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Doctor insights on: What Ferritin Level Is Considered Anemic

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My ferritin level is 95.2, hgb 11.7 and hct 36.8. Are any of these levels indicative of anemia?

My ferritin level is 95.2, hgb 11.7 and hct 36.8. Are any of these levels indicative of anemia?

Definition: The World Health Organization cites Hgb less than 12.5 for an adult woman as anemia. You need to be evaluated though this is unlikely to be symptomatic at this time. There are many causes of anemia other than iron deficiency. ...Read more

Dr. Richard Roberts
342 Doctors shared insights

Ferritin (Definition)

Ferritin is protein complex that binds iron and controls iron levels inside all of our cells. Low levels in the serum is a useful marker of iron deficiency. Macrophages are cells that contain large amounts of ferritin, and this that helps them scavenge RBC at sites of old hemorrhage. High serum ferritin levels occurs from macrophage activation and is a ...Read more


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My Iron level is 79, IRON BINDING CAP is 258, TRANSFERRIN SAT % is 31. But my FERRITIN level is 792 and I'm slightly anemic could I have hemochromatos?

My Iron level is 79, IRON BINDING CAP is 258, TRANSFERRIN SAT % is 31. But my FERRITIN level is 792 and I'm slightly anemic could I have hemochromatos?

Yes: Just on the basis of the serum ferritin. It's worth following. Chronic inflammation in the body can also raise ferritin. Are you symptomatic? Your anemia would of course be due to some other factor. One common secnario is a healthy young man with mild anemia actually has thal minor. Do you? It still gets missed in the 21st century. Not an emergency. Keep up with the workup. ...Read more

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How fast do ferritin levels fall after iron infusions for anemia? Ferritin went up to 222 after iron, but 7 weeks later was at 99. Is this typical?

Probably: Iron is being utilized in the manufacture of hemoglobin and redistribution of iron in the body may explain the fall. Your ferritin is still in the normal range. You may consult this site for info: https://medlineplus. Gov/ency/article/003490.htm
For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form.
Practice safe sex, if you have sex. ...Read more

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What kind of anemia would I have if my hct and RBC are low, but my hgb and ferritin levels are normal?

Not anemic: We rather go by haemoglobin than hamatocrit. So if your haemoglobin is normal and ferritin is normal you are not anemic as hct and rbc count are probably relative indices than the former two giving better estimation of anemia. Also you have to check your B12 and folate (folic acid) levels in addition to iron studies to complete the work up for anemia though the hb if normal, you are not anemic. ...Read more

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Taken Accutane, got weak erections and no morning erection, recently classed with slightly anemic and low ferritin levels?

Taken Accutane, got weak erections and no morning erection, recently classed with slightly anemic and low ferritin levels?

Look for cause: I am more concerned about your low serum ferritin. If you are not on an iron-poor (vegetarian / junk food) diet, or having enormously heavy periods, we need to find the cause, which is loss of blood into the gut or elsewhere. "slightly anemic" is like "a little bit pregnant" -- in someone who's 18, you deserve to have the real cause found by a diligent physician. Good luck. ...Read more

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Elevated ferritin levels, but I'm chronically anemic-missed 6 venofer injections, what are possible causes? Is lupus possibility?

Elevated ferritin levels, but I'm chronically anemic-missed 6 venofer injections, what are possible causes? Is lupus possibility?

What's going on?: If you have an elevated serum ferritin, then you are almost certainly not iron-deficient and should not be receiving injectable iron. It can kill you. I am not joking. Please get with someone who knows how to work up an anemia properly. I'm betting on one of the milder thalassemia variants, but there are literally hundreds of other possibilities. ...Read more

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High Serum Ferritin level, 648ng/ml, found on routine test. I was taking iron supp for anemia, which I will stop now. Am I in trouble? Should I do anything?

Hi ferritin: High ferritin can indicate iron excess. You made the right decision. Ferritin usually reflects iron stores. High ferritin can occasionally reflect inflammation in your body. Are you ill or run down or inflamed? ...Read more

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Blood test shows ferritin level of 541. Rbc of 3.6 and hg of 12. Being treated for anemia. High ferritin concerns me. Need help to understand.?

