Roxbury Pediatrics

Roxbury Pediatrics We are happy to share information, but cannot give specific medical advice here.

4 American kids hospitalized with tetanus in 2024, all unvaccinated read the story. If your kid is unvaccinated or INCOM...
04/21/2026

4 American kids hospitalized with tetanus in 2024, all unvaccinated read the story. If your kid is unvaccinated or INCOMPLETELY vaccinated and gets a potentially dirty wound, you need to COME IN ASAP within 48 hours to get a Dtap.

None of four US children diagnosed as having tetanus in 2024 had completed a recommended primary tetanus toxoid–containing vaccine (TTCV) series, and none received TTCV or preventive tetanus immunoglobulin (TIG) between their exposure and symptom onset. 

Fluoridated water does NOT decrease your IQ or any other cognitive function. Another LIE RFK JR has been telling, dispro...
04/21/2026

Fluoridated water does NOT decrease your IQ or any other cognitive function. Another LIE RFK JR has been telling, disproven by good scientific studies.

The new research is the first to measure community water fluoridation exposure during childhood and any potential impact on cognition up to age 80.

How to raise a READER!
04/18/2026

How to raise a READER!

How your body absorbs iron depends on the source and on other foods and drinks taken at the same time.
04/15/2026

How your body absorbs iron depends on the source and on other foods and drinks taken at the same time.

A cup of cooked spinach has about 6mg of iron. A 3oz serving of beef has about 2.5mg. Most people look at those numbers and assume spinach is the better iron source. It is not that simple. The number on the label measures what is in the food. Not what makes it into your blood.

Iron exists in two forms in the diet. Heme iron is the iron embedded inside a porphyrin ring structure, the same structure found in hemoglobin and myoglobin. It comes exclusively from animal tissue: red meat, poultry, fish, organ meats. Non-heme iron is ionic iron found in plants, eggs, dairy, fortified foods, and iron supplements. The two forms enter your body through completely different pathways, and the difference in absorption is not small.

Heme iron is absorbed intact as a complete metalloporphyrin molecule through a dedicated transporter (HCP1) on the surface of intestinal cells. Once inside the enterocyte, the enzyme heme oxygenase cracks open the porphyrin ring and releases the iron. Because the iron is shielded inside that ring structure during transit through the gut, it is protected from the dietary factors that block non-heme absorption. Phytates, polyphenols, calcium, tannins from tea and coffee: none of them significantly impair heme iron absorption. The absorption rate ranges from 15 to 35% depending on your iron status.

Non-heme iron takes a harder path. It arrives in the gut primarily as ferric iron (Fe³⁺), but the transporter that moves iron into intestinal cells (DMT1) only accepts ferrous iron (Fe²⁺). The iron must first be reduced by an enzyme called duodenal cytochrome b (DcytB), an ascorbate-dependent ferrireductase on the brush border. This is why vitamin C increases non-heme iron absorption so dramatically: it directly reduces Fe³⁺ to Fe²⁺ and chelates the iron into a soluble complex that resists precipitation in the alkaline small intestine. Hallberg and Hulthen (2000, Am J Clin Nutr) quantified this across hundreds of meal compositions. Adding 50mg of vitamin C to a meal with significant inhibitors increased non-heme iron absorption by 3 to 6 times. That is half a bell pepper or one orange.

The inhibitors are equally dramatic. A single serving of a high-phytate food (whole grains, legumes, nuts) can reduce non-heme iron absorption from the same meal by 50-80%. Polyphenols in tea and coffee reduce it by 60-70%. Calcium competes with iron for DMT1 transport and reduces absorption by 50-60% in single-meal studies. The result is that non-heme iron absorption ranges from 2% to 20% depending almost entirely on what else you ate at the same meal.

The practical impact: heme iron makes up only about 10-15% of total dietary iron intake in a typical omnivore diet. But because of its dramatically higher absorption rate, it accounts for over 40% of total iron actually absorbed. The form matters more than the amount on the label.

Absorption rates by food source illustrate this clearly. Organ meats: 25-30% absorbed. Red meat: 15-25%. Leafy greens: 7-9%. Grains: approximately 4%. Dried legumes: approximately 2%.

This does not mean plant-based iron is useless. It means the delivery context matters. Pairing iron-rich plant foods with vitamin C at the same meal meaningfully changes how much iron you absorb. Tomatoes with lentils. Bell pepper with beans. Orange juice with fortified cereal. Soaking and fermenting legumes reduces phytate content by 50-90% and improves bioavailability. Drinking tea and coffee between meals rather than with them avoids the polyphenol competition. And taking iron supplements with dairy or calcium at the same time is working against yourself.

For anyone managing iron status, whether that is an athlete, a menstruating woman, a vegetarian, or someone with diagnosed deficiency, understanding the difference between label iron and absorbed iron changes how you plan meals. Spinach has about 6mg of iron per cup. You absorb roughly 8% of it. Beef has less total iron per serving, but its heme portion absorbs at 25%. The total absorbed amount can end up similar between the two, but the absorption rate difference is real and it compounds across every meal. The nutrition label is a starting point. What you eat it with is the rest of the equation.

Hallberg & Hulthen, Am J Clin Nutr, 2000
Hurrell & Egli, Am J Clin Nutr, 2010
Monsen, J Nutr, 1988

💯 the decline and fall of private medical care in the US will be a loss for patients…….The only winners are the big mone...
04/15/2026

💯 the decline and fall of private medical care in the US will be a loss for patients…….The only winners are the big money players- insurance companies, large hospitals, pharmacy chains. If you like your doctor, your small pharmacy, your PT, therapist, etc SUPPORT THEM, and don’t let insurance dictate your care.

After 1 year old, you can switch formula to WHOLE milk 16-24 ounces per day (or pea protein milk if your doctor recommen...
04/12/2026

After 1 year old, you can switch formula to WHOLE milk 16-24 ounces per day (or pea protein milk if your doctor recommends it). Either switch immediately, or try the gradual method- see how YOUR child reacts. Remember, your child should also be drinking WATER with their meals.

04/11/2026
It is the second week of April, Please wash your hands and keep your sick kids home so we can say goodbye to this MISERA...
04/10/2026

It is the second week of April, Please wash your hands and keep your sick kids home so we can say goodbye to this MISERABLE flu season!!!

Is it only halfway through your spring break? Don't just put the kids in front of a screen.....
04/08/2026

Is it only halfway through your spring break? Don't just put the kids in front of a screen.....

Address

2080 Century Park East, Suite 305
Los Angeles, CA
90210

Opening Hours

Monday 9am - 4:30pm
Tuesday 9am - 4:30pm
Wednesday 9am - 4:30pm
Thursday 9am - 4:30pm
Friday 9am - 4:30pm
Saturday 9am - 11am

Telephone

+13106574586

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