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Iron supplements (ferrous sulfate, ferrous fumarate) taken by mouth to correct iron deficiency in early CKD.
Oral iron is the first line in non-dialysis CKD with iron deficiency. Absorption is limited by hepcidin (elevated in CKD and inflammation) — take on empty stomach with vitamin C, away from meals, calcium, and phosphate binders. Gastrointestinal side effects are common. If hemoglobin doesn't respond in 4-8 weeks, IV iron is usually the next step.
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This content is a general reference, not medical advice, a diagnosis, or a treatment plan. Do not change your diet, fluids, medicines, or dialysis plan without your nephrologist or renal dietitian. Individual recommendations depend on your labs, medications, conditions, and care plan.