Unverified90% confidenceCautionTime unknown
无缺铁证据者不应长期高剂量补铁：铁在体内无主动排泄途径，过量可致铁过载（尤其血色病携带者），男性和绝经后女性不缺铁时补铁风险大于收益
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90%
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Long-term
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Unverified无缺铁证据（铁蛋白正常）不建议长期补铁：铁过载会损伤肝脏和心脏，尤其男性和绝经后女性铁流失少，盲目补铁风险大于收益91% similarUnverified无缺铁证据（血清铁蛋白正常）不应自行长期补铁，尤其男性和绝经后女性，铁过载有肝损伤及氧化应激风险，应先查铁蛋白再决定91% similarUnverified补铁前必须排查缺铁原因，无缺铁证据不应盲目补铁；铁过载风险人群（如遗传性血色病、地中海贫血、反复输血者）禁用铁剂补充，过量铁会沉积损伤肝、心、胰90% similarUnverified健康人群不建议随意补铁：铁在体内无主动排出机制，非缺铁者长期补铁易致铁过载，增加氧化应激与器官损伤风险。补铁前务必确认铁蛋白偏低89% similar
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