Brief Answer:
Unusual picture of high iron and low ferritin, further investigations requi

Detailed Answer:
Hello,
Thanks for posting your query on Ask A Doctor forum.
I have gone through your lab report.
The iron profile picture shows high iron levels with high total iron binding capacity and normal saturation but ferritin is still low.
This is an unusual situation since total iron binding capacity (TIBC) is sensitive to iron levels.
High iron levels lead to low TIBC.
High iron in serum is not being converted to stored form of iron I.e. ferritin.
I suggest you to consult a hematologist for further investigations.
Certain advanced investigations - transferrin receptors and zinc porphyrin also need to be done.
A bone marrow aspiration needs to be done to look for iron stores in bone marrow.
The investigations suggest that serum iron is not being converted to ferritin.
The cause for this needs to be found out to plan management.

Thanks and take care
Dr Shailja Puri

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