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Inflammation

Ferritin (Iron Stores)

In the UK, the standard clinical (NHS) reference range for Ferritin (Iron Stores) is 30-400 ng/mL, with 80-150 ng/mL considered the performance-optimised range. A result within these ranges suggests typical status; only a qualified clinician can interpret an individual reading.

Ferritin is a protein that stores iron and releases it in a controlled fashion. Blood ferritin levels are the most reliable indicator of total body iron stores. Ferritin also acts as an acute-phase reactant, meaning levels can rise during inflammation, infection, or liver disease — making interpretation context-dependent.

Last reviewed: 11 June 2026


Optimal Ranges

What is the optimal range for Ferritin?

Clinical (NHS) Range

30-400 ng/mL

ng/mL

Performance-Optimised Range

80-150 ng/mL

ng/mL

Ferritin (Iron Stores) reference ranges (UK)
RangeValueUnit
Clinical (NHS) reference range30-400 ng/mLng/mL
Performance-optimised range80-150 ng/mLng/mL

The clinical range defines what is considered medically “normal” — broad enough to cover 95% of the population. The performance range reflects where research and clinical experience suggest most people feel and function at their best. A result in either range suggests typical status and is not a diagnosis; any individual reading should be interpreted by a qualified clinician.


Why It Matters

Why Ferritin matters for performance

Iron is essential for oxygen transport, energy production, and cognitive function. Low ferritin — even within the 'normal' clinical range — is one of the most underdiagnosed causes of persistent fatigue in active men. Athletes and men who train regularly deplete iron through sweat, foot-strike haemolysis, and increased red blood cell turnover. Ferritin below 50 ng/mL in an active man often correlates with reduced endurance, poor recovery, and unexplained performance plateaus.


Symptoms

What are the symptoms of low or high Ferritin?

Low / Deficiency

  • Persistent fatigue despite adequate sleep
  • Breathlessness during training
  • Pale skin and dark circles
  • Restless legs
  • Cold hands and feet
  • Reduced training capacity

High / Excess

  • Joint pain
  • Abdominal pain
  • Skin bronzing
  • Liver damage (haemochromatosis)

Dietary Sources

Which foods support Ferritin levels?

Red meat (beef, lamb)Liver and organ meatsDark poultry meatLentils and chickpeasSpinach and dark leafy greensFortified cereals

Supplementation

How do you improve Ferritin levels?

Iron bisglycinate is the preferred supplemental form due to superior absorption and fewer gastrointestinal side effects. Typical dose: 25-50 mg elemental iron daily, taken with vitamin C (200 mg) to enhance absorption. Avoid taking with calcium, tea, or coffee which inhibit absorption. Iron supplementation should only be initiated when ferritin is confirmed low — excess iron is toxic. Retest at 90 days.


Testing

How is Ferritin tested in the UK?

Ferritin is measured from a blood sample. With Helvy, that means a finger-prick kit taken at home and posted to a UKAS-accredited UK laboratory, with results in around 5 days, reviewed by a qualified clinician. Your result is reported against both the clinical range (30-400 ng/mL) and the performance-optimal range (80-150 ng/mL), so you can see not just whether you are “normal” but whether you are optimal. If you make a change, retest after 8-12 weeks to confirm it worked.


Research

Key study

Iron deficiency without anaemia is a potential cause of fatigue: meta-analyses of randomised controlled trials and observational studies

Houston BL, Hurrie D, Graham J, et al.

BMJ Open (2018)

DOI: 10.1136/bmjopen-2018-022199

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This content is for educational purposes only and does not constitute medical advice. Your data suggests areas for optimisation, but any concerns should be discussed with a qualified healthcare professional. If your results flag values outside safe ranges, we recommend consulting your GP.