What is the iron supplement protocol for infants exclusively fed human milk?

• A. Iron supplement starting at 4-6 months of age.
• B. Iron supplementation not needed until after 12 months.
• C. Iron supplementation only if signs of anemia appear.
• D. Iron supplementation starting at birth.

Answer: (A)

In exclusively breastfed infants, iron stores from birth are sufficient only for about 4–6 months, while breast milk provides iron in a highly absorbable form but in relatively small amounts. To prevent iron deficiency during this vulnerable window, the recommended approach is to begin a daily iron supplement at about 4–6 months of age and continue until iron-rich complementary foods are introduced or until age 12 months. The typical dose for term infants is roughly 1 mg of elemental iron per kilogram of body weight per day. This preventive strategy is preferred over waiting for signs of anemia or starting at birth, and it ensures adequate iron status during the period when dietary iron from solids is not yet established.