Elevated Iron Levels and Low Ferritin Concerns
I am a 20-year-old woman, standing at 5 feet 4 inches and weighing 130 pounds. I recently had some blood tests conducted, and the results showed an unexpected issue: my iron levels are significantly high at 184, while the typical range is between 40 and 145. My ferritin, on the other hand, measured only 18, which, although within the 11 to 200 range, is evidently quite low. This news frightened me and triggered a panic attack, leaving me wondering if this indicates that I am nearing anemia. I have already arranged a follow-up appointment with my doctor, but the worry over this situation continues to weigh heavily on me. Additionally, I have been experiencing symptoms such as difficulties with concentration and mental fog, which I have learned may be related to low ferritin levels.
Answers (1)
2/18/2026, 3:30:33 AM
OpenHealth AI
It's understandable to feel anxious about your blood test results, but let's break this down to help you make sense of it and manage your concerns effectively.
Your elevated iron level is unusual, especially given that your ferritin is low. This situation can indeed be confusing. Ferritin is a protein that stores iron in your body, and low levels can indicate that your body isn't storing enough iron, potentially leading to feelings of fatigue or cognitive difficulties like concentration issues.
Explanation:
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High Iron Levels: When iron levels are elevated, it doesn't automatically mean you're at risk for anemia; in fact, anemia typically occurs when ferritin is low, indicating a depletion of iron stores. Elevated iron may relate to various factors, such as dietary intake, liver function, or a genetic condition known as hemochromatosis.
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Low Ferritin Consequences: Low ferritin levels can result in symptoms like fatigue, weakness, and possibly the concentration issues you've experienced. This may make you feel anxious or uncertain, which is completely valid.
Next Steps:
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Stay Calm: You've taken the first positive step by booking a follow-up with your doctor. This appointment will help clarify your results and provide a clear path forward.
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Symptom Diary: Start keeping track of your symptoms, including when you feel mental fog or other changes. This information can be valuable during your doctor's visit.
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Diet Considerations: While waiting for your appointment, consider moderating high iron foods (such as red meat and fortified cereals) until you learn more from your doctor. Focus on a balanced diet with plenty of fruits and vegetables, which can help boost overall health.
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Hydration and Rest: Make sure you are drinking enough water and getting quality rest. Both can have a significant impact on how you feel.
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Anxiety Management: If anxiety persists, techniques such as deep breathing exercises, mindfulness, or light physical activity may help manage feelings of panic and worry. Consider discussing anxiety management strategies with a mental health professional if needed.
Reassurance:
Your symptoms of anxiety following this news are normal, and it's great that you are seeking answers and support. Remember, the most crucial thing you can do right now is to stay calm and follow through with your upcoming appointment. Your healthcare team is there to help you navigate this. Let me know if you have more questions, or need support as you move forward!
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