low ferritin despite supplementation
My ferritin has been on the low end for a while and I’m confused about why it isn’t improving much even with supplementation. Here’s the trend from my bloodwork:
• 06/21/2025 — ferritin 21
• 05/28/2026 — ferritin 13 (when supplementation started)
• 07/15/2026 — ferritin 26
• 10/06/2026 — ferritin 20
I’ve been taking ferrous sulfate 325 mg every other day for months. At first it seemed to be working as my ferritin doubled over the course of two months, however unfortunately now it has gone down again.
My periods are only about 4 days long and I’d really only consider the second day heavy. I’ve also had a normal upper endoscopy in March 2025 (unrelated to the low ferritin) and tested negative for H. pylori. My other iron metrics are totally normal as well, and my most recent B12 was also high/normal at 325.
What confuses me is that my ferritin was already around 21 well over a year ago, so this seems to be a persistent issue rather than a sudden drop.
Has anyone had ferritin that just wouldn’t increase despite oral iron? Did you eventually figure out whether it was an absorption issue, menstrual blood loss, something GI-related, or something else? Is there anything specific I should ask my doctor to test? This is giving me so much anxiety so anything would be greatly appreciated🙏 thank you so much!