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Heme iron absorption: how it works and how to optimise (2026)

 

 

 

Iron is one of those nutrients you only think about when something feels “off”: you cannot quite shake the afternoon slump, your training feels heavier than it should, or you feel breathless walking up the stairs. From a nutritional standpoint, it is not just how much iron you eat, but how well you absorb and use it that matters.

Traditional cultures tended to prioritise the most nutrient dense parts of the animal, including blood rich muscles and organs. Not because they knew the biochemistry, but because they noticed the difference it made to resilience and vitality. Heme iron is a big part of that story because it is the form of iron found in animal foods and it is typically absorbed more efficiently than plant based iron.

At Carnicopia, we believe in making ancestral nutrition accessible through premium organ supplements sourced from organic, grass-fed EU cattle raised on regeneratively farmed land.

What heme iron is (and why it matters)

Iron comes in two main dietary forms: heme and non heme. Heme iron is found in animal foods (meat, fish, organs). Non heme iron is found in plant foods and also in some fortified products.

Here’s the thing: your gut handles these forms differently. Heme iron is packaged inside a structure called “heme”, which helps it pass through the digestive process with fewer obstacles. That is one reason heme iron is often described as more “bioavailable”.

If you want a clear breakdown of the two forms, see our guide to heme iron vs non heme iron.

Why iron status can feel “personal”

Two people can eat the same steak and get a different result. Your iron needs and absorption can shift with life stage (adolescence, pregnancy, heavy menstrual cycles), training load, digestive health, and even genetics. That is why understanding heme iron absorption is useful even if you already eat a meat centred diet.

How heme iron is absorbed in the body

When you eat heme iron, you are mainly consuming iron that is part of haemoglobin and myoglobin (the oxygen carrying and oxygen storing proteins in animal tissue). Digestion breaks the food down, but the heme structure stays relatively protected compared to non heme iron.

Step by step: how heme iron is absorbed

Absorption happens primarily in the small intestine. Heme is taken up into intestinal cells via specialised transport mechanisms. Once inside, enzymes release iron from the heme ring so your body can either store it (as ferritin) or move it into circulation where it is carried by transferrin.

The reality is that your body has a built in “iron thermostat”. A liver produced hormone called hepcidin helps regulate how much iron gets exported from intestinal cells into the bloodstream. If iron stores are high or inflammation is present, hepcidin tends to rise, which can reduce iron movement into circulation even if you are eating plenty.

Why heme behaves differently to plant iron

Non heme iron absorption is strongly affected by inhibitors like phytates (in grains and legumes) and polyphenols (in tea and coffee). Heme is less influenced by these blockers, which is one reason it tends to be absorbed more reliably across different meal contexts.

If you would like a deeper primer on the nutrient itself, read our article on heme iron.

Heme iron bioavailability: what affects it

Heme iron bioavailability refers to the proportion you actually absorb and utilise. Even though heme is generally well absorbed, it is not “automatic”. Your physiology still decides how much you take in.

1) Your iron stores and hepcidin

When iron stores are lower, absorption typically increases. When stores are higher, absorption decreases. This is a protective mechanism because too much iron can be pro oxidant.

2) Inflammation, stress, and recovery load

Hard training blocks, poor sleep, illness, and chronic stress can increase inflammation signalling. This may elevate hepcidin and reduce iron availability in the short term. Consider this if your diet looks good on paper but your energy and performance feel inconsistent.

3) Stomach acid and digestion

While heme is less dependent on stomach acid than non heme, you still need solid digestion to break proteins down and move nutrients through efficiently. Low appetite, frequent bloating, or very low protein tolerance can be clues that digestion needs attention.

4) Meal composition

Heme iron is relatively robust, but your overall meal still matters. Adequate protein, enough calories, and micronutrients such as vitamin A, copper, and B vitamins all support normal red blood cell formation and energy metabolism in different ways. This is one reason nose to tail eating can be so helpful as a “nutrient network”, not a single nutrient fix.

Best food sources of heme iron

If your goal is absorbing heme iron consistently, focus on animal foods that are both iron rich and easy to eat regularly. You do not need to live on liver, but including a variety of cuts can make your intake more dependable.

Top heme iron food sources (practical list)

  • Red meat (beef, lamb, venison), especially darker cuts
  • Organ meats (liver, heart, kidney)
  • Shellfish (some options provide iron and complementary minerals)
  • Oily fish and darker fish (varies by species)
  • Poultry (generally less than red meat, but still contributes)

Why organs are often a “multinutrient” strategy

What most people overlook is that iron does not work alone. For example, vitamin A contributes to normal iron metabolism, and vitamin B12 contributes to normal red blood cell formation. Liver and other organs naturally contain a broader spread of these supporting nutrients than muscle meat alone.

