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Improving Iron for Fertility — Without Supplements: Binding, Transport & Clotting Explained

Improving Iron for Fertility — Without Supplements: Binding, Transport & Clotting Explained

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If you haven't listened to Episode 27 on iron supplementation and fertility yet, I highly recommend starting there. In that episode, we broke down why blindly supplementing iron can actually backfire, why low iron on labs doesn't automatically mean iron deficiency, and why iron never works alone. Today's episode builds on that foundation and goes even deeper into what's really going on with iron and fertility.

Here's the truth most women are never told: fertility-related iron issues are rarely about iron intake. They're about iron regulation. Transport. Binding. Inflammation. And clotting risk. Your body is actually very efficient with iron — so when labs look "low," the real question isn't how much iron are you eating? It's why isn't your body able to use the iron it already has? That's exactly what we're unpacking today.

"Most iron issues in fertility aren't about intake — they're about regulation." - Brooke Boskovich.

In This Episode, You'll Learn:

  • Why most fertility-related iron issues are regulation problems, not true iron deficiency

  • How inflammation causes iron to get "stuck" — and why supplementing often makes this worse

  • The critical role copper, ceruloplasmin, vitamin A, and magnesium play in iron transport

  • Why food-based (heme) iron supports fertility better than iron supplements

  • How excess or poorly regulated iron increases clotting risk and can impair implantation

  • The specific lab patterns that point to functional iron deficiency vs. true deficiency

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Learn more about this episode: thefertilitydietitian.health

Contact me: brooke@thefertilitydietitian.health

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YouTube: youtube.com/@TheFertilityDietitianPodcast

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