What is Iron Bisglycinate?
Iron bisglycinate is an amino acid chelate where iron is bound to two molecules of the amino acid glycine. This unique structure protects the iron as it moves through the digestive tract, preventing it from interacting with dietary inhibitors like phytates and polyphenols that can block absorption. This chelation process allows the iron to be absorbed more efficiently, with less unabsorbed iron left in the gut.
The Science Behind Chelation and Superior Absorption
Chelation effectively delivers the mineral to the intestinal wall, where it is absorbed via a different pathway than traditional iron salts. This mechanism bypasses the potential for digestive irritation that is common with unchelated iron, which can cause significant gastrointestinal distress, such as constipation and nausea. A study published in Nutrition Reviews found that pregnant women supplementing with ferrous bisglycinate reported 64% fewer gastrointestinal side effects compared to those taking other iron salts.
Iron Bisglycinate vs. Traditional Iron Supplements
When evaluating if iron bisglycinate is the best, it is crucial to compare it against the most common and traditional form: ferrous sulfate. Ferrous sulfate is the standard but is notorious for its side effects, which often lead to poor patient compliance. The differences extend beyond just tolerability to include bioavailability, effectiveness in different populations, and dosage requirements.
Absorption and Bioavailability
Several studies have highlighted the superior bioavailability of iron bisglycinate. Research indicates that the chelated form is absorbed more efficiently than ferrous sulfate, often requiring a lower dose to achieve the same therapeutic effect. One study found that a 25 mg dose of iron bisglycinate was as effective as a 50 mg dose of ferrous sulfate in preventing iron deficiency in pregnant women. Another study reported that ferrous bisglycinate was absorbed 3.7 times more effectively than ferrous sulfate.
Tolerability and Side Effects
The most compelling argument for iron bisglycinate is its gentleness on the digestive system. Unabsorbed inorganic iron from supplements like ferrous sulfate can irritate the intestinal lining, causing uncomfortable symptoms. The chelated structure of iron bisglycinate minimizes this free iron, resulting in significantly fewer side effects.
- Constipation: A major side effect of ferrous sulfate is constipation. Iron bisglycinate has been shown to cause this symptom much less frequently.
- Nausea and Upset Stomach: Many users experience nausea and stomach pain with conventional iron, problems that are significantly reduced with the bisglycinate form.
- Metallic Taste: Some users report an unpleasant metallic taste with ferrous sulfate, which is less common with chelated iron.
Comparison of Iron Supplement Types
| Feature | Iron Bisglycinate (Ferrochel®) | Ferrous Sulfate | Ferrous Gluconate |
|---|---|---|---|
| Absorption | High, less affected by food. | Moderate, significantly inhibited by food. | Moderate, better tolerated than sulfate but with lower iron content. |
| Bioavailability | High; studies show 2–3x higher absorption. | Low to moderate, dependent on diet. | Moderate. |
| GI Side Effects | Low incidence; gentle on the stomach. | High incidence of constipation, nausea, and cramps. | Lower than ferrous sulfate, but still possible. |
| Effectiveness | Highly effective, especially for long-term use and sensitive individuals. | Effective for treating deficiency, but side effects can reduce compliance. | Effective for less severe deficiencies or maintenance. |
| Cost | Typically higher than ferrous sulfate. | Low; the most affordable option. | Moderate. |
| Best For | Pregnant women, sensitive stomachs, and long-term supplementation. | Short-term treatment where cost is a primary factor. | Those who can't tolerate ferrous sulfate but need a more budget-friendly option than chelated iron. |
Enhancing Absorption with Iron Bisglycinate
While iron bisglycinate is already highly bioavailable, there are ways to further maximize its absorption:
- Pair with Vitamin C: Taking iron bisglycinate with a vitamin C source, like orange juice or a vitamin C supplement, can further enhance absorption. Vitamin C helps convert iron to its most usable form.
- Consider Every-Other-Day Dosing: Some studies suggest that taking iron supplements every other day may lead to better absorption and fewer side effects than daily dosing, though this is less critical for the already gentle bisglycinate form.
- Avoid Inhibitors: Although iron bisglycinate is less sensitive to inhibitors, it is still wise to avoid taking it at the same time as large quantities of dairy products, tea, coffee, or high-fiber foods.
The Final Verdict: Is Iron Bisglycinate the Best?
For many, especially those who experience significant gastrointestinal side effects with other forms, iron bisglycinate is arguably the best iron supplement available. Its high bioavailability means a lower dose can be effective, and its chelated structure results in far greater digestive tolerability. For at-risk populations such as pregnant women, its effectiveness and gentleness make it a superior choice for preventing and treating iron deficiency anemia. However, its higher cost compared to traditional iron salts like ferrous sulfate should be considered. The optimal choice depends on individual needs, budget, and tolerance, but for those prioritizing comfort and efficiency, iron bisglycinate stands out as a top-tier option.
For additional information on iron absorption mechanisms, consult this resource: Human iron metabolism.