Physiological Role
Ferritin is a storage protein found in nearly every cell of the body. The highest concentrations occur in the liver, spleen and bone marrow. It acts as a biological vault: each molecule can sequester up to 4,500 iron atoms in a non-toxic form, ready to be mobilised.
The iron stored in this way fuels several vital functions. It forms part of haemoglobin (the red blood cell protein that carries oxygen to the tissues) and myoglobin (its equivalent in muscle). It also participates in the mitochondrial respiratory chain, the cellular mechanism that produces energy in the form of ATP.
Circulating ferritin, the fraction measured in the blood, represents only a small portion of total stores. A low level signals progressive depletion of reserves. An elevated level may reflect overload or an inflammatory response. This dual reading makes ferritin both a sensitive and nuanced marker.
Reference Ranges
Depending on the biomarker, Singular ranges are based on a synthesis of nutritional or clinical reference points and longevity research. They do not replace your laboratory's reference values or your healthcare professional's advice.
Female
Male
Biological Significance
Ferritin is the first-line parameter for assessing iron status. Low values reflect depleted reserves and often precede a drop in haemoglobin. Tracking this marker over time helps identify a downward trend before it affects oxygen transport and energy production.
Elevated values require contextual interpretation. Ferritin is also an acute-phase protein: it rises in response to inflammation, regardless of actual iron status. Singular measures hs-CRP alongside ferritin to distinguish inflammation-driven elevation from genuine iron overload. The transferrin saturation coefficient (TSAT) completes this picture by assessing circulating iron.
In women of reproductive age, menstrual losses explain typically lower reserves. Singular applies distinct optimal ranges by biological sex. In men, reserves are on average higher, and the optimal zone sits correspondingly higher.
The value of longitudinal tracking lies in early trend detection. A level that gradually decreases from one assessment to the next tells a more precise story than a single measurement. This sequential approach sits at the heart of the Singular philosophy.
Influencing Factors
Diet. Dietary iron intake directly affects reserves. Haem iron (red meat, offal, seafood) is absorbed two to three times more efficiently than non-haem iron (legumes, whole grains, spinach). Vegetarians and vegans have higher iron requirements due to this absorption difference.
Vitamin C. Vitamin C enhances non-haem iron absorption by converting it to a more assimilable form in the digestive tract. Consuming a vitamin C source at the same meal as an iron-rich food can increase absorption two- to threefold.
Absorption inhibitors. Tannins (tea, coffee), phytates (whole grains, legumes) and calcium consumed at the same meal reduce iron absorption. Spacing their intake away from iron-rich meals improves bioavailability.
Physical activity. Intense, prolonged exercise can lower iron reserves through several mechanisms: mechanical haemolysis (destruction of red blood cells from ground impact), sweat losses and transient post-exercise inflammation. The direction of the effect depends on timing. In the days following a long effort, inflammation transiently raises ferritin, while the decline in reserves shows over a longer horizon. Endurance athletes are particularly affected.
Menstrual cycles. Monthly blood loss is the leading cause of low reserves in women of reproductive age. Heavy cycles amplify this effect.
Blood donation. Each donation removes roughly 200 to 250 mg of iron and lowers reserves durably. In an otherwise healthy person, it is the modifiable factor that moves this marker the most.
Inflammation. Any acute or chronic inflammation raises ferritin independently of actual iron stores. hs-CRP, measured by Singular in the same panel, helps contextualise the result.
Age and sex. Iron reserves naturally increase with age, particularly after menopause in women. Men typically have higher levels than women.
In the Singular Formula
Ferritin is one of the central parameters in Singular's personalisation engine. It determines whether iron (iron bisglycinate) is included in the formula and at what dosage. This decision relies on cross-referencing with TSAT and haemoglobin.