Blood test shows ferritin level of 541. Rbc of 3.6 and hg of 12. Being treated for anemia. High ferritin concerns me. Need help to understand.?

Blood letting: A high ferritin is bad news because it catalyzes free oxygen radicles. They can be compared to sparks jumping out of a fire in the process known as oxidation, or fuel burning to provide cellular energy. The essential treatment is blood letting until the ferritin gets into the normal range, it is the only use of therapeutic blood letting. ...Read more

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I have had low ferritin levels for 2 years now and I've been taking an iron supplement regularly for a year along side high iron diet and still anemic?

I have had low ferritin levels for 2 years now and I've been taking an iron supplement regularly for a year along side high iron diet and still anemic?

Iron deficient: Sometimes, even though eating a high iron diet, the absorption is decreased. Diet= rich in iron- red meat, beans, milk and green leafy veg.
You can try taking ferrous fumarate (Ferrette's on amazon) 325 mg po q day to help with the iron absorption. Retake the serum iron/ferritin in 3-4 months of trial. ...Read more

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Dr dx'd anemia after labs showed hgb of 7.5, ferritin less than 1, iron 15-can such low levels be from monthly cycle blood loss?

Anemia: If you have heavy menses, they can cause severe iron deficient anemia. Alternative causes should be considered if this not the case; specifically a gastrointestinal source for the bleeding/ versus iron absorption issues. Iron replacement and tight follow up will be recommended. ...Read more

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Low serum iron 36 and very high ferritin level 1, 171. Is this anemia of chronic disease? High liver enzymes and ALP 476. What's wrong?

Need more info: A complete history is needed! What other Med problems u have? The possibilities are many: anemia w elevated ferritin and normal MCV could be chronic disease. The elevated liver enzymes need imaging and if hep B and C were r/out, maybe a liver biopsy. Many chronic conditions like Rheumatoid arthritis, Lupus, autoimmune liver disease, may cause these findings. Did you mean Alfa fetoprotein? .see PCP ...Read more

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My 17 yr old daughter has very low ferritin levels, <10, she is not anemic. She does not have heavy periods, she is extremely tired. Any ideas?

My 17 yr old daughter has very low ferritin levels, <10, she is not anemic. She does not have heavy periods, she is extremely tired. Any ideas?

Iron: You can be iron deficient and not have anemia. Anemia typically occurs after a period of iron depletion. In young women the depletion is often from menses, and lack of oral iron intake. Additional tests can be performed to suggest if she is really iron deficient, though a low ferritin often indicates this diagnosis. A trial of oral iron would be appropriate, but ask your physician. ...Read more

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I am experiencing iron deficiency anemia. Ferritin level is a 4. Hemoglobin <11. Is it ok to take children's chewable vitamins with iron?

I am experiencing iron deficiency anemia. Ferritin level is a 4. Hemoglobin <11. Is it ok to take children's chewable vitamins with iron?

Yes: But the dose wouldn't be enough, adult multivitamins have enough dosing and different formulations, it won't be enough even if you double up, lots of green vegetables and fruits would help, best wishes ...Read more

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I have iron deficiency anemia, got infusions, raised ferritin levels, but it recently dropped from 140 to 36 again. I eat plenty of iron, celiac neg.

I have iron deficiency anemia, got infusions, raised ferritin levels, but it recently dropped from 140 to 36 again. I eat plenty of iron, celiac neg.

Menstrual flow: If you have prolonged or excessive menstrual flow, you may discuss with your OB re. BCP to reduce the frequency of your menses. Iron in vegetable, no matter how high the content, may not be absorbed and thus if you were a vegan, you may need to take iron supplement. If you were older, I would consider GI cancer. ...Read more

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My husband age 62 low ferritin 15. Iron level fine not anemic either. Tired and short of breath. Been to lung, heart dr & esophagus scope all ok? Next?

My husband age 62 low ferritin 15. Iron level fine not anemic either. Tired and short of breath. Been to lung, heart dr & esophagus scope all ok? Next?

