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Hello and thank you for the question.
Answers given are for informational purposes only and are not meant to replace an exam by an in-person.
I am Dr. Sohaib, a practicing Internal Medicine Specialist and i will do my best to help you today.
You need to answer a few questions first which will help me assist you in a better way.
When was the test done?
Any concurrent medical illness you have like liver disease or chronic infection?
Are there any medications you take?
Thank you very much for the useful information Bill.
The levels are high, and a matter of concern requiring further evaluation.
But honestly, if other tests like ESR/CRP were normal, i would simply repeat the test after few days as this slight elevation in ferritin levels may represent a non-specific inflammation or a sub clinical infection in your body, which other tests failed to pick.
If the levels remain persistently high, then other tests should be done for closely related conditions like hemochromatosis, any form of liver disease (all chronic liver conditions can give you high ferritin), blood disorders etc.
The levels of ferritin in malignancy are usually VERY HIGH, in several thousands in general.
If you do not have any other symptoms, and if all the other tests are normal, i would not consider a cancer/malignancy on the top.
At this point, i will suggest you to keep your self calm and relax.
Avoid food rich in iron.
And get the test repeated after 2 weeks.
If the levels remain high, a further evaluation should be done keeping in view all the differentials i just mentioned.
I would have been worried too if I were at your place, but let me reassure you that this does not sound serious at all.
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As i already mentioned that any form of liver disease can give you high ferritin levels.
In the initial stages, this represents just an inflammation going on in the liver.
In advanced liver disease, this elevation of ferritin represent iron overload.
If you are over weight, try reducing your weight by exercise daily and by diet modification.
Repeat the test after few weeks, and most likely this will improve if it is due to fatty liver.
I hope this clarifies.
Yes in almost all of the cases.
However, Iron might be low in advanced liver disease if the patient has bleeding (such patients bleed a lot in the stomach and other parts of body).