about the low ferritin:
here's a link to some ferritin info i posted previously:
my lab's guide to ferritin levels (in ug/L)
<18 probably iron deficient
18-40 possibly deficient
41-100 probably not deficient
101-300 not iron deficient
>300 possible iron overload
(there's a lot more info if you click through, just sort of a personal ferritin timeline)
http://www.doctorslounge.com/hematology ... -6564.html
"As the body iron stores decrease so does the serum ferritin. A serum ferritin concentration below 12 ug/L is virtually diagnostic of absent iron stores."
if your 17 result is in ug/L, looks like you're scraping the bottom!
World Health Organization: Iron Deficiency Anaemia. Assessment, Prevention and Control: A Guide for Programme Managers. Geneva, World Health Org., WHO/NHD/01.3, 2001
http://www.who.int/nutrition/publicatio ... ontrol.pdf
"Functionally, the lack of mobilizable iron stores will eventually cause a
detectable change in classical laboratory tests, including measurement of
"iron deficiency anaemia represents the extreme low end of the spectrum of iron status. The severity of anaemia is differentiated by the severity of the reduction in haemoglobin level."
Table 6. Haemoglobin and haematocrit levels below which anaemia is present in a population
Age or gender group: Haemoglobin (g/l)
Non-pregnant women (above 15 years of age): 120
Men (above 15 years of age): 130
(Conventional conversion factors: 100 g haemoglobin = 6.2 mmol haemoglobin = 0.30 l/l haematocrit).
i notice when your ferritin was so low your hemoglobin was down at 12.4 (i'm guessing the units must be g/dL).
the klenner protocol is way older than that WHO document, but it also suggests keeping hemoglobin above 13, for ms and myasthenia gravis patients.
looks like you did nudge your hemoglobin up to 13.5 which probably means your iron status got a little better.
i will have to have a dig in my paper files to see if i have numbers for hemoglobin, as i worked to bring my ferritin level up to 90 (aiming for at least 100) from a starting point of 27.
i'm guessing borderline iron deficiency anemia is your number one go-to action item for addressing fatigue.