Donate Blood for YOUR Health

Posted May 12, 2011 in Health
Women outlive men by roughly 5 to 6 years. Have you ever wondered why?

Research indicates that one major factor may be iron. While iron is an essential nutrient, it can over-accumulate when we enter adulthood, especially in men. This is because women remove iron from their systems every month through menstruation and men do not.

Menstruation continues to protect women against iron overload until menopause, after which they begin to suffer from the same effects found in men.

The Issue with Iron

Iron is an important mineral needed to deliver oxygen throughout the body via hemoglobin in red blood cells; it also aids in the function of at least a hundred different enzymes.

Excess iron, on the other hand, steals electrons, causing the body's organs and tissues to age prematurely. [1] Iron fuels bad bacteria and compromises the ability of phagocytes to kill microorganisms, increasing susceptibility to infections. It is also horded by cancer as a fuel source with which to multiply and spread.

During human development, it is rare to find excess amounts because growing children have a constant need for iron. Once people have reached adulthood, however, the amount of iron required by the body is much less.

As mentioned earlier, women usually have no problem with excess iron, because they typically lose between 20 and 80 milliliters of blood per month, resulting in about a net decrease of 11 to 22 milligrams of iron. Men have no natural way to dispose of excess iron.

Where is all this Iron Coming from?

Iron oxide is "fortified" into cereals and anything made from white flour – breads and pasta being the largest sources. This iron is useful for growing children but not grown-ups and is another reason for adults to cut grain products out of their diet.

Iron Levels

A test called serum ferritin determination is a standard way to check iron levels. As iron accumulates in the body, cells respond by producing more of the protein ferritin. Higher levels of ferritin usually correspond with larger amounts of stored iron.

So-called "normal" ferritin levels are between 15 to 300ng/ml in men, and 15 to 200ng/ml in women. Unfortunately, levels in the mid to upper range of these ranges can increase cardiovascular and other health risks.

When treated, men with ferritin levels above 200ng/mL experienced reductions in inflammatory diseases and a significant age-related improvement in cardiovascular disease outcomes, new cancer diagnoses, and cancer-specific death. [2]

Research has not determined the exact number for an optimal ferritin level, however it is believed to be between 15 to 50ng/ml, with 25ng/ml as a near-perfect target.

It has been determined that levels above 50ng/ml are unnecessary for normal human physiology. [3]

Benefits of Removing Iron

Iron is required for bacterial growth, and arterial inflammation caused by bacteria may be one of the underlying causes of cardiovascular disease. Excess iron also explains the delay in heart attack incidence in women until after menopause.

Studies have shown that healthy males benefit from phlebotomy (bloodletting) by reducing their oxidative stress (fewer free-radicals), an improved lipid profile (improved cholesterol levels), fewer oxidized fatty acids, and improved arterial flexibility.

A group of 1,277 men and postmenopausal women, ranging in age from 43 to 87 and all diagnosed with peripheral arterial disease, was divided into two groups – one of which underwent blood phlebotomy and the other received no treatment (control group).

The treatment group donated one unit of blood every six months for six years. Upon conclusionof the study, it was found that individuals aged 43 to 61 who underwent phlebotomy experienced a 54% reduction in death from all causes.

Additionally, the phlebotomy group experienced a 57% reduction in death from non-fatal heart attacks and strokes. [4]

In other studies, carotid atherosclerosis (occlusion of arteries in the neck) was found to be positively associated with blood ferritin levels. [5], [6]

Carotid Atherosclerosis and Iron Levels


The preceding chart shows incidence of carotid atherosclerosis in a 40 to 59-year-old population.

The following chart illustrates how rates of diabetes increases with higher levels of iron in the body. From the Aerobics Center Longitudinal Study (ACLS):

Correlation between Diabetes and Iron Levels

Others

Phlebotomy has also been shown to reduce blood glucose, triglyceride and fibrinogen levels, while increasing HDL cholesterol. [7], [8]

In animal research, iron reduction by chelation or by dietary restriction reduces arterial plaque lesions. Iron excess was found to damage the kidneys and brain tissue. [9].

A Finnish study of men who donated a single unit of blood within the previous three years found a 30% reduction in cardiovascular risk. [10].

Removing Excess Iron

The ideal solution to this problem is donating blood, but therapeutic phlebotomy is an option for those who are not donation candidates.

