When your body runs low on ferritin levels, a protein that stores iron and releases it when needed. Also known as serum ferritin, it’s the best indicator of how much iron your body has tucked away for future use. If your ferritin drops too low, you’re not just tired—you might be heading toward iron deficiency anemia. But high ferritin? That’s not always about too much iron. It can mean inflammation, liver trouble, or even chronic disease.
Think of ferritin like your body’s emergency savings account for iron. When you eat red meat, spinach, or fortified cereals, your body turns some of that iron into ferritin and stores it in your liver, spleen, and bone marrow. When you need it—like when you’re making new red blood cells or recovering from blood loss—your body pulls from that reserve. Low ferritin means that reserve is empty. You might feel exhausted, dizzy, or get strange cravings for ice or dirt. High ferritin? It could be from too much iron, but more often it’s your body’s reaction to infection, arthritis, or even heavy drinking. Doctors don’t just look at ferritin alone. They check your hemoglobin, hematocrit, and transferrin saturation to get the full picture.
It’s not just about being anemic. People with chronic conditions like kidney disease, heart failure, or long-term inflammation often have low ferritin even if their diet is fine. Athletes, especially women, can burn through iron fast. Pregnant women need more. And if you’re taking acid blockers or have celiac disease, your body might not absorb iron well—even if you’re eating plenty. That’s why ferritin levels matter more than you think. They’re not just a lab number. They’re a clue to why you’re always tired, why your hair is falling out, or why you can’t catch your breath climbing stairs.
What you’ll find below are real, practical guides that connect ferritin to the medications, supplements, and health conditions that affect it. You’ll see how drugs like proton pump inhibitors or thyroid meds can mess with iron absorption. You’ll learn why people with heart failure or metabolic syndrome often have low ferritin. And you’ll find out how to spot hidden causes behind stubborn fatigue that no one else seems to notice. This isn’t theory. It’s what people actually deal with—and what works when the basics don’t.