Ferritin Blood Test
Apr 3, 2026
Ferritin Blood Test
A ferritin blood test measures your body's iron stores—making it the most sensitive and important marker for detecting iron deficiency, often falling to low levels months or years before haemoglobin drops or anaemia develops, and before symptoms like fatigue, hair loss, and brain fog become severe. Ferritin is also a crucial marker for iron overload conditions and can indicate inflammation.
At Blood Test London, ferritin testing costs from £245 with results in 2-3 days. A doctor always reviews every result.
Why Ferritin Is So Important
Ferritin vs Other Iron Tests
Test | What It Shows | Sensitivity |
|---|---|---|
Ferritin | Iron STORES (reserve tank) | First to fall, most sensitive |
Serum iron | Iron in blood RIGHT NOW | Fluctuates daily |
Haemoglobin | Oxygen-carrying capacity | Falls late (anaemia stage) |
TIBC | Iron-binding capacity | Less specific |
Key insight: You can have "normal" haemoglobin but LOW ferritin—meaning you're depleted but not yet anaemic. This is when symptoms often begin but get dismissed.
Understanding Ferritin Levels
Reference Ranges
Ferritin (μg/L) | Interpretation |
|---|---|
Below 15 | Deficient (iron stores depleted) |
15-30 | Low (suboptimal, may cause symptoms) |
30-70 | Low-normal (functional in some) |
70-150 | Optimal for most people |
150-300 | Upper normal |
Above 300 | High (investigate cause) |
"Normal" vs "Optimal"
Critical point: Many labs report ferritin "normal" above 15-20 μg/L. But:
For optimal energy: Aim for 70-100+ μg/L
For hair growth: At least 70 μg/L, ideally 100+
For athletic performance: 50-100+ μg/L
For pregnancy: 70+ μg/L before conception
You can feel terrible with "normal" ferritin of 20.
Symptoms of Low Ferritin
Even before anaemia develops:
Physical Symptoms
Fatigue and exhaustion
Breathlessness on exertion
Hair loss and thinning
Brittle nails
Restless legs
Cold hands and feet
Pale skin
Dizziness
Cognitive/Emotional
Brain fog
Poor concentration
Anxiety
Low mood
Irritability
Other
Frequent infections
Poor exercise recovery
Pica (craving ice, dirt)
Heavy periods (cause AND effect)
Who's at Risk of Low Ferritin?
Group | Risk Factor |
|---|---|
Women with periods | Monthly blood loss |
Pregnant women | Increased demand |
Vegetarians/vegans | Lower iron intake |
Athletes | Increased demand + losses |
Regular blood donors | Depletes stores |
Digestive conditions | Poor absorption |
Heavy coffee/tea drinkers | Inhibits absorption |
High Ferritin: What It Means
High ferritin isn't just "too much iron":
Possible Cause | Explanation |
|---|---|
Inflammation | Ferritin rises as acute phase reactant |
Infection | Same mechanism |
Liver disease | Ferritin released from liver |
Haemochromatosis | Genetic iron overload |
Metabolic syndrome | Associated with high ferritin |
Alcohol excess | Liver effect |
High ferritin needs investigation, not just monitoring.
Our Ferritin Testing Options
Ferritin Only - £245
Ferritin
Doctor interpretation
Iron Studies Panel - £295
Ferritin
Serum iron
TIBC
Transferrin saturation
Full interpretation
Fatigue Investigation Panel - £395
Full iron studies
Full blood count
Vitamin B12, folate
Thyroid function
Vitamin D
Comprehensive review
Book Your Ferritin Test
Price: From £245
Results: 2-3 days
Doctor review: A doctor always reviews every result
Fasting: Not required (but morning preferred)
Book via WhatsApp | Phone: 020 3951 3429
FAQ
What ferritin level do I need for hair growth?
Research suggests at least 70 μg/L for optimal hair growth, with some dermatologists recommending 100+.
Why is my ferritin low if I eat red meat?
Absorption issues (coeliac, gastric), heavy periods, or other losses can outpace intake. Testing identifies the problem.
Can ferritin be too high?
Yes—consistently elevated ferritin needs investigation for haemochromatosis, inflammation, or liver issues.
How long to improve low ferritin?
With supplements: typically 3-6 months to see significant improvement. Retesting at 3 months is recommended.
Blood Test London by The Wellness. Ferritin testing from £245. A doctor always reviews every result.