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Iron supplements encourage erythropoiesis to increase red blood cell (RBC) production and oxygen transportation in the circulating system.The transportation of non-heme iron across the apical membrane is through divalent metal transporter 1(DMT1) while that of heme iron is through heme carrier protein 1(HCP1) in the small intestine.
A 2014 Cochrane Review found that blood donors were less likely to be deferred for low hemoglobin levels if they were taking oral iron supplements, although 29% of those who took them experienced side effects in contrast to the 17% that took a placebo. It is unknown what the long-term effects of iron supplementation for blood donors may be. [28]
Megaloblastic anemia caused by vitamin B 12 deficiency is characterized by red blood cells that are larger than normal and are unable to deliver oxygen to the body's organs. [7] [8] The clinical case indicates an altered synthesis of DNA, in which vitamin B 12 is essential for the production and maturation of red blood cells in the bone marrow. [8]
Vitamin B 12 was discovered as a result of pernicious anemia, an autoimmune disorder in which the blood has a lower than normal number of red blood cells, due to a deficiency of vitamin B 12. [ 5 ] [ 16 ] The ability to absorb the vitamin declines with age, especially in people over 60.
The human body's rate of iron absorption appears to respond to a variety of interdependent factors, including total iron stores, the extent to which the bone marrow is producing new red blood cells, the concentration of hemoglobin in the blood, and the oxygen content of the blood.
A defect of the enzyme results in the premature breakdown of red blood cells. This destruction of red blood cells is called hemolysis. [6] Red blood cell breakdown may be triggered by infections, certain medication, stress, or foods such as fava beans. [1] [3] Depending on the specific mutation the severity of the condition may vary. [2]
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