For a nuanced take on liver’s nutrient density, see liver the ultimate multivitamin.

How to optimise heme iron absorption in real life

Most advice on iron focuses on what to avoid. A better approach is to build meals that make iron intake easy to sustain, then remove the biggest friction points.

Time tea and coffee away from iron rich meals

Tea and coffee polyphenols can reduce non heme iron absorption significantly. Heme is less affected, but if iron status is a concern, it can still be worth separating these drinks from your most iron rich meals by an hour or two. Many people find it simplest to keep coffee earlier in the day and put their “iron anchor meal” at lunch or dinner.

Do not forget overall energy and protein

Low calorie intake, low protein intake, and aggressive dieting can all make it harder to maintain robust nutrient status. If you are training hard or have a busy job, your body may need more total nutrition to support normal oxygen transport and energy metabolism.

Pair iron rich foods with vitamin C if you also eat plant foods

Vitamin C strongly enhances non heme iron absorption, and it can be a useful addition if your meal includes both animal and plant sources. Think steak with peppers, or lamb with a citrus dressed salad.

Address digestion before piling on more iron

If you regularly experience reflux, bloating, or alternating constipation and diarrhoea, speak with a qualified healthcare professional. The goal is to improve how you process and absorb food, not simply add more of a nutrient that may not be getting utilised well.

Use blood tests and context, not guesswork

Iron is one of the nutrients where “more” is not always better. If you suspect an issue, ask your GP or clinician about a full iron picture rather than a single marker. This often includes ferritin, serum iron, transferrin saturation, and inflammatory context markers. Interpretation matters.

Where organ supplements fit (and what to look for)

Food comes first. Still, real life is real life. If you cannot stomach liver, travel frequently, or simply want a consistent baseline, desiccated organ supplements can be a practical way to “fill in the gaps” while you work on the foundations.

Quality indicators that matter

  • Sourcing: grass-fed, pasture raised, and ideally organic
  • Processing: low temperature desiccation to preserve nutrients
  • Manufacturing standards: HACCP certified facility and routine safety testing
  • Label honesty: no fillers, binders, or flow agents

Quality matters when choosing organ supplements. Carnicopia sources exclusively from organic EU cattle, with all products manufactured in HACCP-certified facilities and subject to routine microbiological testing for safety and potency.

Practical application: using organ capsules as a “liver serving” you will actually take

For those who prefer convenience without compromising on quality, Carnicopia’s desiccated organ capsules provide the same nutrients as fresh organs in an easy-to-take form. If you are exploring options, you can browse organic beef grass fed beef liver supplements or the wider range of beef organ supplements.

A note on expectations

Organ supplements are not a replacement for medical care, and they are not a quick fix for unexplained fatigue. They may support nutrient intake and help you stay consistent, especially when diet quality fluctuates. If you have symptoms or known iron issues, professional guidance and appropriate testing are essential.

If you are new to the whole concept of eating and using the whole animal, nose to tail explained is a great place to start, and you can explore nose to tail supplements for convenient options.

Heme iron and balance: when “more” is not the goal

A common gap in iron conversations is that we talk as if everyone should push intake higher. In reality, iron is a “Goldilocks” nutrient. Too little can make it hard to meet normal physiological demands, and too much may not be desirable either.

Why the body regulates iron tightly

Unlike many nutrients, iron does not have a straightforward excretion pathway. That is one reason your body uses hepcidin and intestinal control to regulate how much makes it into circulation. It is also why it is worth being cautious with high dose iron supplements unless you have testing and clinical guidance.

High iron markers are not always about diet

Some people naturally run higher iron markers due to genetic tendencies. Others may see higher ferritin during periods of inflammation because ferritin can behave like an “acute phase” marker. This is exactly why a full iron picture and clinical context matter. It helps avoid overcorrecting in the wrong direction.

Heme iron in the real world: keep the discussion practical

For most meat-eaters, the more useful question is not “How do I maximise absorption at all costs?” It is “How do I build a diet that supports normal iron status over months and years?” That usually looks like consistent red meat intake, occasional organs, and a few simple habits that reduce friction. Testing fills in the rest.

Who may need to pay closer attention to iron

Even with good heme iron bioavailability, different life stages and lifestyles can change your requirements. This is not about self diagnosing, it is about knowing when a little more diligence is sensible.

