21/11/2025
Iron deficiency remains one of the most prevalent and frequently under-recognized factors impairing athletic performance. Even athletes who maintain a balanced diet and follow structured training programs may experience symptoms that are mistakenly attributed to overtraining, including persistent fatigue, diminished exercise capacity, cognitive difficulty, poor recovery, low motivation, anxiety and mood changes.
In this clip from Episode 25 of the Innersight Podcast, Dr. Claire Barrett, a senior specialist physician and leading expert in blood health and iron deficiency, explains how iron deficiency presents in athletes and why this population is particularly vulnerable.
She discusses the impact of training on iron metabolism, including elevations in hepcidin, a hormone that temporarily reduces iron absorption, as well as lesser-known sources of iron loss such as microscopic gastrointestinal bleeding and foot-strike hemolysis in endurance sports.
Key topics of the discussion include:
🔹 Primary symptoms of iron deficiency in athletes
🔹 The physiological effects of training on iron regulation
🔹 The significance of hepcidin spikes
🔹 Hidden mechanisms of iron loss during endurance activity
🔹 Indicators that suggest iron testing may be appropriate
For athletes experiencing unexplained fatigue or performance decline, iron status may be an important and often overlooked consideration.
🎥 Watch the full episode ➡️ https://youtu.be/EDenqbIE_Ag
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