Iron / Ferritin Ratio

The ratio of iron to ferritin, a marker of iron status.

Last reviewedJune 16, 2026
Calculated
sample type
Not applicable (calculated)
blood needed
~7 days
results in app
Same as its component tests
best timing
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In short

The iron to ferritin ratio is a calculated value, not a separate blood test. It compares serum iron, the iron circulating in your blood right now, with ferritin, which reflects your stored iron.

The formula is: serum iron ÷ ferritin, using the units reported by the lab.

Blood Health (CBC & Iron)
Reviewed against DGKL reference practice.
Why it matters

Why test this?

Iron in the blood and iron in storage tell different parts of the same story. Comparing them can give a quick sense of how circulating iron relates to reserves, though it is a rough indicator rather than a standard clinical test.

The pattern is read alongside a full set of iron studies. On its own this ratio is not a well-validated clinical marker, so it is best used as supporting context.

Reference ranges

What is a normal result?

Aniva reads your result against research-backed ranges, not just the lab's wide normal. The reference shown below is specific to this biomarker.

There is no established reference range for the iron to ferritin ratio, and it is not a standard clinical test. It should be interpreted only as supporting context within a complete iron study, not against a fixed cutoff.

Ranges are guidance and vary by lab and assay, aligned with DGKL practice. Always read your result against your own lab's reference interval.
What you'll learn

What insights will this test give you?

  • A rough sense of circulating iron relative to stored iron.
  • Supporting context for a full iron study.
  • A pattern to discuss with a clinician rather than a standalone result.
What affects your level

What can affect this result?

What can skew the result

Serum iron varies through the day and rises after iron-containing food or supplements, so timing matters. Ferritin rises with inflammation, infection and liver disease regardless of true iron stores. These swings make the ratio unstable and limit its usefulness on its own.

Best interpreted with

Read with its components, serum iron and ferritin, and alongside transferrin, transferrin saturation and a full blood count.

How testing works

How is this tested?

Sample
Calculated
Blood needed
Not applicable (calculated)
Method
Calculated ratio
Best timing
Same as its component tests
FAQ

Common questions

Related biomarkers

Markers usually read alongside this one

On this page
Why testReference rangesWhat you'll learnWhat affects itHow testing worksSourcesFAQ
✦ Privately insured? German PKV usually reimburses.

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