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 should - 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". 

Iron is one of the nutrients active women most commonly fall short on, and it does a lot more than influence 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 board not just in the gym. 

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

1. Training Itself Can Lower Iron 

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

After exercise (especially hard or long sessions), your body produces a hormone called hepcidin. Its job is to regulate iron, but here’s the kicker: for around 3–6 hours postworkout, higher hepcidin levels reduce how much iron you absorb and transport. 

On top of that, iron can be lost through: 

  • Sweat
  • Small gastrointestinal losses
  • The breakdown of red blood cells during highimpact exercise (think running, jumping, endurance sessions) 

Women start at a disadvantage because our baseline iron requirements are already more than double those of men (18mg vs 8mg per day), before factoring in training or menstrual losses. 

2. Periods = Regular Iron Loss  

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

What’s important to know? Periods are rarely the only reason women become iron deficient but they’re often the tipping point when combined with training, stress, and busy lifestyles. 

3. Even a healthy diet can fall short on Iron.  

Many active women eat nutritious diets - but still fall short on iron. 

Why? 

  • Iron needs are higher for women
  • Training increases demand
  • Plant‑based or low‑red‑meat diets can make it harder to hit targets
  • Energy intake is sometimes unintentionally low during busy weeks 

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

Ironrich foods help but consistency is key, and for some women, diet alone just doesn’t cover daily losses. 

4. Hormones Play a Bigger Role Than We Realise 

Iron metabolism is closely linked to hormones-and this is where women’s physiology really matters. 

  • Testosterone significantly influences iron absorption by suppressing hepcidin and stimulating erythropoiesis (the process of making new blood cells). Testosterone is much higher in men but far less in women.  

  • Estrogen and progesterone  the two main female sex hormones influence hepcidin in opposite directions. Estrogen tends to suppress hepcidin (supporting iron absorption, particularly in the follicular phase), while progesterone is associated with higher hepcidin in the luteal phase, which can reduce absorption. These effects also fluctuate with the menstrual cycle and oral contraceptive use. 

So what does this mean for you? 

Low iron isn’t a personal failure. It’s not about “not eating well enough”.  It’s about understanding your body and giving it the support it really needs. 

Here’s some tips:  

✔️ Keep an Eye on Your Iron: If you’re constantly fatigued, struggling with training, getting breathless easily, or feeling flat - blood tests can be really valuable to understand how your iron levels are tracking. Especially if you train regularly.  

✔️ Build Iron In, Don’t Chase It: Instead of only thinking about iron when things feel bad, aim for steady intake across the week: 

  • 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 absorption 

✔️ Be Smart with Timing: Iron absorption dips for a few hours after training. When possible, aim to have ironrich meals or supplements outside the 3–6-hour postworkout window. It doesn’t need to be perfect - just more considered.  

✔️ Track Your Cycle (It’s Information, Not Control): Understanding your periods - especially heaviness and consistency - can help explain energy dips and iron fluctuations.  

Iron deficiency in active women is common. Training load, periods, hormones and nutrition all overlap and that’s not something to “fix”, it’s something to support. 

When your iron levels are looked after, everything else feels easier: training, recovery, focus, energy; even daytoday movement. 

You don’t need to overhaul everything. You just need nutrition that gets how your body works. 

References 

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

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

  • Fensham, N. C., 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. Sports Medicine, 53(10), 1973–1989. https://doi.org/10.1007/s40279-023-01874-5 

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