1. Education and Resources
27th of June, 2024

Why Active Women Need Double the Amount of Iron

Iron Deficiencies in Female Athletes Explained - Athena Nutrition

Heavy legs, flat energy, training that feels harder than it shouldย -ย these are some of the most common things active women describe when their iron is low. It's often missed because the symptoms creep in slowly and get put down to a busy week, poor sleep, or just "needing to push through".ย 

Iron is one of the nutrients active womenย most commonlyย fall short on, and it does a lotย more thanย influenceย training. It's needed for oxygen transport, energy production, immune function and cognition, so when stores drop, the flow-on effects show up across the boardย not just in the gym.ย 

Butย why does this happen so often to women who train, move and exercise regularly?ย ย 

1. Training Itself Can Lower Ironย 

Moving your body is amazing for your healthย but it does place extra demands on your iron stores.ย 

After exercise (especially hard or long sessions), your body produces a hormone called hepcidin. Its job is to regulate iron, but hereโ€™s the kicker: for around 3โ€“6 hours postโ€‘workout, higher hepcidin levels reduce how much iron you absorb and transport.ย 

On top of that, iron can be lost through:ย 

  • Sweat
  • Small gastrointestinal losses
  • The breakdown of red blood cells during highโ€‘impact exercise (think running, jumping, endurance sessions)ย 

Womenย start at a disadvantage because our baseline ironย requirementsย are alreadyย more than double those of men (18mg vs 8mg per day), before factoring in training or menstrual losses.ย 

2. Periods = Regular Iron Lossย ย 

Menstrual bleeding causes regular iron loss every single month. If your periods are heavy, your iron needs go up even more,ย butย even normal cyclesย can slowly chip away at iron stores over time.ย 

Whatโ€™s important to know?ย Periods are rarely the only reason women become iron deficientย but theyโ€™re often the tipping point when combined with training, stress, and busy lifestyles.ย 

3.ย Evenย a healthyย diet can fall short on Iron.ย ย 

Many active women eat nutritious dietsย - butย still fall short on iron.ย 

Why?ย 

  • Iron needs are higher for women
  • Training increases demand
  • Plantโ€‘based or lowโ€‘redโ€‘meat diets can make it harder to hit targets
  • Energy intake is sometimes unintentionally low during busy weeksย 

In fact, around 48% of women aged 18-29 aren't consuming enough iron, even before you factor in exercise.ย 

Ironโ€‘rich foods helpย but consistency is key, and for some women, diet alone just doesnโ€™t cover daily losses.ย 

4. Hormones Play a Bigger Role Than Weย Realiseย 

Iron metabolism is closely linked to hormones-and this is where womenโ€™s physiology really matters.ย 

  • Testosteroneย significantly influences iron absorption byย suppressingย hepcidinย and stimulating erythropoiesis (the process of making new blood cells). Testosterone is much higher in men but far less in women.ย ย 

  • Estrogen and progesteroneย โ€“ย theย two main female sexย hormones influenceย hepcidinย in opposite directions. Estrogen tends to suppress hepcidin (supportingย iron absorption,ย particularly in the follicular phase), while progesterone is associated with higher hepcidin in the luteal phase, which can reduce absorption. Theseย effectsย alsoย fluctuateย with theย menstrual cycleย andย oral contraceptiveย use.ย 

Soย whatย doesย thisย mean forย you?ย 

Low iron isnโ€™t a personal failure. Itโ€™s not about โ€œnot eating wellย enoughโ€.ย ย Itโ€™s about understanding your body and giving it the support itย reallyย needs.ย 

Hereโ€™s some tips:ย ย 

โœ”๏ธย Keep an Eye on Your Iron:ย If youโ€™re constantly fatigued, struggling with training, getting breathless easily, or feeling flatย -ย blood tests can beย really valuableย to understand how your iron levels are tracking. Especially if you train regularly.ย ย 

โœ”๏ธ Build Iron In, Donโ€™t Chase It:ย Instead of only thinking about iron when things feel bad, aim for steady intake across the week:ย 

  • Lean meats, legumes, leafy greens, fortified food
  • Supplementation like the Athena Protein Shake + Iron.
  • Pair iron with vitamin C where you can (it helps absorption)
  • Avoid having tea or coffee close to iron as these block iron absorptionย 

โœ”๏ธย Be Smartย withย Timing:ย Iron absorption dips for a few hours after training. When possible, aim to have ironโ€‘rich meals or supplements outside the 3โ€“6-hourย postโ€‘workout window. It doesnโ€™t need to be perfectย -ย just more considered.ย ย 

โœ”๏ธย Track Your Cycle (Itโ€™s Information, Not Control):ย Understanding your periodsย -ย especially heaviness and consistencyย -ย can help explain energy dips and iron fluctuations.ย ย 

Iron deficiency in active women is common.ย Training load, periods, hormones and nutrition all overlap and thatโ€™s not something to โ€œfixโ€, itโ€™s something to support.ย 

When your iron levels are looked after, everything else feels easier:ย training, recovery, focus, energy; even dayโ€‘toโ€‘day movement.ย 

You donโ€™t need to overhaul everything.ย You just need nutrition thatย getsย how your body works.ย 

Referencesย 

  • Australian Bureau of Statistics. (2026).ย Usual nutrient intakes, 2023. ABS. abs.gov.au/statistics/health/food-and-nutrition/usual-nutrient-intakes/latest-releaseย 

  • Badenhorst, C. E., Forsyth, A. K., &ย Govus, A. D. (2022). A contemporary understanding of iron metabolism in active premenopausal females.ย Frontiers in Sports and Active Living, 4, 903937. https://doi.org/10.3389/fspor.2022.903937ย 

  • Fensham, N. C.,ย Govus, A. D., Peeling, P., Burke, L. M., & McKay, A. K. A. (2023). Factors influencing the hepcidin response to exercise: An individual participant data meta-analysis.ย Sports Medicine, 53(10), 1973โ€“1989. https://doi.org/10.1007/s40279-023-01874-5ย 

  • National Health and Medical Research Council, & New Zealand Ministry of Health. (2006).ย Nutrient reference values for Australia and New Zealand: Iron. eatforhealth.gov.au/nutrient-reference-values/nutrients/ironย