Ingredient guide

Lactoferrin: Iron, Immunity, and the Evidence

Lactoferrin is a multifunctional protein found in milk that binds iron and supports immune function. A meta-analysis supports its use in iron deficiency anemia, with greater improvements in iron markers than oral ferrous sulfate. It also modestly supports respiratory health.

Moderate evidence

Benefits

  • Meta-analysis showed greater improvements in serum iron and hemoglobin than oral ferrous sulfate.
  • Trials support modest reductions in respiratory tract infection symptoms.
  • Cochrane review supports oral bovine lactoferrin for preterm infant sepsis prevention.

Evidence summary

What lactoferrin is

Lactoferrin is a protein found in milk (especially colostrum), tears, saliva, and other body fluids. It is one of the most abundant proteins in breast milk after casein. Its main jobs are binding iron and acting as a frontline immune protein. Supplements use bovine lactoferrin extracted from cow milk.

What the human research shows

A meta-analysis of 11 studies in 1,262 participants found that oral lactoferrin gave greater improvements in serum iron, ferritin, and hemoglobin than oral ferrous sulfate, with fewer side effects. A separate systematic review of inflammation, immune function, and respiratory tract infections showed lactoferrin reduced inflammation and modulated immune function. A Cochrane review supports lactoferrin for preventing late-onset sepsis in preterm infants. We grade the evidence as moderate.

Dosage & safety

Dosage

Trials commonly use 100 mg to 300 mg of bovine lactoferrin per day for iron deficiency, and up to 600 mg per day for immune use. Take on an empty stomach for best absorption. Ask your healthcare provider before regular use, especially in pregnancy or for children.

Side effects

  • Generally well tolerated.
  • Most common are mild stomach upset and constipation, less than with ferrous iron.

Interactions

  • Lactoferrin's iron-binding may affect some medicines, so separate doses by a few hours.

Warnings

  • Speak with a doctor before lactoferrin use for iron deficiency, since iron status should be properly checked first.
  • Choose tested products from reputable suppliers.
  • Avoid if you have a milk protein allergy.

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Citations

  1. Lactoferrin on inflammation, immune function, and respiratory tract infections: SR and MA pmc.ncbi.nlm.nih.gov
  2. Oral bovine lactoferrin vs iron supplementation in low hemoglobin: SR and meta-analysis pmc.ncbi.nlm.nih.gov

Frequently asked questions

Does lactoferrin help iron deficiency?

A meta-analysis supports better iron, ferritin, and hemoglobin improvements with lactoferrin than oral ferrous sulfate, with fewer side effects.

Is lactoferrin safe in pregnancy?

It has been studied in pregnancy for iron deficiency, often with good tolerability. Still, check with a doctor first.