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Ferritin Test

Up to date🔬 Evidence: StrongHematology
Diğer adları: Ferritin level, Iron stores test, Serum ferritin
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Discuss your test results with your doctor. This page is for informational purposes only and does not provide a diagnosis.

Key Facts

• Primary indicator of the body's iron stores • Also an acute phase reactant — may rise with infection or inflammation independently of iron status • Low ferritin strongly suggests iron deficiency • High ferritin requires clinical context (inflammation, liver disease, or iron overload)

🧪 What Does This Test Measure?

The ferritin test measures the level of ferritin protein in the blood, which is the primary indicator of the body's iron stores.

📋 Why Is It Ordered?

Ordered for iron deficiency and iron deficiency anemia evaluation, investigation of unexplained fatigue or hair loss, and assessment of elevated ferritin levels.

🔧 Preparation

Fasting is generally not required for this test. However, some centers prefer morning collection under fasting conditions.

📊 Reference Ranges

Iron deficiency: <15 µg/L (healthy adults) With inflammation: <30 µg/L (children), <70 µg/L (adults) may still suggest iron deficiency Normal range varies by age, sex, and laboratory ⚠️ Reference ranges vary. Discuss your results with your doctor.

⬆️ High Values

Elevated ferritin may be associated with infection, inflammation, liver disease, alcohol use, or iron overload (hemochromatosis). High ferritin does not always mean excess iron.

⬇️ Low Values

Low ferritin strongly suggests iron deficiency. It may be associated with inadequate dietary iron, malabsorption, chronic blood loss, or increased requirements such as pregnancy.

⚙️ What Can Affect Results?

Certain conditions may make ferritin less reliable as a reflection of iron status: infection, inflammation, liver disease, obesity, alcohol, iron supplements, and timing.

🔬 Evidence Summary

Strong evidence: 2 guidelines, 2 systematic reviews, 3 reviews.

Key Takeaways

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What you learned: Ferritin is the primary marker of iron stores, but it also rises with inflammation. Low ferritin almost always suggests iron deficiency; high ferritin should be interpreted alongside clinical context.

A ferritin result alone cannot diagnose iron deficiency or iron overload. Inflammatory markers and clinical context are needed for definitive evaluation.

🔬 Sources Used on This Page

7 sources · Most recent publication: 2022
📋
Guideline
Expert society and guideline recommendations
2
sources
📊
Systematic review / meta-analysis
Combined analysis of multiple studies
2
sources
📖
Review
Comprehensive topic evaluation
3
sources
Overall assessment: Evidence level for this topic is strong. This page is supported by 2 guidelines, 2 systematic reviews/meta-analysis, 3 reviews.

📝 Questions to Ask Your Doctor

Be prepared for your appointment. Add questions to your list.

Last reviewed: 3/26/2026
Next review: 6/26/2026

⚖️ Comparisons

Ferritin vs Serum IronB12 vs Ferritin

🔗 Related Topics

🩺 Iron deficiency anemia🩺 Hemokromatoz🧪 Hemogram (Tam kan sayımı)🧪 Demir bağlama kapasitesi (TDBK)🧪 Transferrin satürasyonu🧪 CRP (C-reaktif protein)
⚖️ This page does not replace medical advice. Make treatment decisions with your doctor.
Content is based on scientific studies indexed in PubMed and current clinical guidelines.