Evidence brief · Supplement

Iron for Restless legs syndrome

Evidence grade B — When iron-deficient

Overall grade
Grade B
Last revised
1
graded outcome
0
references listed

Assembled by the app from other entries in this library. It adds no evidence of its own — follow the links to the entries it draws on.

1 at grade B — 1 graded row

What is known

Each outcome with its grade (how strong the evidence is, A to D), the size of the effect where the entry records one, and how often studies agree.

  • Restless legs syndromeEvidence grade B

    When iron-deficient

    Moderatemixed

What is uncertain

Read off the same rows as above. Nothing here is added that the entry does not itself record.

  • Studies disagree: Restless legs syndrome (mixed agreement).

The evidence in words

The verdict

For restless legs syndrome, Iron earns evidence grade B (moderate effect, mixed consistency) — there is real evidence here. When iron-deficient

How it might work

Heme iron ferries oxygen in blood and muscle and shuttles electrons in mitochondria. Non-heme (plant) iron absorbs poorly and is enhanced by vitamin C and blunted by calcium, tea polyphenols, and coffee. Deficiency starves oxygen delivery and cellular energy long before anemia appears.

How to use it

Treat against a lab value under medical guidance. Emerging evidence favors alternate-day dosing (e.g., 60–120 mg elemental every other day) for better absorption and fewer side effects. Take with vitamin C, away from calcium, coffee, and tea.

Safety & cautions

Constipation and GI upset are common; overdose is dangerous, and iron is a leading cause of pediatric poisoning — store away from children. Never supplement chronically without confirmed need; hereditary hemochromatosis makes iron actively harmful.

Bottom line

Get ferritin tested before you touch it. If low, iron with vitamin C (ideally alternate-day) fixes real fatigue. If normal, skip it — more iron is not more energy.

How it is used

As the entry records it, from the studies it summarises. Not a recommendation for you — doses that suit a trial population may not suit you.

Repletion
60–120 mg elemental, alternate-day, with vitamin C, under care.

Goes with

  • IronRead the full Iron monographEvidence grade A

Entries that share this one's tags or conditions.

Sources

This entry lists no references of its own — it is assembled from the entries it links to, whose sources are on their pages.

Last revised . A grade is this entry's reading of the evidence, not medical advice.