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Some iron is lost from the
blood due to hemorrhage, menstruation, etc. and must be replaced from the
diet. On average men need to replace about 1 mg of iron per day, women need 2
mg. Apotransferrin (transferrin without the iron) is present in GI lining cells
and is also released in the bile. It picks up iron from the GI tract and
stimulates receptors on the lining cells which absorb it by pinocytosis. Once
through the mucosal cell iron is carried in blood as transferrin to the liver
and marrow. Iron leaves the transferrin molecule to bind to ferritin in these
tissues. Most excess iron will not be absorbed due to saturation of ferritin,
reduction of apotransferrin, and an inhibitory process in the lining tissue.
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