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I have read the posts on here concerning ferritin levels. I have been anemic for over a year. A new doctor ordered the ferritin test. I ALWAYS request a copy of any medical tests to keep on file at home so I am knowledgable of the information. (I urge others to get and keep copies of ALL tests too)

My question is this... My hemoglobin level has come up a bit, 10.5 today and it was 9.8 at the beginning of May. [B]I have a ferritin level of 5.[/B] I know that ferritin is the level of iron stored in your body. Should I be alarmed that mine is a level 5????

My doctor is on vacation, but I got the numbers from my copy of the labs.

Any advise would be welcomed.
Thanks, Stefarina
[QUOTE=Stefarina;3160830]I have read the posts on here concerning ferritin levels. I have been anemic for over a year. A new doctor ordered the ferritin test. I ALWAYS request a copy of any medical tests to keep on file at home so I am knowledgable of the information. (I urge others to get and keep copies of ALL tests too)

My question is this... My hemoglobin level has come up a bit, 10.5 today and it was 9.8 at the beginning of May. [B]I have a ferritin level of 5.[/B] I know that ferritin is the level of iron stored in your body. Should I be alarmed that mine is a level 5????

My doctor is on vacation, but I got the numbers from my copy of the labs.

Any advise would be welcomed.
Thanks, Stefarina[/QUOTE]

Yes, 5 is low. That is what I was at before I started iron supplements. Fortunately, I did not get as anemic as you are but I may have gotten to that point and my hemoglobin was on a downward trend. Pretty much it means that you have no iron stores and you need to work on building them up. It also confirms that your anemia is due to iron deficiency and not something else.
[QUOTE=Stefarina;3160830] [B]I have a ferritin level of 5.[/B] I know that ferritin is the level of iron stored in your body. Should I be alarmed that mine is a level 5????
Any advise would be welcomed.
Thanks, Stefarina[/QUOTE]
[FONT="Comic Sans MS"][B][COLOR="Navy"]When my ferritin drops below 100 my Hematologist orders an IV iron infusion (Infed). We don't go by the other numbers. (Hemoglobin, iron sat etc.) She said that those other numbers can fluctuate daily.

My low ferritin is because I had a gastric bypass and don't absorb iron orally anymore. I receive an iron infusion every 6-8 months.
Before I had a diagnosis my ferritin dropped to 10. I was dizzy and exhausted. How are you feeling? You should definitely talk to a doctor.
[/COLOR][/B][/FONT]
[QUOTE=Stefarina;3160830]I have read the posts on here concerning ferritin levels. I have been anemic for over a year. A new doctor ordered the ferritin test. I ALWAYS request a copy of any medical tests to keep on file at home so I am knowledgable of the information. (I urge others to get and keep copies of ALL tests too)

My question is this... My hemoglobin level has come up a bit, 10.5 today and it was 9.8 at the beginning of May. [B]I have a ferritin level of 5.[/B] I know that ferritin is the level of iron stored in your body. Should I be alarmed that mine is a level 5????

My doctor is on vacation, but I got the numbers from my copy of the labs.

Any advise would be welcomed.
Thanks, Stefarina[/QUOTE]
Why would you have a higher hemoglobin and lower ferritin and vice versa? Wouldn't one always be the higher/lower than the other?
[QUOTE=notorious b;3195183]I guess my question would be - I have managed to get my hemoglobin into the normal range, low 12's, but my ferritin is still low, around 5. So if my hemoglobin is going up, why wouldn't my ferritin go up?[/QUOTE]

There is a process to this.

Before you become anemic, your iron stores start to deplete. An example would be that, starting out, you had a hemoglobin of 14 and a ferritin of 70. Some disease process hits you (heavy periods, celiac disease, colon polyp) and you start bleeding. The first thing that happens is that the body starts pulling iron out of storage to keep the hemoglobin normal. So gradually, your ferritin drops from 70...72....65....40....30...all the way down to, say 10 or even lower. Then your hemoglobins starts to become affected because you no longer have storage and NOW your body has to deplete what is circulating in your blood. At this point, your hemoglobin, hematocrit, and RBCs will start to drop. The size of your blood cells will also start to shrink (MCV). Then, one day your doc tells you to take iron, or fix your bleeding, whatever. You do this. The FIRST think to get corrected will be your hemoglobin as you add iron into your bloodstream. Once your hemoglobin stabilizes, then the "extra" iron if there is enough will start going back in to storage and the ferritin will start to rise.
kjrunner - The Trichologist who i see about my hair issue, which we believe is as a result of very low ferretin levels over a number of years, uses Dr Hugh Rushton as his reference. You can look up Dr Rushton on the net. He is a doctor based in Harley Street in London and that is where the best doctors are supposed to be, or so i've heard.

The Trichologist i visit is called Tony Pearce and you can look him up on the net too. He has supplied some fairly good articles regarding iron levels, targets to reach, the affects it has on our body etc etc.

Here in Australia the pathology uses a range of 18 - 200 ug/L for ferretin. I'm not sure whether it's the same where you live as some things like B12 have a different range here compared to the USA, so when discussing figures it can get a bit confusing sometimes.

The way i look at this iron issue is the higher my ferretin levels have been the healthier i have felt and wasnt losing any hair. As my ferretin has declined over the years(fortunately no lower than 8) i have felt at rock bottom, depressed, worn out, tired, no motivation, lost half my hair and then on top of that ended up with a once healthy thyroid but now heading slowly to the danger side. This is why i dont understand gp's who tell their patients that a ferretin of 5 is ok.

I think today too many dr's check that you fall within a range and if you happen to be at the extreme bottom of that range they dont care, so long as fall within that range. That is not best practice. From what i know, depending on what your test is for, sometimes it's ok to be at the bottom of the range for some things, for other things you need to be in the middle while for other things it's healthier to be at the top of the range, just depends what you are being tested for.

I'm aware that we're all individual and we all may have varying reasons why our levels fell, but i still think dr's should take us seriously when we visit them and not simply say it's all ok or go take some pills and come back in 6mths. Sometimes i could cry when i read about people who have dr's who just dont care enough to make suggestions or try various types of things, when they must realise that the patient is suffering.





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