Oefeningen bij hereditaire hemochromatose — flebotomie-uitgelijnd, ijzervoorzichtig, RAUWE schaaldieren VERMIJDEN

Powell 2016 + Adams 2017 EASL guidelines establish the modern framework: HFE-related hereditary hemochromatosis (most common in Northern European ancestry, C282Y homozygote ~1/200-1/400 prevalence) leads to iron overload + secondary damage to liver (cirrhosis, HCC risk), joints (arthritis), heart (cardiomyopathy + arrhythmia), and endocrine (diabetes, hypopituitarism). Therapeutic phlebotomy is first-line treatment — weekly until ferritin <50 ng/mL, then maintenance. Diet alone does NOT treat hemochromatosis but reduces absorption load. Crucially, hemochromatosis nutrition is **OPPOSITE** of typical anemia advice: AVOID iron supplements + iron-fortified cereals + vitamin C megadoses with iron-rich meals. AVOID raw shellfish — Vibrio vulnificus is acutely life-threatening in iron-overload + liver disease (documented fatalities). The exercise priorities are therefore: structured progression respecting joint involvement (chronic hemochromatosis arthritis pattern), cardio if no cardiomyopathy/arrhythmia (cardiology clearance if any cardiac involvement), posterior chain + posture, breath/parasympathetic regulation.

Volya's catalogue carries the foundation moves: supported-glute-bridge for posterior chain, wall-push-up for upper-body strength scaling, scapular-retraction for posture, cat-cow for spinal mobility, supine-knee-to-chest for low-back release, calf-raise-rehab for posterior-chain + bone-loading, ankle-pump for circulation, diaphragmatic-breathing for parasympathetic regulation, standing-march for cardio at managed pace. The AI coach also knows the nutrition side — therapeutic phlebotomy is first-line (diet alone does NOT treat HH but reduces absorption load), AVOID iron supplements (read multivitamin labels) + iron-fortified cereals, tannins (tea + coffee) WITH meals reduce non-heme iron absorption (strategic use), AVOID vitamin C megadoses with iron-rich meals, calcium with meals reduces iron absorption (dairy with meat), AVOID raw shellfish (Vibrio vulnificus life-threatening), alcohol AVOID excess (liver — already elevated cirrhosis risk from iron overload), red meat moderate (1-2 servings/wk; poultry + fish + plant protein primary), protein 1.2-1.4 g/kg/day from non-heme sources, calcium 1000-1200 + vitamin D 1000-2000 IU/day. CRITICAL: hematology + hepatology if liver involvement + endocrinology if pituitary/diabetes complication + Iron Disorders Institute + American Hemochromatosis Society + 988. First-degree relatives screening per ACG/EASL (genetic testing + iron studies). This is NEVER a replacement for hematology care.