Decreased iron absorption |
Celiac disease |
Atrophic/autoimmune gastritis |
Helicobacter pylori |
Bariatric surgery |
Medications that reduce gastric acidity (unlikely to be the sole cause) |
Genetic disorders such as IRIDA (rare) |
Blood or iron loss |
Heavy menstrual bleeding |
Pregnancy and lactation |
Gastric ulcer disease or gastritis |
Colorectal cancer |
Gastrointestinal telangiectasias, HHT |
Bleeding disorders such as VWD |
Gastrointestinal parasites |
Frequent blood donation |
Surgical blood loss |
Iatrogenic (frequent blood draws) |
Hemodialysis |