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Low ferritin is often brushed off — especially in women — as “just iron deficiency.” But ferritin doesn’t drop without a reason. My job is to figure out why. Step one: I look for hidden blood loss — not the kind you can see. That means checking urine and stool for microscopic blood, because slow, chronic bleeding can happen silently for months or years. GI blood loss in particular can lower ferritin long before hemoglobin drops or symptoms appear. If blood is being lost, replacing iron without f
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