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As I said in my post:

[url]http://www.healthboards.com/boards/showthread.php?t=493350&page=2[/url]

Ferritin is the first indice to fall in a pre-deficiency or deficiency situation. In a deficiencey situation there exists a depletion of iron stores without anemia, which then progresses to anemia. In the literature, iron depletion as definied varies, and can be very low in terms of ferritin, sometimes well below the low end of the range, while some use broader cut offs which are higher.

At the point of depletion, there is usually some evaluation made with the ferritin value and the transferrin value (which you should have measured for a proper deficiency/anemia situation.

I am 18 ferritin (range 9-?), all my drs said it is ok, since I am in range. But, I am so fatigued, I did some research and decided, maybe I would be better off nearer the optimum number. I found out that there are some articles, in particular, one by the British Medical Journal and others that look at improvement in fatigue and work/exercise capacties being improved im persons with low, but not deficient levels of ferritin. If I remember correctly, the study stated that persons with impariment, but not deficiency or anemia, but with low ferritin saw improvement with supplementation. Any persons with ferritin above 50 did not see any of these improvements.

With celiac, obviously iron absoprtion and other vitamins is impaired. It seems as though you have a good dr to be monitoring your iron status. So, I would follow your dr advice with supplemtation. I would head for the 50 range, why not? If you are not feeling particularly fatigued, just continue with the supplements and monitor the levels periodically.

Are your other markers ok? like hemoglobin and MCV?

I have a friend who has celiac and before it was diagnosed she had extremely low levels of b12, which can cause many problems in a deficiency and anemia situation - neurological and psychiatric. I would also have my serum b12 measured, and if it is not optimum (500 or above) try supplementing yoursef or ask for IM shots. :)





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