When both ferritin and TSAT fall in low zones, the engine activates iron at a reinforced dosage. It simultaneously increases vitamin C to enhance absorption. In this same configuration, a safety rule removes curcumin from the formula, since its iron-chelating properties could reduce intestinal assimilation. If ferritin is low but TSAT remains optimal, iron dosage is adjusted to an intermediate level. This cross-referenced approach avoids supplementing iron based solely on ferritin, which can be influenced by inflammation.
Iron is removed when ferritin, TSAT and haemoglobin reach at least the optimal zone, and hs-CRP is not very high. Sufficient reserves do not require supplementation. If ferritin was not measured in the panel, iron is also excluded as a precaution.
Iron contributes to normal oxygen transport in the body.
Ferritin, TSAT, haemoglobin and hs-CRP are all four requested in the Singular panel. When the laboratory reports them all, this cross-referenced reading distinguishes genuine iron insufficiency from inflammatory elevation and adjusts the formula with precision.
Scientific Studies
| Authors | Year | Type | Journal | |
|---|---|---|---|---|
| Truong J et al. | 2024 | Review | The Lancet Haematology | View on PubMed |
The origin of ferritin reference intervals: a systematic review Systematic review of where ferritin reference intervals come from. The lower limit published by laboratories is a median of 8 µg/L in women and 25 µg/L in men, from data the authors judge to be at high risk of bias. They retain 30 µg/L as the threshold for depleted reserves in adults. | ||||
| Garcia-Casal MN et al. | 2021 | Review | Cochrane Database of Systematic Reviews | View on PubMed |
Serum or plasma ferritin concentration as an index of iron deficiency and overload Cochrane systematic review assessing the accuracy of serum ferritin for identifying low reserves or overload. At 30 µg/L, sensitivity reaches 79% and specificity 98%, based on low-certainty evidence, in adults presenting for medical care. | ||||
| Tawfik YM et al. | 2024 | Cohort Study | JAMA Network Open | View on PubMed |
Absolute and Functional Iron Deficiency in the US, 2017-2020 NHANES 2017-2020 analysis of 8,021 US adults. It separates two situations: depleted reserves, defined by ferritin below 30 ng/mL, and poorly mobilised iron despite preserved reserves. The former affects about 14% of adults, the latter about 15%. | ||||
| Addo OY et al. | 2026 | Cohort Study | British Journal of Haematology | View on PubMed |
Physiologically based serum hepcidin and ferritin thresholds identify similar onsets of iron-deficient erythropoiesis in adult blood donors Study of 907 blood donors. The threshold above which red blood cell production is no longer limited by iron is 25.4 µg/L in female donors aged 18 to 49, 30.7 µg/L from 50 to 75, and 32.5 µg/L in adult male donors. | ||||
| Ellervik C et al. | 2014 | Cohort Study | Clinical Chemistry | View on PubMed |
Total and cause-specific mortality by moderately and markedly increased ferritin concentrations: general population study and metaanalysis Cohort of 8,988 people followed for 23 years. The gradient comes from the cohort: median survival falls from 79 years below 200 µg/L to 76, 72 and then 55 years in the higher bands. The meta-analysis published in the same article does not find this association for total mortality. | ||||
| Mitchell NH et al. | 2022 | Cohort Study | Scandinavian Journal of Clinical and Laboratory Investigation | View on PubMed |
Association of ferritin and transferrin saturation with all-cause mortality, and the effect of concurrent inflammation: a danish cohort study Danish cohort of 161,921 people. Lowest mortality is observed around 60 µg/L in women and 125 µg/L in men. The study qualifies the role of inflammation: the associations persist when CRP exceeds 10 mg/L, and these values shift by only a few µg/L. | ||||
| Daghlas I et al. | 2021 | Observational Study | Clinical Nutrition | View on PubMed |
Genetically predicted iron status and life expectancy Mendelian randomisation analysis. A one-standard-deviation increase in genetically predicted serum iron corresponds to 0.70 fewer years of parental lifespan. The genetic instrument targets serum iron rather than ferritin itself. | ||||