Living well & support
Nutrients that need extra attention
Because of iron overload and higher oxidative stress, some nutrients tend to run low in thalassaemia, so teams keep an eye on them.
Vitamin D and calcium protect the bones (both often low — vitamin D is checked every 6 months). Zinc supports growth, immunity and puberty, and can drop, especially on chelation. Folate (folic acid) supports the making of new blood cells. Vitamin E and vitamin C can be depleted by iron-related oxidative stress.
Most are simply checked on routine blood tests and topped up if needed. Good food sources help too: dairy, tofu and leafy greens for calcium; eggs, nuts, seeds and vegetable oils for vitamin E.