Many women face low iron levels during pregnancy, and according to women’s health nutrition specialists, the issue starts long before conception. A clinical nutrition expert explains that the body naturally restricts iron absorption during early pregnancy, making it extremely difficult to raise iron levels once pregnant — even with supplements or a balanced diet. This is why preparing your iron stores during the preconception phase is considered essential for long-term maternal health.
In a recent video shared on November 19, clinical nutritionist Monika Anna — known for her work in hormonal balance, gut health, fertility, and preconception nutrition — breaks down why iron deficiency becomes so widespread. She explains that iron deficiency is one of the most frequent issues her female clients experience, and pregnancy often intensifies the problem. Low iron has also been identified as a key driver of postnatal depletion, a condition that affects energy, recovery, and overall wellbeing after childbirth.
Monika highlights that during almost half of pregnancy, the body intentionally reduces iron absorption through a hormone called hepcidin. This mechanism protects the mother and developing baby from oxidative stress when the baby’s iron requirements are still minimal. As a result, even when women eat nutrient-rich foods and take recommended supplements, very little iron is actually absorbed in early pregnancy.
She further explains that after the 24-week mark, the body lowers hepcidin levels to allow more iron absorption — but the catch is that nearly all the newly absorbed iron flows directly to the baby through the placenta, leaving very little available for the mother. This means starting pregnancy with low ferritin puts women at risk of significant deficiency as the pregnancy progresses.
To avoid these complications, Monika stresses the importance of entering pregnancy with healthy iron reserves. Preparing iron levels before conception not only helps prevent deficiency during pregnancy but also supports postpartum energy, mental health, and physical recovery.
This information serves as general guidance and should not replace professional medical advice. Pregnant women or those planning to conceive should consult qualified healthcare providers before making any health-related decisions.
