Can women with anemia drink coffee?

Jun 11, 2025 Source: Cainiu Health
Disease description:

I have anemia, and recently a friend gave me some premium coffee. Can women with anemia drink coffee?

Doctor's answer (1)
Dr. Liu Feng

Whether female anemia patients can drink coffee should be analyzed comprehensively based on coffee's effect on iron absorption and individual conditions.

Caffeine and polyphenols present in coffee may inhibit iron absorption. Polyphenols can form complexes with non-heme iron, reducing its solubility in the intestines, thereby affecting iron absorption efficiency. This may have an adverse impact on anemia patients who rely on dietary iron supplementation.

However, this inhibitory effect is related to the timing and dosage of coffee consumption. Drinking coffee during or immediately after meals results in a more pronounced inhibitory effect, while consumption 2-3 hours apart may reduce this influence. Furthermore, the type of anemia is also critical: for patients with iron-deficiency anemia, due to insufficient iron stores, absorption efficiency must be strictly monitored, and coffee should be consumed cautiously or avoided during iron supplementation. For non-iron-deficiency anemia, coffee's impact on folate and vitamin B12 absorption is minimal, and moderate coffee consumption may not worsen anemia.

Therefore, female anemia patients, especially those with iron-deficiency anemia, are advised to control their coffee intake, avoid consuming it with iron-rich foods or iron supplements, and may drink coffee at least two hours after meals, limiting intake to no more than 1-2 cups daily. If anemia is severe, priority should be given to dietary adjustments or medical treatment, along with consulting a physician or nutritionist to develop an individualized plan.