How come my ferritin level is 7 and iron 135 can you explain why i am so tired if high?

Ferritin levels and iron levels are often used together to assess iron status in the body. While high iron levels can sometimes indicate an iron overload condition, low ferritin levels can suggest iron deficiency. In your case, your ferritin level is only 7, which is considered low, and your iron level is 135, which is within the normal range. This suggests that you may have iron deficiency anemia. Anemia occurs when the body does not have enough healthy red blood cells to carry oxygen to the tissues and organs. This can cause fatigue, weakness, pale skin, shortness of breath, and other symptoms.

Iron deficiency anemia can have several causes, including:

- Insufficient dietary intake of iron-rich foods

- Poor absorption of iron from the digestive tract

- Chronic blood loss, such as from heavy menstrual bleeding or gastrointestinal bleeding

It's important to see your doctor to determine the cause of your low ferritin and high iron levels and to receive appropriate treatment. Treatment for iron deficiency anemia typically involves taking iron supplements to increase iron stores in the body. In some cases, underlying medical conditions that may be contributing to iron deficiency, such as gastrointestinal bleeding, may also need to be addressed.