People involved in the research of HH do not recommend eliminating foods high in iron, with the exception of liver of course. Also clams are reported so high in iron, I wonder if it is a typo! High iron in spinach is a fallacy, besides it is a non-heme iron. Similarly seeds - pumpkin and walnut have the highest. Avoidance of packaged food supplemented with iron (bread, cereals, etc), and vitamin supplements containing iron is VERY important.
The Hemochromatosis Cookbook explains all this so I don't know how Mrs Z equates that info with the (so far) wrong info by her dr. There is iron in every food with the exception of cream, some cream cheeses and whiskey and we can't live on them!
This book will also explain that drinking tea, coffee, milk with meals, and eating calcium containing foods like cheese, yoghurt, taking calcium supplements with meals all supposedly help reduce the uptake of iron. Avoid vit C and juices high in vit c with meals which increases the uptake of iron. Although I think vit C and all other anti-oxidants are important to us. Take vit c between meals or last thing at night on an empty stomach.
Now for the fatigue question. I have been deironed for 13 years and I still experience crippling fatigue. Sorry about that. I think my problem is because my gp took 9 years to diagnose me giving the iron plenty of time to deposit and damage my organs, bones (had to have hips replaced), muscles, etc. I went from superwoman to being unable to work at all and struggle through the day.
I had a breakthrough this year when I started taking 100mg of aspirin each morning. I felt lighter, walked faster and got more done during the day. However, I still crash and burn early - straight after an early dinner.
I have discovered that my body does not like sugars and starches. After I have eaten anything like that, I feel like a truck has run over me, and I physically slump. Research has revealed that we with HH do not digest these types of food very well. And if we continue, it leads to diabetes.
Look for the cookbook in your local library, or ask them to get a copy in for you. They can borrow from other libraries.