Guide to Foods Low in Iron for Hemochromatosis Management

Foods With Low or No Iron in Them

Foods With Low or No Iron in Them
Westend61/Getty Images
Iron is essential for healthy blood. This critical mineral helps red blood cells carry life-giving oxygen to your body’s trillions of cells. Normally, people need between 7 and 18 milligrams of iron per day, with vegetarians and pregnant women needing more.

 In fact, many of us could do with more of this mineral, since 1 in 4 Americans has inadequate iron intake or absorption.

However, not everyone needs to consume more iron. People with a condition called hemochromatosis need to be particularly careful about limiting their iron intake.

“Hereditary hemochromatosis is a genetic disorder that causes the gut to absorb and store more iron than the body needs,” says medical oncologist and hematologist Erev Tubb, MD, medical director at Inspira Medical Center Mullica Hill in Harrison Township, New Jersey. This excess absorption and storage can lead to iron overload, increasing the risk of cirrhosis of the liver, heart failure, osteoarthritis, diabetes, and erectile dysfunction.

If you’ve been diagnosed with hemochromatosis, you’ll want to work with your doctor or dietitian to build a low-iron diet. Here’s a look at how to do so.

Heme vs. Non-Heme Iron

“When it comes to eating food sources containing iron, there’s more to consider than you might think,” says Jane Leverich, RDN, a women’s health dietitian in Denver.

One important consideration is whether a food contains heme or non-heme iron.

“Heme iron (typically found in animal-based sources of food) is more readily available and absorbed by the body, while non-heme iron (usually found in plant-based sources) is absorbed less efficiently in the body,” Leverich explains.

For this reason, it’s especially important for people with hemochromatosis to limit their intake of foods with heme iron, such as meat, poultry, and most seafood. Non-heme iron food sources are less concerning but may also need to be limited. These include foods like nuts, legumes, leafy greens, and whole grains.

Foods and Drinks That Promote or Inhibit Iron Absorption

As you craft a low-iron diet, keep another important factor in mind: the foods and drinks you consume together. Certain food and drink pairings can either promote or inhibit iron absorption, depending on the nutrients they contain.

Vitamin C is one key nutrient to watch out for.

“When vitamin C is consumed alongside iron-containing foods (especially non-heme iron), iron absorption is enhanced,” says Leverich. Therefore, you’ll want to avoid meals and snacks that match vitamin C- and iron-rich foods. For example, with a dinner of beef fajitas (which contain heme iron), rather than adding high-vitamin C bell peppers, try using other veggies that are low in vitamin C, like onions or mushrooms.

Calcium, on the other hand, has the opposite effect on iron absorption. Because of competing interactions within the digestive tract, calcium can block the body’s iron uptake.

High-calcium foods include dairy products, leafy greens, soybeans, nuts, and seeds.

Dr. Tubb suggests minimizing iron absorption by getting a mix of iron and calcium in a single meal. This could look like flavoring a lentil salad with goat cheese rather than tomatoes. Or try an herbed yogurt sauce atop your favorite fish.

Phytates are another category of nutrients that may inhibit iron absorption. These plant-based compounds are found in foods like beans, some nuts, seeds, and whole grains. However, phytates also inhibit the absorption of calcium, which may not be desired.

Since many foods with phytates are high in important nutrients like fiber, talk to your doctor or dietitian about how much of these foods to include in your diet.

And there’s good news for people with hemochromatosis who enjoy coffee and tea: The tannins in these beverages can also decrease iron absorption.

Consider pairing a cup of tea or coffee with a higher-iron meal.

No-Iron Foods

Truly iron-free foods are rare, says Tubb, since most foods have at least trace amounts of the mineral. That said, it is possible to find foods that contain no appreciable iron. They include:

  • Pure vegetable oils
  • Refined white sugar
  • Plain black coffee or unsweetened tea
  • Pure fats like butter or ghee
  • Plain, unflavored gelatin

Low-Iron Foods

Low-iron foods are significantly more common. A food is considered low in a nutrient if it contains 5 percent or less of the daily value per serving. (The daily value is the recommended amount of a nutrient to consume or not to exceed each day.)

