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[QUOTE=trmitche;3385306]My ferritin level has been tested and is at 5. My TIBC has also tested high, though I don't remember the number. My cbc, including hemoglobin, came back normal. I am feeling the symptoms of anemia, cold (especially fingers and feet), lightheadedness, etc. I have very heavy periods, so the doctor does want me to see an ob/gyn and probably have a hysterectomy. But, is is normal to have such low ferritin levels and still have normal complete blood count? Since the hemoglobin is normal, does that mean I'm not anemic? Should I be feeling the symptoms?

Thanks![/QUOTE]

Yes, you can have very low ferritin with normal hgb. I have been going through this for over three years now. This past fall, I had my usual Ferritin, CBC, TIBC and show that my ferritin level had fallen from 49, I then went to IV iron infusion, and 8 weeks later, my level was at 9. Now mind you I had several sinus surgeries during that time. I think I was lossing blood, but not so much to indicate anemia. I had all the symptoms of anemia while my ferritin was dropping. With your levels being so low, you should talk to you doctor about getting IV iron infusion, if only talking pills, it will take you months to get your levels up.
Also, you should have your thyroid, TSH, freeT4, freeT3, TPO (AB) levels checked. All my doctors wanted me to have a hysterectomy, but almost nearing menopause, I am trying to hold off on that. I am hypothyoid and I believe most of my ferritin issures are related to that and maybe some having to do with heavy periods. The periods will end soon, I hope, but at least I get to keep my body parts which I still need even after menopause.
Most doctors, as in my case, will not take much interest in low ferritin unless your hgb is low, but I go to a hematologist who takes levels below 50 should be treated even in light of high or normal hgb.
Is your hair falling out or thinning? That is another sign that you need to get your ferritin higher at least to 70. Hope you find your answers soon, but I would look into everything before a hysterctomy.
Do have you thyroid hormones checked too and get a copy of the lab report.

There can be a huge difference between "normal range" and optimal range for thyroid hormones.

Optiamal TSH is low, around 1.0 (though the lab reports and some doctors will call as high as 3.5 or even 5.5 "normal", that is NOT optimal).

Ferritin is iron stores. Low ferritin can make you feel bad & often goes along with un-treated and/or un-diagnoesed hypothyroidism.

Optimal ferritin is between 70 - 90 for women.

Go to the thyroid message board on this site.

My daughter is at UVA, first year. She has met lots of people from northern VA. She loves UVA. We live is South Carolina.





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