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If the Ferritin level was accurate it means you've used up your stores keeping the Hgl levels up and you may become anemic in the near future. My ferritin level is alwyas extremely low but I'm not always anemic. The fact that you've been thru this before leads me to believe that if you're diligent about taking your iron anemia could be avoided. My hematologist keeps a close watch on both my Hgl and Ferritin and if both are bad I'm given IV iron as my body does not absorb iron well.

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