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What is the Treatment of Increased Ferritin?

Published in Iron Overload Treatment 2 mins read

Increased ferritin levels often indicate high iron levels in the body. The treatment approach depends entirely on the underlying cause. Simply having high ferritin doesn't automatically necessitate treatment.

Understanding High Ferritin

High ferritin, or hyperferritinemia, can stem from various conditions, not all related to iron overload. Ninety percent of elevated serum ferritin cases are not due to iron overload [RACGP]. Therefore, a blanket treatment isn't suitable. The primary goal is to identify and address the root cause.

Treatment Options Based on Underlying Cause

  • Iron Overload Disorders (e.g., Hemochromatosis): For conditions like primary hemochromatosis, where the body absorbs and stores excessive iron, the standard treatment is phlebotomy [Mayo Clinic, Cleveland Clinic]. This involves regularly removing blood to reduce iron levels.

  • Non-Iron Overload Conditions: In most cases of elevated ferritin, the cause isn't iron overload. Treatment focuses on managing the underlying condition. This might include:

    • Observation: In some cases, especially if there are no symptoms and the ferritin elevation is mild, monitoring may be sufficient [PMC].
    • Addressing the underlying cause: This varies depending on the condition causing the elevated ferritin. It could involve managing inflammatory diseases, liver disorders, or other health problems.
    • Medication Adjustments: Certain medications can affect ferritin levels. If medication is the culprit, the dosage may need adjustment or a medication change.
  • Avoiding iron supplements: If iron overload is a concern, it's essential to avoid supplements containing iron [Mayo Clinic].

Important Note: The information provided here is for general understanding. Always consult a healthcare professional for diagnosis and treatment of high ferritin. Self-treating can be dangerous. They will conduct necessary tests to determine the cause and recommend the appropriate course of action.

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