Pregnancy/Morning Sickness

Iron Supplements in the First Trimester: What You Need to Know

by Nikki Warren on May 20, 2025

Iron Supplements in the First Trimester: What You Need to Know

Feeling Exhausted and Nauseous? It Could Be Your Iron Levels

You're tired, nauseous, and struggling just to get through the day. It’s easy to dismiss these symptoms as standard pregnancy woes—but low iron could be making things worse.

Did you know that starting pregnancy with healthy iron levels can significantly reduce your need for iron supplements—and their unpleasant side effects—during the first trimester?

Boosting your iron stores during preconception is one of the best ways to ensure a smoother first trimester, free from the added discomfort of nausea caused by early pregnancy iron supplements.


Why Iron is Essential Even Before Pregnancy

Iron is crucial for your body at all times, but its importance multiplies when you're pregnant. During pregnancy, your blood volume increases by nearly 50%, making iron vital for healthy oxygen transport to both you and your developing baby.

But here's the catch: if your iron stores are already low before conception, your body has a much harder time meeting this increased demand. Enter pregnancy fatigue, increased risk of complications, and reduced immune function.

In fact, research shows that starting pregnancy with adequate iron stores can dramatically reduce the likelihood of iron deficiency anaemia and minimise the need for supplementation in the early months—when nausea is already at its worst.

 

The Iron-Nausea Dilemma in the First Trimester

Here's the unfortunate reality: standard iron supplements—particularly forms like ferrous sulphate—are notorious for causing gastrointestinal issues like nausea, constipation, and stomach pain.

For many women, this can intensify pregnancy nausea, making the first trimester significantly more uncomfortable. Imagine battling severe morning sickness while also struggling with digestive upset caused by iron supplementation—not exactly the glowing pregnancy you envisioned.

 

Preconception Iron Supplementation: The Key to an Easier First Trimester

One of the best strategies for avoiding iron-related nausea during early pregnancy is to optimise your iron levels before conception.

Ideally, iron stores should be built up for several months before trying for a baby. This proactive approach ensures your body enters pregnancy with robust iron reserves, significantly reducing the likelihood of needing supplementation in the first trimester.


How to Boost Your Iron Levels Before Conception

To maximise your iron stores preconception, consider these steps:

  1. Test, Don’t Guess:
    Request an iron panel from your GP or naturopath before trying to conceive. This test will determine if your iron levels are adequate or if supplementation is needed.
  2. Choose the Right Supplement:
    If supplementation is recommended, choose a gentle, highly absorbable form of iron such as iron bisglycinate. This type of iron is less likely to cause digestive discomfort and is well tolerated.
  3. Pair Iron with Vitamin C:
    Vitamin C significantly enhances iron absorption. Consider taking your iron supplement alongside vitamin C-rich foods such as citrus fruits, berries, or capsicum.
  4. Dietary Support:
    Increase dietary iron intake by regularly eating iron-rich foods such as lean red meat, lentils, spinach, tofu, and pumpkin seeds.

By optimising your iron status in advance, you set the stage for a healthier pregnancy and reduce the risk of iron-related issues when your body needs nutrients most.


But What If You're Already Pregnant with Low Iron?

Of course, sometimes pregnancy comes as a surprise, or preconception preparation isn't possible. If you're already pregnant and discover your iron levels are low, what should you do?

  • Identify Early Symptoms of Low Iron:

    • Extreme fatigue
    • Pale skin and lips
    • Shortness of breath or dizziness
    • Persistent headaches
    • Rapid heart rate or palpitations

     

     

  • Consult with Your Practitioner:
    Don't delay—speak to your healthcare provider immediately about gentle iron supplementation options suitable for early pregnancy.

  • Opt for Gentle Iron Formulations:
    If supplementation is essential in your first trimester, choose gentle formulations like iron bisglycinate, which are significantly less likely to aggravate pregnancy nausea.


Gentle Solutions for Iron Supplementation in Early Pregnancy

If you're already navigating the nausea of early pregnancy but need to supplement iron, the type you choose makes a significant difference.

  • Avoid Harsh Iron Forms:
    Stay clear of ferrous sulphate, notorious for digestive irritation.

  • Choose Iron Bisglycinate:
    This form is gentle on the stomach and absorbed efficiently, reducing the risk of nausea and constipation.

  • Complement with Nausea-Reducing Nutrients:
    Select prenatal supplements specifically formulated for the first trimester, containing ingredients known to soothe pregnancy nausea, such as vitamin B6 and ginger.

The Best Approach: Delay Iron Until the Second Trimester if Possible

Many healthcare professionals recommend delaying iron supplementation until the second trimester if your initial iron levels are adequate. This approach minimises nausea and maximises comfort, allowing your body to naturally adjust during the sensitive first trimester.

Instead, choose a comprehensive prenatal vitamin without iron during trimester one to ensure you get essential nutrients minus the nausea-inducing iron.

The first trimester is challenging enough without the added stress of low iron or nausea caused by supplementation.

Taking proactive steps to boost your iron stores before conception is your best defence against early pregnancy iron issues. But if you're already pregnant, knowing which iron supplements to choose—and when—is equally empowering.

You deserve a pregnancy free from unnecessary discomfort and filled with energy, wellness, and confidence.


Ready to Take the Next Step?

Explore our gentle and highly absorbable Iron & Brain Support formula, designed to optimise your iron stores without causing digestive upset.

Or, if you're currently pregnant and managing nausea, discover Prenatal Trimester One with Ginger—a specialised prenatal vitamin that supports you throughout your first trimester without iron.

Always consult your healthcare provider before beginning or changing supplement regimens during pregnancy.