian because obviously 51 00:02:43,693 --> 00:02:46,413 Speaker 3: iron comes in red meat. It also comes in chicken 52 00:02:46,413 --> 00:02:48,853 Speaker 3: and fish, so if you're not eating those, you can 53 00:02:48,933 --> 00:02:53,053 Speaker 3: develop iron deficiency anemia. And interestingly, it can be an 54 00:02:53,093 --> 00:02:57,413 Speaker 3: issue for children. So if you breastfeed exclusively, breastfeed for 55 00:02:57,493 --> 00:03:00,813 Speaker 3: too long and don't introduce solids around four to six months, 56 00:03:01,173 --> 00:03:05,733 Speaker 3: children can become iron deficient anemia, become iron deficient, and 57 00:03:05,773 --> 00:03:08,293 Speaker 3: that's because there's not much iron and breast milk. So 58 00:03:08,333 --> 00:03:11,133 Speaker 3: that's the other thing we take note of. And the 59 00:03:11,173 --> 00:03:14,613 Speaker 3: third one is mal what we call malabsorption, so not 60 00:03:14,933 --> 00:03:18,973 Speaker 3: absorbing enough iron through the stomach and probably bariatric surgery 61 00:03:18,973 --> 00:03:22,453 Speaker 3: with weight losses becoming more common. So yeah, people who 62 00:03:22,453 --> 00:03:25,693 Speaker 3: have bariatric surgery have to take iron supplements to make 63 00:03:25,693 --> 00:03:26,853 Speaker 3: sure they're getting enough iron. 64 00:03:26,973 --> 00:03:29,293 Speaker 2: Yeah, right, So what can we do about it apart 65 00:03:29,293 --> 00:03:31,293 Speaker 2: from just eating lots more spinach and steak. 66 00:03:32,293 --> 00:03:35,173 Speaker 3: Yes, So look, really really important. Look, if you're feeling 67 00:03:35,253 --> 00:03:38,733 Speaker 3: very tired, run down and you're just not feeling quite right, 68 00:03:38,853 --> 00:03:41,493 Speaker 3: make sure you do see your GP for a very 69 00:03:41,533 --> 00:03:43,773 Speaker 3: simple blood test that we do that says, look, you 70 00:03:43,773 --> 00:03:46,453 Speaker 3: don't have enough iron on board. Now, if there's an 71 00:03:46,493 --> 00:03:50,213 Speaker 3: underlying cause like causing the blood loss such as you know, 72 00:03:50,253 --> 00:03:53,333 Speaker 3: the heavy periods or we're worried about bleeding from the vowel, 73 00:03:53,693 --> 00:03:57,013 Speaker 3: we investigate that and treat that to stop the iron loss. 74 00:03:57,573 --> 00:04:03,893 Speaker 3: But obviously diet's incredibly important. So look, you know meat, fish, chicken, 75 00:04:04,173 --> 00:04:06,893 Speaker 3: very very important source of iron. But if you are 76 00:04:07,013 --> 00:04:09,613 Speaker 3: vegan or vegetarian, make sure you adjust your diet. So 77 00:04:09,653 --> 00:04:12,813 Speaker 3: you need to have lots of green leafy vegetables, nuts 78 00:04:12,893 --> 00:04:16,493 Speaker 3: and seeds and fruit. So vitamin C is very important 79 00:04:16,533 --> 00:04:20,573 Speaker 3: for iron absorption, so having fruit with your meals becomes 80 00:04:20,653 --> 00:04:23,813 Speaker 3: very important. And a little trick here is you have 81 00:04:23,853 --> 00:04:27,053 Speaker 3: to be careful with tannins and coffee or tea because 82 00:04:27,053 --> 00:04:30,173 Speaker 3: they actually stop iron bean absorbed, So you need to 83 00:04:30,213 --> 00:04:35,093 Speaker 3: be careful. Yeah, yeah, yeah, So sometimes look, sometimes regardless 84 00:04:35,133 --> 00:04:37,973 Speaker 3: of that, you do need iron supplements to boost your iron. 85 00:04:38,693 --> 00:04:41,093 Speaker 3: An occasion you need what's called iron infusion, where we 86 00:04:41,893 --> 00:04:45,853 Speaker 3: infuse iron directly into the veins to back up and 87 00:04:45,893 --> 00:04:48,893 Speaker 3: to build up your iron stores. But baseline is, look, 88 00:04:48,893 --> 00:04:52,133 Speaker 3: if you're concerned, see your GP, get a simple blood 89 00:04:52,133 --> 00:04:54,013 Speaker 3: test and start to get it treated. 90 00:04:54,133 --> 00:04:56,733 Speaker 2: Yeah right, I'm sure she won't mind me saying this, 91 00:04:56,853 --> 00:04:59,533 Speaker 2: but my wife when she was you know, has low 92 00:04:59,613 --> 00:05:03,933 Speaker 2: iron sometimes, and when she was pregnant, she went in 93 00:05:03,973 --> 00:05:10,853 Speaker 2: and got an iron transfusion infusion I suppose, and my god, 94 00:05:10,853 --> 00:05:14,333 Speaker 2: it made a difference, like it was night and day. 95 00:05:14,773 --> 00:05:17,933 Speaker 2: It was like she suddenly felt like she needed three 96 00:05:17,973 --> 00:05:20,933 Speaker 2: hours of sleep less every day and she still had 97 00:05:20,933 --> 00:05:24,533 Speaker 2: more energy. Like it was really just remarkable to see 98 00:05:24,533 --> 00:05:27,733 Speaker 2: how a mineral deficiency like that could fundamentally change her 99 00:05:27,853 --> 00:05:30,733 Speaker 2: day to day life. Like it really was just crazy. 100 00:05:31,213 --> 00:05:35,573 Speaker 2: So the extreme end of the treatments, but yeah, yeah, it's. 101 00:05:35,893 --> 00:05:38,213 Speaker 3: They feel so much better once they treat the deficiency. 102 00:05:38,373 --> 00:05:42,613 Speaker 3: And pre and pregnancy is important because there's so much 103 00:05:42,653 --> 00:05:45,453 Speaker 3: more demands on iron and the body with growing the 104 00:05:45,453 --> 00:05:48,973 Speaker 3: baby inside the uterus, that iron deficiency can actually be 105 00:05:48,973 --> 00:05:51,773 Speaker 3: a problem in pregnancy as well. So yeah, important to 106 00:05:51,813 --> 00:05:53,893 Speaker 3: treat it because it's so important for the development of 107 00:05:53,893 --> 00:05:55,653 Speaker 3: the fetus and the baby. 108 00:05:55,733 --> 00:05:58,053 Speaker 2: Hey, thank you so much, appreciate your time, Brian. Doctor 109 00:05:58,053 --> 00:05:59,973 Speaker 2: Brian Beatty with us this morning. Here you go. Turns 110 00:05:59,973 --> 00:06:02,013 Speaker 2: out Brian and I have the wrong card. Jack. Both 111 00:06:02,093 --> 00:06:05,253 Speaker 2: my twenty sixteen Tomorrow and my twenty twenty one Silverado 112 00:06:05,333 --> 00:06:07,973 Speaker 2: have heated and call front seats. Thank you very much. 113 00:06:08,813 --> 00:06:11,893 Speaker 1: For more from Saturday Morning with Jack Tame, listen live 114 00:06:12,013 --> 00:06:14,813 Speaker 1: to News Talks ed B from nine am Saturday, or 115 00:06:14,893 --> 00:06:16,733 Speaker 1: follow the podcast on iHeartRadio