Also Known As
Serum ferritin
Formal Name
Ferritin, serum
This article was last reviewed on
This article waslast modified on
24 April 2018.
At a Glance
Why Get Tested?

To help assess the levels of iron stored in your body

When To Get Tested?

When your doctor suspects that  you have either too little or too much iron in your system

Sample Required?

A blood sample taken from a vein in your arm

Test Preparation Needed?

You may be instructed to fast for 12 hours before the test; in this case, only water is permitted.

On average it takes 7 working days for the blood test results to come back from the hospital, depending on the exact tests requested. Some specialist test results may take longer, if samples have to be sent to a reference (specialist) laboratory. The X-ray & scan results may take longer. If you are registered to use the online services of your local practice, you will be able to access your results online.

If the doctor wants to see you about the result(s), you will be offered an appointment. If you are concerned about your test results, you will need to arrange an appointment with your doctor so that all relevant information including age, ethnicity, health history, signs and symptoms, laboratory and other procedures (radiology, endoscopy, etc.), can be considered.

Lab Tests Online-UK is an educational website designed to provide patients and carers with information on laboratory tests used in medical care. We are not a laboratory and are unable to comment on an individual's health and treatment.

Reference ranges are dependent on many factors, including patient age, gender, sample population, and test method, and numeric test results can have different meanings in different laboratories.

For these reasons, you will not find reference ranges for the majority of tests described on this web site. The lab report containing your test results should include the relevant reference range for your test(s). Please consult your doctor or the laboratory that performed the test(s) to obtain the reference range if you do not have the lab report.

For more information on reference ranges, please read Reference Ranges and What They Mean.

What is being tested?

Within cells, iron is stored bound to protein, forming complexes called ferritin and haemosiderin. Ferritin is the main storage complex and is present mostly in the liver, but also in the bone marrow, spleen, and muscles. Small amounts of ferritin also circulate in the blood. The ferritin concentration within the blood stream reflects the amount of iron stored in your body.

How is the sample collected for testing?

A blood sample is taken by needle from a vein in your arm.

Is any test preparation needed to ensure the quality of the sample?

You may be instructed to fast for 12 hours before the test; in this case, only water is permitted.

Accordion Title
Common Questions
  • How is it used?

    The ferritin blood test is requested to see how much iron your body has stored for future use. It is the most useful indicator of iron deficiency, as the ferritin stores can be significantly decreased before any fall in serum iron occurs.

    If iron excess is suspected, ferritin may be requested in combination with an iron test and either total iron binding capacity (TIBC), unbound iron binding capacity (UIBC), or transferrin saturation (TSAT). An elevated ferritin in combination with a high iron level and either a low TIBC, low UIBC or an elevated TSAT is diagnostic of iron overload.

  • When is it requested?

    Ferritin is most often requested when a doctor thinks a patient has too little iron in their system. Low iron levels can lead to anaemia and the production of red blood cells that are small (microcytic) and pale (hypochromic). If these typical changes are seen on a “full blood count” then ferritin can be measured to confirm a diagnosis of iron deficiency anaemia.

    The test may also be requested when your doctor suspects you have too much iron stored in your body. Iron overload occurs in hereditary haemochromatosis (a genetic disorder which causes too much iron to be absorbed from the diet) but can also occur as a result of repeat blood transfusions and in alcoholics with liver disease.

     

  • What does the test result mean?

    Ferritin levels are low in long-term iron deficiency. Ferritin may also be decreased if your body's protein levels are very low, as in some cases of malnutrition.

    Ferritin levels are high in states of long-term iron overload, especially in haemochromatosis. However, ferritin levels can be high for a number of other reasons including inflammatory conditions and liver disease. Further investigation is therefore required before a diagnosis of iron overload can be made.

  • Is there anything else I should know?

    Most ferritin is located within the cells of the body, with only a small amount in the blood. When there is damage to organs that contain ferritin (especially the liver, spleen, and bone marrow), ferritin levels can become raised even though the total amount of iron in the body is normal. . Ferritin is therefore a less useful indicator of iron status when measured in people with liver disease, long-term infections, cancer or autoimmune diseases (which are all associated with organ damage).

  • Is iron deficiency the same thing as anaemia? What are the symptoms?

    Iron deficiency refers to a decrease in the amount of iron stored in the body, while anaemia refers to a drop in the number of red blood cells (RBCs) and/or the amount of haemoglobin within the RBCs. Prolonged iron deficiency can cause a form of deficiency called iron deficiency anaemia. Iron deficiency anaemia typically presents with the finding of decreased numbers of pale (hypochromic) and small (microcytic) red blood cells on a full blood count. It is usually several weeks after iron stores are depleted that the level of haemoglobin and production of RBCs are affected and iron deficiency anaemia develops.

    There are usually few symptoms early in iron deficiency. However, as the condition worsens and anaemia develops, ongoing weakness and fatigue can occur.

    As the iron levels continue to be depleted further, additional symptoms of anaemia may be present such as shortness of breath and dizziness. If the anaemia is severe then chest pain, headaches, and leg pains may also occur.

    Other symptoms characteristic of iron deficiency can also occur. These include pica (cravings for specific substances, such as liquorice, chalk, dirt, or clay), a burning sensation in the tongue or a smooth tongue, sores at the corners of the mouth, and spoon-shaped finger- and toe-nails.

    Children with iron deficiency can develop learning (cognitive) disabilities.

  • Does anaemia due to iron deficiency happen quickly or does it take a long time?

    Iron deficiency anaemia develops gradually. When your rate of iron loss exceeds the amount of iron you absorb from your diet, the first thing that occurs is that iron stores are used up. In this stage, ferritin will be low, but blood iron levels are usually normal and there is no anaemia. If iron deficiency continues, blood iron levels fall, and red blood cells may start to become small (microcytic) and pale (hypochromic) but an adequate number of red blood cells is initially maintained. With prolonged or severe iron deficiency, anaemia develops.

  • What are signs of iron overload in my system?

    The most common symptom is joint pain, as iron accumulates in your body, usually in your joints. Other symptoms include tiredness and lack of energy, abdominal pain (pain around the stomach area), loss of sex drive, and heart problems. Some people, however, have no symptoms of this condition.

  • What foods contain the most iron?

    Haem-iron is the easiest form of iron for the body to absorb. It is found in meats and eggs. Non-haem iron is found in a wide variety of plants and in iron supplements. Iron-rich sources include: dark green leafy vegetables, (such as spinach, watercress and curly kale), iron-fortified breads, apricots, raisins, and nuts. However, the amount of iron that is absorbed in the gut can also be altered by other substances in your diet, such as Vitamin C. If you have been diagnosed with iron deficiency anaemia or you are pregnant or breast feeding, vitamin pills or tablets may be needed to provide extra iron. Ask your doctor about the right supplement for you.

  • My friend told me I can take too much iron — is that right?

    Unless you have iron deficiency or eat a diet low in iron (often associated with a vegetarian or vegan diet) you probably don't need extra iron supplements. If you take in much more iron than is recommended, you may develop haemosiderosis, which causes a rise in blood iron and ferritin levels. If you have an inherited disorder called hereditary haemochromatosis, taking extra iron can cause more rapid iron accumulation and possibly accelerate the rate of damage to your organs.