WHAT YOUR BLOOD WORK MIGHT MISS

Iron deficiency isnt always anemia

2/15/24

8 min

Tags:

Iron, Fatigue, Ferritin, Blood Tests

A very Fatigue woman
A very Fatigue woman
A very Fatigue woman

You’re tired all the time, your hair is thinning, and your focus is foggy—but your doctor says your blood work is “normal.” Sound familiar? You could still be iron deficient, even without full-blown anemia. Let’s decode what standard tests often miss—and how to catch iron issues before they escalate.

The Iron basics

Iron is essential for:

  • Oxygen transport (via hemoglobin)

  • Mitochondrial energy production

  • Thyroid function and metabolism

  • Hair growth and skin regeneration

  • Immune response

Low levels affect way more than just your red blood cells.

Root causes of low Iron

  • Menstrual blood loss

  • Gut absorption issues (IBS, celiac, low stomach acid)

  • Chronic inflammation

  • Vegan/vegetarian diets without proper planning

  • Postpartum depletion

Common symptoms of Iron deficiency (without anemia)

  • Chronic fatigue

  • Brittle nails, hair loss, or dry skin

  • Restless legs or muscle aches

  • Brain fog and poor concentration

  • Shortness of breath or racing heart

  • Sensitivity to cold


Why Standard Blood Tests Aren’t Enough

Typical panels only look at hemoglobin and hematocrit. But that doesn’t reflect stored iron (ferritin), which can drop long before anemia shows up. And high ferritin? Doesn’t always mean you're in the clear—it can also reflect inflammation, not iron sufficiency.

Functional markers I use at Lumin

  • Ferritin (ideal 70–100 for women)

  • Serum iron and transferrin saturation

  • Total iron-binding capacity (TIBC)

  • Inflammatory markers (to interpret ferritin correctly)

A smarter Iron support strategy

  • Gut healing to improve absorption

  • Gentle iron bisglycinate or food-based formulas

  • Cofactor nutrients: vitamin C, B12, folate

  • Addressing heavy periods or underlying GI dysfunctions

Conclusion

If you’ve been dismissed but still feel drained, look deeper. At VivaSana, we treat iron status with nuance—because your energy deserves better answers.

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A woman with long brown hair and glasses stands against a pale yellow background, wearing a dark patterned blouse.
A woman with long brown hair and glasses stands against a pale yellow background, wearing a dark patterned blouse.

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OPENING HOURS

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8:30 a.m. to 8:00 p.m

TUE

8:30 a.m. to 8:00 p.m

WED

8:30 a.m. to 8:00 p.m

THU

8:30 a.m. to 8:00 p.m

FRI

8:30 a.m. to 8:00 p.m

SAT/SUN

Closed

CONTACT

Lumin Huzlenstrasse 63 8604 Volketswil

Loo
background image

Designed by:

Credit:

OPENING HOURS

Mon

8:30 a.m. to 8:00 p.m

TUE

8:30 a.m. to 8:00 p.m

WED

8:30 a.m. to 8:00 p.m

THU

8:30 a.m. to 8:00 p.m

FRI

8:30 a.m. to 8:00 p.m

SAT/SUN

Closed

CONTACT

Lumin Huzlenstrasse 63 8604 Volketswil

Loo
background image

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