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Women's health

The Fatigue You Think Is "Normal": Iron Deficiency Affects Up to 40% of Girls in Saudi Arabia

9 August 2026·7 min read
Sources of this article were verified4 scientific references with direct, checkable links

"I have no energy", "my hair is falling out", "I feel dizzy when I stand" — symptoms attributed to stress and late nights, which may be a clear message from your blood.

The scale of the problem here

The Saudi national epidemiological survey report noted that iron deficiency and iron deficiency anaemia are two common epidemiological conditions, with prevalence estimated at 30% to 56% nationally[1]. A study of schoolgirls in Riyadh found prevalence of 40.5% among adolescents aged 16–18[2]. Per the WHO, 32.3% of non-pregnant women of reproductive age in Saudi Arabia have anaemia[2]. In Kuwait, anaemia prevalence was 17% among females versus 3% among males[3].

30–56%iron deficiency anaemia prevalence
— national epidemiological survey
40.5%among adolescent girls
(16–18) in Riyadh
32.3%women of reproductive age
(WHO estimate)

Why women specifically?

Menstruation, closely spaced pregnancies and breastfeeding, and weight-loss diets that eliminate meat without a considered substitute. Saudi studies note that most deficiency cases were among females by a wide margin[1].

An additional paradox: obesity and anaemia together

A study at King Fahad Medical City in Riyadh examined the relationship between anaemia from poor iron status and obesity[4] — a reminder that "excess weight" absolutely does not mean "good nutrition".

What should you do?

  1. Test first: a full blood count plus ferritin — don't start a supplement without a test, as excess iron is harmful.
  2. Combine iron with vitamin C: lentils or meat with lemon, tomato or orange — it visibly raises absorption.
  3. Separate tea and coffee from meals: an hour before or after — tannins impede absorption, and this is our daily habit par excellence.
  4. Sources from our kitchen: liver, red meat, lentils, spinach, fava beans, dates.
🩸 Important: Persistent fatigue is not "a woman's normal state". One test may explain years of exhaustion. This article is educational and does not replace your doctor.

Scientific references

  1. Iron deficiency and iron deficiency anaemia in Saudi Arabia: report of the national epidemiological survey — https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8056870/
  2. Prevalence of anaemia and associated factors among women of childbearing age in Riyadh — https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3800602/
  3. Prevalence and determinants of anaemia and iron deficiency in Kuwait (IJERPH) — https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4555262/
  4. Correlation of anaemia due to poor iron status with obesity — King Fahad Medical City, Riyadh — https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10870246/

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Medical & legal disclaimer: Content on the FitCal blog is general education and awareness. It is not medical advice, a diagnosis, or a treatment plan, and it does not replace consulting a licensed healthcare practitioner who knows your case. Do not start or stop any medication, supplement, diet or training programme based on what you read here. Any mention of a drug, supplement or product is educational reporting of the scientific literature — not an advertisement or endorsement — and any doses cited are those used in the studies, not personal recommendations. Every figure is sourced at the bottom of each article so you can verify it yourself; if you spot an error, email us at fitcal@verokron.com and we will review and correct it. In Saudi Arabia, for health advice call 937; in an emergency call 997.