Colon: Iron deficiency in an adult male warrants excluding bleeding in the intestine as a cause. In a 62-year-old, it is imperative to exclude colon cancer. You need to consult a gastroenterologist. ...Read more

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I am anemic and taking iron 65mg X2 per day. I noticed that my toenails and fingernails have a purple tint to them. Is this normal? Ekg, chest x-rays, lipid panel, BP, oxygen level, cbc all normal except hemoglobin 11.3 and ferritin 4.3.

I am anemic and taking iron 65mg X2 per day. I noticed that my toenails and fingernails have a purple tint to them. Is this normal? Ekg, chest x-rays, lipid panel, BP, oxygen level, cbc all normal except hemoglobin 11.3 and ferritin 4.3.

Anemia: Your anemia probably from blood loss, that is the most common reason to be anemic in a female of your age provided you still menstruate. The purple tint to the nails does not sound like from the mild anemia you claim, some it could be from vasospasm, Are you a smoker that can cause peripheral vascular problem. ...Read more

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What might it mean if ferritin is normal range, but hgb is slightly low? Does that mean anemic?

Two separate issues: Anemia can be due to many causes, including deficiency of iron and. Normal ferritin means that body stores of iron are okay. There are other causes of anemia, e.g., excessive menstrual blood loss, deficiency of folate (folic acid) and/or B12. ...Read more

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Hi I've been anemic for almost 3 years now ranging from 90 - 110 g/l. My most recent test was 101 g/l. My ferritin and B12 are good. What could cause?

Anemia needs work-up: I generally regard anemia as a symptom that something IS going on. It is not really an answer in of itself. From a GI PERSPECTIVE ONLY: Have you been tested for celiac disease, H pylori infection? Have you undergone EGD and colonoscopy? Are you taking long-term omeprazole/lansoprazole/pantoprazole (PPI medications)? These interfere with nutrient absorption. FROM NON-GI perspective, see hematologist ...Read more

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Can lower than normal serum iron cause symptoms even if iron stores / ferritin is normal? Non-anemic.

Can lower than normal serum iron cause symptoms even if iron stores / ferritin is normal? Non-anemic.

If the total red: Blood cell count, hemoglobin, hematocrit are normal, a low iron count with normal ferritin should not cause any major problem. Get reassurance from your pcp or hematologist. Take care! ...Read more

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For 57+ female with Anemia (Hb 11.1) what are the possible causes of low ferritin (39) but decent B12 (498)?

For 57+ female with Anemia (Hb 11.1) what are the possible causes of low ferritin (39) but decent B12 (498)?

Menstrual blood loss: In women the commonest cause of iron deficiency anemia is excessive blood loss through menstruation. It can generally be made up by taking oral iron supplement and a multivitamin. It would be good idea to see a doctor to exclude other causes. ...Read more

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If my RBC is slightly elevated, hemoglobin and hemocrit are normal with low ferritin, would I be considered anemic? My dr wants to start supplements.

If my RBC is slightly elevated, hemoglobin and hemocrit are normal with low ferritin, would I be considered anemic? My dr wants to start supplements.

Iron Deficiency: What is your serum iron and iron binding capacity? If your iron is low and iron binding capacity is high, then you have iron deficiency and you need to be on iron supplement. Also how did they describe the morphology of your red cell? Did they say they are pale and lack iron check with your doctor. If you have to start take a Gluconate supp with Vit C. Good luck. ...Read more

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My 6yo was checked for anemia. Cbc with diff, retic, iron, TIBC, all WNL. Ferritin was 27 with the normal range 10-140. Is she considered anemic with the ferritin on the lower end of normal?

No, not anemic!: Anemia is a measure of the percent of red blood cells in her blood which you state is within normal limits. We believe that ferritin is the best single measure of body iron in her body, not just in her blood cells, but also her marrow and her liver, etc. Whenever you make a make a measurement you have to know what you are measuring. ...Read more

Dr. Steven Ginsberg
1,285 Doctors shared insights

Anemia (Definition)

Any condition where there is a decrease in the red blood ...Read more