DR+ Medical & Paincare Marsiling

DR+ Medical & Paincare Marsiling We provide general medical consultations, management of chronic and acute conditions, pain relief tr

Do not take coffee or tea with meals!
23/05/2026

Do not take coffee or tea with meals!

Coffee and tea contain polyphenols that bind non-heme iron in the gut and form insoluble complexes that pass through unabsorbed.
Hurrell and colleagues (1999, Br J Nutr) tested this directly using radio-labeled iron in adult humans eating a standardized bread meal with different beverages. Absorption was quantified by erythrocyte incorporation of the tracer.

Compared to water, beverages containing 20 to 50 mg of polyphenols per serving reduced iron absorption by 50 to 70%. At 100 to 400 mg, the reduction was 60 to 90%. Black tea: 79 to 94%. Peppermint tea: 84%. Cocoa: 71%. Chamomile: 47%. Adding milk did not meaningfully change the effect.

The mechanism is specific to galloyl structure, not total phenolic content. Brune, Rossander, and Hallberg (1989, Eur J Clin Nutr) showed that tannic acid inhibits in a dose-dependent manner that tracks galloyl content: 5 mg cut absorption 20%, 25 mg cut it 67%, and 100 mg cut it 88%. Gallic acid inhibited equivalently per mol of galloyl groups. Catechin, which lacks that structure, showed no inhibition at all. Chlorogenic acid, the dominant polyphenol in coffee, inhibits but less potently than tannins.

Heme iron behaves differently. It's absorbed intact through the HCP1 transporter inside its porphyrin ring, shielded from polyphenol binding entirely. Non-heme iron from plants, eggs, and fortified foods is the vulnerable pool.

Vitamin C counteracts the interaction by reducing Feยณโบ to Feยฒโบ and forming a soluble ascorbate-iron complex that resists polyphenol binding. Hallberg and Hulthen (2000, Am J Clin Nutr) showed that adding 50 mg of vitamin C to a meal with significant inhibitors increased non-heme iron absorption 3 to 6-fold.

For anyone with borderline iron status, menstruation-related losses, a plant-based diet, or pregnancy, timing matters. A two-hour gap between the beverage and iron-rich foods, or pairing the meal with vitamin C, is the simplest fix.
Hurrell 1999. Brune 1989. The mechanism has been in the literature for three decades. It's rarely in standard dietary counseling, rarely on any bottle, and almost never mentioned by the industry selling iron.

Hurrell et al., Br J Nutr, 1999
Brune et al., Eur J Clin Nutr, 1989
Hallberg & Hulthen, Am J Clin Nutr, 2000

๐Ÿ“ข Clinic Announcement ๅ…ฌๅ‘ŠDr. Jeffrey Loh will be on leave from 7 May to 9 May 2026 and will resume seeing patients on 11 ...
06/05/2026

๐Ÿ“ข Clinic Announcement ๅ…ฌๅ‘Š

Dr. Jeffrey Loh will be on leave from 7 May to 9 May 2026 and will resume seeing patients on 11 May 2026.

Please note that DR+ Medical & Paincare Marsiling will be closed during the following evening sessions:

โ€ข 7 May, 7:00pm โ€“ 8:45pm
โ€ข 8 May, 7:00pm โ€“ 8:45pm

โ€”โ€”

็ฝ—ๅŒป็”Ÿๅฐ†ไบŽ2026ๅนด5ๆœˆ7ๆ—ฅ่‡ณ5ๆœˆ9ๆ—ฅไผ‘ๅ‡๏ผŒๅนถไบŽ2026ๅนด5ๆœˆ11ๆ—ฅๆขๅค็œ‹่ฏŠใ€‚

