Myths vs facts: Ferritin and menopause

Ferritin is a key iron-storage protein, and its blood level reflects the body's iron reserves. During menopause, iron metabolism shifts because menstruation ceases, eliminating monthly iron loss; consequently, ferritin levels often rise. A common myth is that high ferritin in menopause always indicates iron overload. In reality, ferritin is also an acute-phase reactant that can be elevated due to inflammation, independent of iron status. Another myth is that low ferritin is rare after menopause, yet many women still experience iron deficiency due to other blood loss or reduced absorption. Ferritin alone is insufficient for diagnosis; complementary tests like transferrin saturation, CRP, and hemoglobin are necessary. The provided context does not contain specific evidence on ferritin and menopause. The answers are based on general medical knowledge. For individual assessment, clinical lab parameters and a physician's evaluation are recommended.