People with higher losses or higher demand

Heavy menstrual cycles, pregnancy, and adolescence can increase iron requirements. Endurance training can also increase turnover and may be associated with reduced iron availability in some athletes, especially when recovery is poor or overall intake is too low. If any of these apply, it is reasonable to prioritise iron rich meals and consider discussing iron markers with your GP.

People who avoid red meat or eat “low iron” animal diets

Not all meat-based diets are equally iron dense. If your animal intake is mostly chicken breast, white fish, and low calorie meals, you might not be getting much heme iron in practice. A simple shift towards darker cuts, slow cooked red meat, and occasional organs can make a meaningful difference in dietary coverage.

People with digestive constraints

If you struggle to tolerate higher protein foods, have a very limited diet, or regularly deal with digestive symptoms, absorption and utilisation may be part of the picture. The best next step is usually to work on digestive foundations with a qualified professional rather than jumping straight to higher dose supplementation.

Cooking and practicalities: keeping iron intake consistent

Most people do not fail at nutrition because they lack information. They fail because the plan is too complicated to execute on a busy week. Consistency is where heme iron shines, because it is relatively easy to build into repeatable meals.

Choose “default meals” you can repeat

If you want reliable heme iron intake, pick two or three simple staples you can rotate. For example: beef mince bowls, slow cooked lamb shoulder, and a steak night once a week. Then add variety with herbs, sauces, and sides rather than reinventing the core protein every day.

If you include plant foods, be strategic with common inhibitors

Phytate rich foods like grains and legumes can reduce non heme iron absorption, and tea and coffee can interfere too. You do not need to remove these foods if they suit you. It can be enough to separate tea and coffee from iron rich meals, and to place higher phytate foods away from your most iron dense meal when you are actively trying to improve iron status.

Organ “micro-dosing” can be easier than a big liver meal

Some people do not mind liver once in a while, but struggle with larger portions. A more sustainable approach can be small, regular amounts. Think of it as nutrient density seasoning: a little liver mixed into mince, or a consistent organ capsule routine if you prefer convenience. This can support overall micronutrient intake without turning meals into a chore.

Frequently Asked Questions

Is heme iron absorbed better than non heme iron?

In general, yes. Heme iron tends to have higher bioavailability because it is absorbed through different pathways and is less affected by common inhibitors found in plant foods. Non heme iron absorption can vary widely depending on what else you eat, especially phytates (in grains and legumes) and polyphenols (in tea and coffee). That said, your body still regulates heme uptake based on need, inflammation status, and iron stores, so higher bioavailability does not mean unlimited absorption.

How is heme iron absorbed compared with plant iron?

Heme iron is absorbed as an intact heme structure in the small intestine, then broken down inside intestinal cells so iron can be used or stored. Plant iron (non heme) must be converted into a form your body can transport, and it is more vulnerable to meal “blockers” like phytates and tannins. If you want the full comparison, this article on heme iron vs non heme iron explains it in plain English.

What foods have the most heme iron?

Red meat and organ meats are standout sources. In practice, darker cuts of beef and lamb, along with liver and heart, are reliable options. Shellfish and some fish can also contribute. If your goal is consistency, focus on foods you can eat weekly rather than chasing a single “highest iron” item. A simple rhythm like mince, steak, slow cooked lamb, and a small amount of liver (or liver capsules) can be easier to sustain.

Does vitamin C help heme iron absorption?

Vitamin C is most famous for enhancing non heme iron absorption, but it can still be helpful in mixed meals because many people eat both heme and non heme sources together. From a nutritional standpoint, adding colourful fruit and veg to a meat based diet can support overall micronutrient coverage, especially if your intake is currently limited. If you are strict carnivore, your strategy will look different, and that is fine. The key is aligning your approach with your digestion and lifestyle.

Do tea and coffee reduce heme iron absorption?

They have a bigger impact on non heme iron, but it can still be smart to avoid having strong tea or coffee right alongside your most iron rich meals if you are actively trying to improve iron status. Many people do well by keeping coffee in the morning, then placing their most iron dense meal at lunch or dinner. This is a low effort tweak that does not require changing your entire diet.

Can you have too much iron from heme sources?

Potentially, yes. Your body regulates absorption, but iron can accumulate in certain scenarios, including genetic tendencies (such as haemochromatosis) or excessive supplemental iron use without monitoring. That is why testing and professional guidance matter if you are concerned. Food based intake is usually more self limiting than high dose iron tablets, but it is still wise to avoid “more must be better” thinking. Aim for balance and context, not extremes.

