A 90-day side-by-side of Thorne, MegaFood, Floradix, Active Iron, and CAVAÉ Melt. Most reviews stop at price and dose. We measured the one thing that actually decides whether your ferritin moves.
Jump to the winner →You've probably already tried two or three of these.
Maybe Thorne first. Maybe MegaFood.
Maybe Floradix, because someone in your group called it gentler.
You didn't switch because the iron didn't work.
You switched because you stopped taking it.
That's the metric most reviews skip. So we measured it.
Ninety days. Five products. Three questions for each one:
Here's the honest read.
Floradix has a real following. It's the iron most women try after they quit ferrous sulfate.
The format is the problem.
Two doses a day. Thirty minutes before meals. Kept in the fridge. Used up within four weeks of opening.
The taste is strong and herbal, and it can stain your teeth if you don't rinse.
The dose is also low. 20mg across two servings, which is less than a single Thorne capsule gives you in one.
Floradix is the iron most women try second. It's also the one most women quit by week six.
Active Iron is the real innovation in the pill format.
A whey protein coating keeps the iron from hitting your gut until it reaches the small intestine. The clinical trial they cite is real (PRECISION, Int J Clin Pharm, 2023).
The catch is the routine.
Active Iron For Women is two pieces a day. One iron capsule and one multivitamin tablet. Twice the daily friction, for women who came here looking for less.
The brand solved the stomach problem. It didn't solve the swallow problem.
Thorne is the cheapest iron on this list, and we have to be fair about that.
NSF Certified for Sport. 25mg bisglycinate. The brand your trainer recommends.
So why does it rank #3?
The compliance burden is hidden in the directions:
Empty stomach. Not within 2 hours of coffee. Not within 2 hours of calcium. Not within 2 hours of thyroid meds. Best with vitamin C.
Every day. For 12 weeks.
Most women miss the window. They take it with coffee. They forget it on Tuesdays.
They give up around week six and figure their body is broken.
Their body isn't broken. The pill was set up to fail.
This is the closest competitor on the whole list, and we want to be fair about that.
26mg of fermented iron bisglycinate. Folate. B12.
One tablet. Any time of day. With or without food. No empty-stomach window.
The 8-week trial showed no more constipation than a sugar pill. It's the iron most survey buyers switched to after Thorne, and the ones who stayed on it, stayed.
On almost every dimension, MegaFood is a genuinely great iron.
The one place it loses is the one this whole ranking is built on.
It's still a pill. You still swallow it. You still have to remember it on Tuesday mornings, on flight days, on the days you're running late.
For a lot of women, the pill itself is where compliance breaks.
Start with the number that decided our ranking.
About half of all women prescribed iron stop taking it within 90 days.
Most quit because the pill upsets their stomach.
In our own customer survey, 94% were still taking CAVAÉ every day.
That gap is the whole story.
The iron that moves your ferritin is not the strongest pill on the shelf.
It's the one you're still taking in week twelve.
CAVAÉ Melt is a raspberry strip that melts on your tongue in 30 seconds.
No pill to swallow. No water. No empty-stomach window. No timing around coffee, calcium, or thyroid medication.
You take it the way you brush your teeth.
Now the honest part.
CAVAÉ does not have NSF Sport certification like Thorne. It does not have its own published clinical trial. And yes, at $1.67 a day, it is the most expensive iron on this list.
Here's why women pay it anyway.
The cheapest iron in the world does nothing if it sits in your cabinet.
CAVAÉ is the iron you actually take, every day, for the full 90 days your ferritin needs to move.
SEE PRICING AND AVAILABILITY →This one comes up a lot. It's a fair question.
A lot of online groups tell women with MTHFR to avoid folic acid. Here's what the research actually shows.
MTHFR changes how your body handles folate after it's in your blood.
Even with the most common variant, blood folate ends up only about 16% lower on the same daily amount. Not zero. Not close to it.
The CDC does not recommend testing for MTHFR, or changing your folic acid because of it. 400mcg a day is the amount recommended for every woman who could become pregnant, MTHFR or not.
If you'd feel better on a methylfolate version, that's a real preference.
But folic acid is not a reason CAVAÉ won't work for you.
Ferritin is a simple blood test. These women drew it, took the strip, and drew it again.
“My ferritin was 4. The infusions barely moved it. I'm at 98 now. You sorta saved my life.”
“18 months on bisglycinate. No progress. Moved 35 points in 13 weeks on CAVAÉ.”
“Three years in MTHFR groups telling me to avoid folic acid was wrong advice. The CDC was right.”
“My doctor said I was ‘low normal but normal.’ I'm at 65 now. She asked what I changed.”
“Scheduled for an infusion. A friend told me to try this first. I cancelled it.”
Individual results, shared with permission. Everyone's iron is different, and CAVAÉ is a supplement, not a replacement for the care your doctor recommends.
Based on customer-reported daily use compared with published drop-off rates for oral iron. Individual results vary.
Every iron review you've read starts with absorption and dose.
Both matter. Neither is the real bottleneck.
The bottleneck is compliance. The share of women still taking their iron at day 90, when ferritin finally starts to move.
Iron takes 8 to 12 weeks to change your labs. If you've quit by week six, the lab never changes.
Here's what the research shows:
This is the number the supplement aisle won't print on the bottle.
It's the only one that matters once you're past month two.
“I was on Thorne for 14 months. I took it maybe half the days I was supposed to. My ferritin moved 5 points. Three months on CAVAÉ, taken every day, my ferritin moved 35 points.”
Draw your ferritin now. Take one strip a day.
In 10 to 12 weeks, draw it again.
That's the window your ferritin actually needs to change.
Give it an honest 90 days.
If you're not glad you did, reach out. We'll take care of you. No hassle, no fine print.
START YOUR 90 DAYS →Ferritin takes a full 90 days to move, so most women tracking their labs start with the 3 or 6-month supply.