Feasibility or Oral Lactoferrin to Prevent Iron Deficiency Anemia in Obese Pregnancy

Exclusion Criteria

• •birth, or other pregnancy in the previous 12 months
• •IDA requiring high dose supplemental iron
• •allergy to milk proteins or wheat
• •vegan (due to content of the supplements)
• •recent blood transfusion
• •previously diagnosed type 1 or type 2 diabetes
• •autoimmune disorder (e.g., rheumatoid arthritis)
• •inflammatory bowel disease
• •premature rupture of membranes or chorioamnionitis
• •previous spontaneous preterm birth
• •current bacterial or viral infection
• •history of bariatric surgery
• •malabsorptive disease
• •current hyperemesis
• •current eating disorder
• •hematologic disorder or trait carrier (e.g., hemochromatosis, β-thalassemia)
• •current tobacco, alcohol or illicit drug use (including marijuana)
• •regular use of medications that may interfere with nutrient absorption
• •unstable housing, first trimester PHQ-9 score \> 10, and/or a recent traumatic event (e.g., death of a significant other or parent) may make it difficult to comply with the interventions, hence these women will also be excluded.