Are liver capsules a good way to increase iron intake?

Liver capsules can be a convenient way to increase nutrient density, including naturally occurring iron alongside vitamin A, B12, and other compounds that support normal energy metabolism and red blood cell formation. They are not a substitute for identifying the root cause of low iron markers or persistent fatigue. If you are considering supplements, choose products with transparent sourcing and no fillers, and speak with a qualified healthcare professional if you have symptoms, are pregnant, or take medications.

Why do I still feel tired if I eat red meat regularly?

Fatigue is multi-factorial. Iron intake is only one piece. Sleep, total calories, carbohydrate availability (for some people), thyroid function, stress load, inflammation, and digestion can all influence how you feel. It is also possible to eat iron rich foods but have poor utilisation due to elevated hepcidin from inflammation or inadequate overall nutrition. If tiredness is persistent, it is worth discussing with a clinician and getting appropriate blood work rather than self diagnosing.

Is heme iron important on carnivore or keto?

It can be. Many people on carnivore or keto naturally increase heme iron intake because they eat more animal foods. This may support normal oxygen transport and energy metabolism, especially if their baseline diet was low in nutrient density. Still, the same rules apply: absorption is regulated, and you should pay attention to symptoms and testing if you are unsure. Including organs occasionally, or using a quality organ supplement, can also broaden your nutrient intake beyond muscle meat alone.

Should I take iron supplements or focus on food?

For most people, food first is a sensible starting point because it comes packaged with protein and supportive nutrients. Iron supplements can be appropriate in some cases, but they are not something to add casually without understanding your blood markers and the reason for low iron. If you are considering supplemental iron, speak with your GP or a qualified practitioner. If your goal is simply better dietary coverage, iron rich foods and nutrient dense organs are often a safer, more foundational route.

What is a sensible way to approach iron if I am worried about “too much”?

A sensible approach is to use context and testing rather than reacting to headlines. If you eat a lot of red meat and also take iron containing supplements, it may be worth reviewing your routine with a clinician, especially if you have a family history of high iron markers. For many people, a food first approach with periodic blood work is a balanced middle ground.

Are heme iron supplements the same as organ supplements?

Not necessarily. Some supplements are isolated forms of iron, while organ supplements provide naturally occurring iron within a broader food matrix that also includes other nutrients. If you are choosing between approaches, it can help to clarify your goal: targeted iron intake based on blood work, or broader nutrient density support as part of a nose to tail strategy.

Key Takeaways

  • Heme iron absorption is typically more efficient than non heme iron because it is absorbed via different pathways and is less affected by common plant inhibitors.
  • Your body regulates iron uptake through hepcidin, so inflammation and iron stores influence how much you absorb.
  • Red meat and organs are practical heme iron sources, and organs also provide complementary nutrients like vitamin A and B12.
  • Simple habits can help: separate tea or coffee from iron rich meals, prioritise adequate protein and calories, and address digestion.
  • If you suspect an iron issue, use blood tests and professional guidance rather than guessing or high dosing iron supplements.
  • Iron is a “Goldilocks” nutrient, so the goal is usually balanced, repeatable intake rather than maximising absorption at all costs.

Conclusion

Heme iron is one of the clearest examples of how ancestral foods can be practical in modern life. Because it is packaged in animal tissue, it is generally absorbed more reliably than plant based iron, and it is less vulnerable to common dietary blockers. Still, your body remains in charge: iron absorption shifts with your current stores, inflammation, recovery load, and digestion.

If you are trying to improve iron intake, start with repeatable basics: eat iron rich animal foods you enjoy, consider adding small amounts of organ meat, and make a couple of strategic tweaks like timing tea and coffee away from key meals. If symptoms persist, work with a qualified professional and test rather than guess.

Explore Carnicopia’s range of grass-fed organ supplements, crafted to support your ancestral nutrition journey. Our team is here to help you find the right products for your wellness goals.

This article is for informational purposes only and is not intended as medical advice. Always consult a qualified healthcare professional before starting any new supplement regimen, especially if you have existing health conditions or are taking medications.

About the Author

Nick Tofalos, B.Ost (Hons), MICOOsteopath & Co-Founder.

Nick Tofalos is an osteopath and co-founder of Carnicopia with extensive experience in nutrition-focused lifestyle support. He specialises in practical, evidence-informed strategies around nutrient status, digestion, and performance—including how dietary iron intake and absorption can vary with physiology, stress, and inflammation.