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JAMA 2013;310:2435-42

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Here is what to look for: Dark brown or black stool after starting iron supplements is usually a normal reaction and temporary Sticky, tarry stool accompanied by abdominal pain, nausea, or dizziness may indicate gastrointestinal bleeding, which requires immediate medical attention Persistent black stools lasting more than a few days, especially with other symptoms, should be evaluated by a healthcare professional Understanding these differences allows you to respond appropriately exploring the right iron deficiency supplements with your healthcare provider ensures you maintain iron supplementation safely