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Moderate evidenceVitamins & minerals

Ferrous Fumarate

A standard iron salt with about 33% elemental iron. It treats iron-deficiency anemia as well as ferrous sulfate; in the one head-to-head trial it also caused the most side effects.

Evidence last reviewed: August 2026

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What the science says

  • As effective as other iron salts Moderate evidence

    A randomized trial in 120 pregnant women with iron-deficiency anemia compared ferrous sulfate, fumarate, ascorbate and carbonyl iron at 200 mg elemental iron/day. All four were equally effective on haemoglobin and iron indices and equally cost-effective; adverse effects were most frequent in the fumarate group (56.7%).

  • Absorption matches ferrous sulfate Moderate evidence

    A stable-isotope study in Mexican women, infants and young children found no significant difference in iron absorption between ferrous fumarate and ferrous sulfate, with relative bioavailability of 86–106% depending on the group.

Dosage & safety

Studied dose200 mg ferrous fumarate provides about 65 mg elemental iron. Trial evidence favours a single morning dose, or alternate-day dosing, over splitting the dose through the day. Take with vitamin C and away from tea, coffee, dairy and calcium.
SafetyConstipation, dark stools, nausea and abdominal pain are frequent and dose-related. Iron overdose is a leading cause of poisoning death in young children — keep it sealed and out of reach. Do not supplement without a documented deficiency; people with haemochromatosis must avoid it. Separate from levothyroxine, tetracyclines and quinolones by several hours.

Scientific references

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