Iron Calculations
Suppose you are an anemic freediver, with Hb = 12.0 g/dl. You start training, hoping to get better. You hope to reach the standard of 18.0g/dl, even though Andean natives at altitude have up to 25 g/dl.
So, you want to increase from 12.0g/dl to 18.0g/dl hemoglobin concentration. You have 5 litres of blood (approx).
So, an increase of 6.0g/dl of hemoglobin * 50 decilitres of blood = 300g of hemoglobin.
So, your body needs to manufacture 300 grams of hemoglobin (not to mention any daily losses of hemoglobin).
You lose about 1mg of Iron per day.
Hemoglobin is 0.33% iron. So, to manufacture 300 grams of hemoglobin requires 300g*0.0033 = 0.99g Iron = 990mg of Iron.
So, your body needs 990mg of Iron to manufacture 300 grams of hemoglobin.
Iron absorption from standard iron supplements is less than 1%.
Iron absorption from vegetable sources of iron (i.e. potato skins, green vegetables), is also less than 1%.
So, to actually ABSORB 990mg of iron from vegetables sources or from standard iron supplements, you would need to eat 100 times that amount (because of the 1% absorption), so you would need to eat 0.99g * 100 = 99 grams of iron.
Suppose you eat a diet high in vegetable sources of iron. This provides about 10mg of elemental iron in raw form per day. You also take your 18mg iron supplement per day. So, you get 28mg of elemental iron per day, but it is only absorbed 1%.
So, you absorb 2.8mg of iron per day, but you lose 1.0mg per day, so you gain 1.8mg per day: AND THIS IS FOR THE PERSON WHO TAKES IRON SUPPLEMENTS AND EATS A DIET HIGH IN VEGETABLE SOURCES OF IRON!!!
Gaining 1.8mg per day, you need 990mg to build 300g of hemoglobin, so if you do enough apnea to stimulate blood cell production, it would still take:
990mg / 1.8mg = 550 days
So it would take 550 days to increase your hemoglobin from 12.0g/dl to 18.0g/dl, even if you did apnea every day, and took iron supplements every day, and ate lots of vegetable foods containing iron every day.
If you wanted to reach the hemoglobin level of an andean native, it would take 1192 days of training with this diet & these supplements.
If you were a vegetarian who took no iron supplements and didn't specifically eat foods rich in iron, your hemoglobin would never increase, no matter how long you trained for. This is why Laminar and I were still anemic after 3 years of training.
Taking iron supplements causes stomach irration, nausea, and feeds bacteria in the blood, which can make you sick.
So, it is not a simple problem.
Eric Fattah
BC, Canada