A single unit of blood is equal to 450 milliliters, which is nearly one U.S. Pint (0.9510 to be exact), and an adult male carries roughly 12 units of whole blood, while women carry approximately 10 units.

Removing a pint of blood will lower ferritin levels by 50 ng/ml and will keep them below the pre-donation level for up to six months.

Blood donation is ideal because it's free, your iron levels are checked before the donation (be sure to ask for the number), bloodmobiles generally travel to convenient locations near you, and you're helping someone in need. Not only that, your local blood bank will probably offer online scheduling so that you’re emailed a reminder every 2, 3, or 6 months.

Therapeutic phlebotomies, on the other hand, require a little more time and money but are well worth it. You can have them performed at a number of locations - ask your doctor for recommendations when you see him for a prescription (usually required). The procedure is similar to a blood donation except that your blood will be thrown away.

Donation Process

Prior to the procedure, drink adequate fluids to improve the process of locating a vein.

Patients will be asked to recline in a chair or on a bed and their skin will be cleaned. They will then be asked to squeeze their hand when the nurse places the needle into their arm.

It takes about 15-30 minutes for a pint of blood to drain; pumping your hand open and closed may help the blood flow better.   

Upon completion the nurse will pull out the needle and place a bandage over the area; soon after, your blood pressure and pulse will be monitored.

Be sure to drink plenty of fluids after the procedure and get rest. Avoid excess physical exertion for 24-hours after a phlebotomy.

While your body's ability to utilize oxygen will be temporarily reduced, the lost fluid volume is usually replaced within two days and all of the missing hemoglobin is replaced within ten days.

Other ways to Reduce Iron

  • Avoid popular multivitamins like Centrum that contain iron (18mg).
  • Take vitamin C away from meals as it increases iron absorption by up to 85%.
  • Certain plant polyphenols, such as green or black tea can reduce iron absorption up to 60% or more, and drinking coffee can reduce iron absorption up to 35%.
  • Taking a combination of lipoic acid and acetyl l-carnitine has been shown to reverse iron-induced oxidative stress. [11] The combination is highly effective in reversing oxidative stress from iron overload.

References

[1] Ageing Res Rev. 2004 Jul;3(3):303-18
[2] Circulation, Vol 86, 803-811
[3] Circulation. 1997;96:3300-3307
[4] JAMA. 2007;297(6):603-610
[5] J. Nutr. 140: 812–816, 2010.
[6] J Vasc Surg. 2010 Jun;51(6):1498-503
[7] Diabetes 51:1000-1004, 2002
[8] Metabolism 43:614-620, 1994
[9] Am J Clin Nutr 2010;91(suppl):1461S–7S
[10] Br Med J 1997; 314: 793-794
[11]. Redox Rep. 2008;13(1):2-10.

The information presented is not intended to diagnose, treat, prevent, or cure disease. Please speak with your doctor before starting any diet, exercise, or supplement program.

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Comments (8)

phooey  |  August 3, 2011
what about IP6 as a supplement? I can't donate and finding a doctor who thinks about prevention is like finding a needle in the haystack.
Dave  |  August 3, 2011
I'm in the same boat as you phooey, can't donate and not really up for spending $100 per donation so they can throw it out. I've looked into getting rid of it myself but haven't taken the plunge and am now taking IP6 based on Brian's recommendation. If there were any decent home iron tests I'd track how well it works.
phooey  |  August 4, 2011

so Brian has said IP6 is a useful alternative? Research looks pretty good that if taken on an empty stomach it would help. Any info on lactoferrin supps? Still looking for good research on that.
Brian  |  August 4, 2011
An allopathic doctor would likely agree on therapeutic phlebotomy. Probably the most effective thing one can do otherwise is to drink green tea or take supplements. As stated above, it can reduce iron absorption up to 60% or more.

I'm not certain how effective lactoferrin is as an iron chelator. It helps with iron transport, yet at the same time helps prevent iron damage to tissue. So even if it is not a true chelator of iron, it will help.

Dave  |  August 4, 2011
Phooey, yeah Brian recommended I try IP6 specifically for iron.
phooey  |  August 5, 2011
great. thanks guys.
tips on dosing IP6?
mike78  |  December 18, 2011
Another great article, guys.

If donating a pint of blood per session, what's the shortest number of days that you'd recommend between sessions?

Ten days? A month? Two months?

Thanks.

Brian  |  December 19, 2011
Eight weeks is the minimum between donations usually.

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