You’ll find low-iron options in every food group. Try the following:

Fruits and Vegetables

  • Cucumbers
  • Lettuce
  • Celery
  • Potatoes
  • Bananas
  • Apples
  • Zucchini
  • Mushrooms
  • Cantaloupe

Grains

  • White rice
  • Refined pasta
  • Unenriched bread

Proteins

  • Canned tuna
  • Peanut butter
  • Tofu
  • Chicken
  • Eggs
  • White meat turkey
  • Cod
  • Salmon
  • Mackerel

Dairy

  • Milk
  • Yogurt
  • Cheeses like cottage cheese, mozzarella, feta, and ricotta
  • Sour cream
  • Ice cream
  • Half-and-half

The Takeaway

  • People with hemochromatosis need to limit their intake of foods that are high in iron.
  • Food pairings also matter for people with this condition, since some foods enhance iron absorption while others inhibit it.
  • Work with your healthcare provider or dietitian to create a meal plan tailored to your specific needs, to help maintain dietary balance and manage hemochromatosis effectively.
EDITORIAL SOURCES
Everyday Health follows strict sourcing guidelines to ensure the accuracy of its content, outlined in our editorial policy. We use only trustworthy sources, including peer-reviewed studies, board-certified medical experts, patients with lived experience, and information from top institutions.
Resources
  1. Iron: Fact Sheet for Health Professionals. National Institutes of Health: Office of Dietary Supplements. October 9, 2024.
  2. About 1 in 4 Americans May Have Inadequate Iron Intake or Absorption. National Heart, Lung, and Blood Institute. October 1, 2024.
  3. Hemochromatosis. Mayo Clinic. January 9, 2025.
  4. Cai C et al. Interplay Between Iron Overload and Osteoarthritis: Clinical Significance and Cellular Mechanisms. Frontiers in Cell and Developmental Biology. January 14, 2022.
  5. Abioye AI et al. Effect of Calcium Intake on Iron Absorption and Hematologic Status: A Systematic Review and Dose-Response Meta-Analysis of Randomized Trials and Case-Cross-Over Studies. The Journal of Nutrition. May 2021.
  6. Are Anti-Nutrients Harmful? Harvard T.H. Chan School of Public Health. January 2022.
  7. Daily Value on the Nutrition and Supplement Facts Labels. U.S. Food and Drug Administration. March 5, 2024.

Julie Cunningham, MPH, RDN, LDN, CDCES

Medical Reviewer

Julie Cunningham has been a registered dietitian for more than 25 years. She is a certified diabetes care and education specialist (CDCES) and an international board-certified lactation consultant. She has served as the president of the Foothills Chapter of the North Carolina Dietetics Association (NCDA) and has been a member of the executive board of the NCDA.

Ms. Cunningham received a bachelor's degree from Appalachian State University in North Carolina. She subsequently completed a master's degree in public health nutrition at the University of North Carolina at Chapel Hill.

Ms. Cunningham has worked in women's and children's health, cardiology, and diabetes. She is the author of 30 Days to Tame Type 2 Diabetes, and she has also written for Abbott Nutrition News, Edgepark Medical Health Insights, diaTribe, Babylist, and others.

A resident of beautiful western North Carolina, Cunningham is an avid reader who enjoys yoga, travel, and all things chocolate.

Sarah-Garone-bio

Sarah Garone

Author
Sarah Garone is a licensed nutritionist, registered nutrition and dietetics technician, freelance health and wellness writer, and food blogger in Mesa, Arizona. She has written for The Washington Post, Healthline, Greatist, Verywell, and Eat This, Not That, among other outlets. She is a member of the Academy of Nutrition and Dietetics.