Question: Dear Sir, I have asked this to several doctors and I want to have your opinion as well. I'm a healthy person who sports 4-5 times a week and eat very healthy. Lots of fish and chicken and less meat. 4 years ago I have had a blood test and came out that I had a high gamma gt (80 and normal was 50 as stated and My ferritin was 257 as I remember with a HB of 9.2) and this was due to my diet and alcohol consumption as well as light smoking. I was referred to an ultrasound and it came out that I had a light / mild fatty liver. Also my cholesterol was a bit high. so I decided to change my lifestyle, so I started work outs and running for 4-5 times a week. I lost 10 kg and became 75 kg from 85 (I am 171 cm tall) and all values came normal since then. My cholesterol, lever .. etc.. I check blood every year and for this year something weird came out ( at least I think weird) My ferritin is 324 while it's stating on the report 17-230 for men.. My hb is 8.4 while it had to be minimum of 8.5-11 (but maybe this is because I sport too much?). I was suffering mild cough a week or a week and a half before the test . I also had lots of anxiety and stress the last time. Also I have eczema and nail fungal infection on foot. ( just for information to help you giving your opinion). so if this high Ferritin was from this condition, would go up quickly and then drop down slowly? I will attach my report as all other test came out normal. Crp, liver values, thyroid, Glucose, white and red blood cells...etc.. all came normal but perfect. Do I have to worry much about this value of ferritin? I have my fears and scares for this now. Note that there is no known family history (father, mother) history of hemochromatosis in the family. I don't eat much red meet as I eat fish almost everyday in the afternoon and most of time chicken in the evening. One more update, I'm consume alcohol in the weekend.. Mainly red wine. Like 5-9 glasses of wine in one weekend Value of ferritin indicated is in μg/l Can the mild cough and or stress could have caused the high ferritin while CRP is normal value? how quick does Ferritin and CRP raise due an infection and how quick it does reduce? I have been told that stress can reduce the HB a little bit and also result some higher ferritin. My gp wasnt worried about these results and because I was worried he suggested another test after 3 months. The last couple of weeks before test I didn't eat well, could HB get little lower in 2-4 weeks because of bad to less eating? I await your answer and information and sorry for this mixed information. Thanks for your time, regards, XXXX

Anemia of only 0.1 less than minimum? What about the information I gave. Sport. The questions I asked about how crp decrease and increase .. I have given you much information to see what you think.!!! Chromic disease ? What about my stress? the cough? etc? Thyroid disease? My value of the thyroid test is normal (TSH)

Do you have some information about inflammation or infection and acute protein reaction? I am writing you something about the cough and how could that be affecting? Also the last month because of anxiety I didnt eat well.. And had lots of stress... Doesnt stress react like infection? It does something with the immune system or am I wrong? To be honest, I now asked several GP's and one specialist. They didnt mention a huge concern. I have never had chronic anemia. I have never had anemia at all. This is the first time. as I wrote, back in 2010 I had a hb of 9.2 and my ferritin was 257 which was high as well.. Since then my gp didnt order the ferritin test for me.. I have checked my HB now for 3 times after 2010 and all values were good. Last one was 8.7 some websites are stating 8.1 as a border of anemia.. I still have 8.4 !! YOu already have made your diagnosis basis on this information? That I have an anemia of chronic disease? I will attach my report as it maybe will help you reviewing your answer? Thanks for understanding. I just remembered something . I have fungal nails after a long duration fungal infection on my left foot.. 4 nails are infected. Could this be something which effects ferritin?

After another consult with a Gastroenterologist here she told me that fungal nail infection Is a kind of chronic infection where ferritin can react on. I have consulted several gps and they reassured me that I don't have to worry and just redo the test in 3 months. They also told me that it might even be die to stress and the body reacts on stress as inflammation like.. Which can decrease the hb a little as well. They also were not concerned about my hb at all. As it also might be due to sport I do, where the blood will continue more plasma and become lighter, so it might be a false anemia.. You didn't inform me how quick the ferritin can go up.. And how quick it drops down if it was due to acute infection ? Does it react else than crp? How does crp react? Sure if you know and are sure about the info. If not then it's not important but just let me know. Chronic disease is in my case a little strange cause I have tested for hepatitis and hiv 3 years ago and haven't have any risks after the test.. Also I have no chronic colon or stomach disease as there were scopies done 2-3 years ago. My liver was also screened by ultra sound 3 years ago and came out with a light fatty liver. Probably from alcohol. My thyroid and kidney values are perfect here. I have no symptoms at all. I feel good and have a very good condition. I hope I have been clear in the information given and if you have any question just let me know.

Dear As per report.. Hb in the lab I have done the test states (8.5 - 11) and it's deferent from lab to lab as I am told. So it's less in 0.1. But you don't go in details of sport and hb.. Also how ferritin reacts.. You answers are too general and doesn't go in details in my case.. Also I wanted to know if ferritin acts exactly like crp? And if ferritin elevates if crp elevates or not.. But thanks a lot.. Just wanted to thank you and I will close this case after your answer My gp didn't advise me to treat the nail fungal as it can raise the liver values .. So I'm thinking to treat it by laser.

Gamma GT was raised back in 2010.. But now not any more. You didnt look to the report I attached, please have a look. The alat and other liver values are there. All normal.. fatty liver was very mild and it must be released by following the diet and sport as the gamma gt was low again. my kidney as well as thyroid function are stated on the report as well.

doctor, i was consulting you for my ferritin. This is my concern. Not my fungal. I wanted to know your opinion. You finished by diagnosing me that I have a chronic infection.. So my fungus nail is a chronic infection which can raise the ferritin then.. or not? And you also said that I have anemia of chronic infection (anemia when having a 0.1 less than the value required). Well.. would ferritin be this low? and why crp is 1? so normal..