20/09/2026
A ferritin result can look beautifully reassuring while the rest of the bloods are asking some fairly awkward questions.
This client’s ferritin was 111, comfortably within the laboratory range (although slightly high for a menstruating woman)
But ferritin can also rise in response to inflammation, so we didn’t assume that one normal result told us everything about her iron status.
We tested further.
Her serum iron was sitting down at 9. Her transferrin was below range. Her MCV and MCH were also low, meaning her red blood cells were smaller and carrying less haemoglobin than expected.
Does this automatically confirm iron deficiency? No.
It raises more questions about inflammation, iron availability and other possible causes of low MCV and MCH. It gives us a reason to investigate further.
Your blood results are a pattern, not a collection of isolated numbers waiting to turn red.
Comment TIRED and we will send our iron pathology guide straight to you!