DR+ Medical & Paincare Marsiling ่ฏŠๆ‰€ๅฐ†ๅœจไปฅไธ‹ๆ™š้—ดๆ—ถๆฎตๆš‚ๅœ่ฅไธš๏ผš

โ€ข 5ๆœˆ7ๆ—ฅ๏ผŒๆ™šไธŠ7:00่‡ณ8:45
โ€ข 5ๆœˆ8ๆ—ฅ๏ผŒๆ™šไธŠ7:00่‡ณ8:45

16/04/2026
24/03/2026

"๐ˆ ๐ญ๐ก๐จ๐ฎ๐ ๐ก๐ญ ๐ˆ ๐ก๐š๐ ๐ญ๐จ ๐ฅ๐ข๐ฏ๐ž ๐ฐ๐ข๐ญ๐ก ๐ฉ๐š๐ข๐ง - ๐ฎ๐ง๐ญ๐ข๐ฅ ๐จ๐ง๐ž ๐ญ๐ซ๐ž๐š๐ญ๐ฆ๐ž๐ง๐ญ ๐œ๐ก๐š๐ง๐ ๐ž๐ ๐ž๐ฏ๐ž๐ซ๐ฒ๐ญ๐ก๐ข๐ง๐ .โ€

If youโ€™ve been putting up with shoulder, knee, or back pain for months, youโ€™re not alone.
Many people we meet tried everything - painkillers, TCM, stretching - yet the pain keeps coming back.

At DR+ Medical & Paincare Marsiling, our GP Family Physician, Dr Jeffrey Loh uses a guided approach that identifies the exact pain source and applies a targeted treatment pathway.
His expertise is grounded in Singapore Paincareโ€™s Painosticยฎ clinical know-how, a unique system of pain assessment and treatment refined through years of specialist experience.

๐Ÿฉบ ๐’$๐Ÿ๐Ÿ“ ๐…๐ข๐ซ๐ฌ๐ญ-๐“๐ข๐ฆ๐ž ๐‚๐จ๐ง๐ฌ๐ฎ๐ฅ๐ญ๐š๐ญ๐ข๐จ๐ง
๐ˆ๐ง๐œ๐ฅ๐ฎ๐๐ž๐ฌ:
๐Ÿ‘จโ€โš• ๐Ÿ‘จโ€โš•๏ธ ๐๐ก๐ฒ๐ฌ๐ข๐œ๐š๐ฅ & ๐Œ๐จ๐›๐ข๐ฅ๐ข๐ญ๐ฒ ๐„๐ฑ๐š๐ฆ๐ข๐ง๐š๐ญ๐ข๐จ๐ง
๐Ÿฉบ ๐ƒ๐จ๐œ๐ญ๐จ๐ซโ€™๐ฌ ๐ƒ๐ข๐š๐ ๐ง๐จ๐ฌ๐ข๐ฌ
โœ” ๐๐ž๐ซ๐ฌ๐จ๐ง๐š๐ฅ๐ข๐ฌ๐ž๐ ๐“๐ซ๐ž๐š๐ญ๐ฆ๐ž๐ง๐ญ ๐๐ฅ๐š๐ง

For many, the relief is life-changing - and it doesnโ€™t require surgery.

โœจ Take the first step to be pain-free and book your first consultation today.

๐Ÿ“๐ƒ๐‘+ ๐Œ๐ž๐๐ข๐œ๐š๐ฅ & ๐๐š๐ข๐ง๐œ๐š๐ซ๐ž ๐Œ๐š๐ซ๐ฌ๐ข๐ฅ๐ข๐ง๐ 
18 Marsiling Ln, #01-269, Singapore 730018

19/03/2026

Address

Blk 18, Marsiling Lane, #01/269
Singapore
730018

Opening Hours

Monday 08:00 - 21:00
Tuesday 08:00 - 16:30
19:00 - 21:00
Wednesday 08:00 - 16:30
19:00 - 21:00
Thursday 08:00 - 16:30
19:00 - 21:00
Friday 08:00 - 16:30
19:00 - 21:00
Saturday 08:00 - 12:30

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