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I have similar issues (ferritin levels of 3, 9, etc.). Mine is most likely caused by heavy periods coupled with an inability to absorb iron because of daily use of prilosec to treat GERD caused by a hiatal hernia.

I can tell when my ferritin level is bottoming out because I become depressed, my hands and feet are freezing and really hurt. I have severe restless leg syndrome, but no rapid heartbeat.

When my saturation falls and I actually become anemic, all of the above symptoms worsen. In addition, I also have a "heart flutter" (that's my term, not the dr's) and I eat ice like crazy.

I see a hematologist for iron infusions every 4-5 months. He says that it is unusual to exhibit symptoms of anemia with just a low ferritin level, but: "everyone is different".

I hope this helps.

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