Ferritin / Albumin Ratio

A simple ratio comparing ferritin to albumin to reflect inflammation and nutrition balance.

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Ferritin / Albumin Ratio
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Test Summary

Sample Type 
Blood
Required Blood
1 mL
Analysis Type
Serum
Collection method
In person at the lab; at-home where available

Why test

Ferritin / Albumin Ratio

?

This ratio can help show whether inflammation or low protein status may be influencing iron results. Clinicians may use it alongside iron studies when anemia, chronic inflammation, or malnutrition is suspected. It can guide follow-up like checking CRP, a full iron panel, or liver tests, and tracking trends over time. You can test this marker with Aniva across Germany and Finland.

What is

Ferritin / Albumin Ratio

?

This ratio can help show whether inflammation or low protein status may be influencing iron results. Clinicians may use it alongside iron studies when anemia, chronic inflammation, or malnutrition is suspected. It can guide follow-up like checking CRP, a full iron panel, or liver tests, and tracking trends over time. You can test this marker with Aniva across Germany and Finland.

What insights will i get from

Ferritin / Albumin Ratio

?

High: More ferritin relative to albumin. This may point to inflammation, infection, tissue injury, iron overload, or lower albumin from illness or poor intake. Consider checking CRP, iron studies, and liver tests, and review recent illness or exercise.
Low: Less ferritin relative to albumin. This may happen with iron deficiency or blood loss, or from dehydration raising albumin. Discuss diet and bleeding risks and consider ferritin, transferrin saturation, and a CBC. This ratio is not guideline-endorsed; no standardized cutoffs. Trends and your clinical context matter most.

Sample type & collection

  • Sample: Blood
  • Fasting: No
  • Best timing: Morning is convenient; avoid testing during acute illness
  • Collection: In person at the lab; at-home where available
  • Typical volume: 1 mL
  • Analysis: Serum
  • Prep tips: Stay hydrated; avoid heavy exercise 24 hours; tell us about supplements
  • Turnaround: 1–3 business days

Track your

Ferritin / Albumin Ratio

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Ferritin / Albumin Ratio
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Limits & interferences with

Ferritin / Albumin Ratio

:

Common factors that can skew results include recent infection, fever, vaccination, or surgery (ferritin can rise); strenuous exercise; iron supplements; heavy alcohol use; pregnancy and chronic liver disease (albumin can fall); dehydration (albumin can appear higher); and high-dose biotin, which may interfere with some ferritin immunoassays. Test at a similar time of day when tracking trends, and tell your clinician about all medicines and supplements.

Special situations … repeat or adjust interpretation during acute illness, after surgery, in pregnancy, or with chronic kidney or liver disease.

Questions about

Ferritin / Albumin Ratio

:

What does a high result mean? It shows more ferritin compared with albumin, often seen with inflammation or lower protein status. Your clinician will interpret it with other tests.

What can affect my results? Recent illness, surgery, hard workouts, pregnancy, dehydration, iron supplements, liver or kidney disease, and high-dose biotin can all shift results.

Do I need to fast? No. Fasting is not required for this ratio.

How often should I test? It depends on your situation. Many people recheck in 4–12 weeks to watch trends or as advised.

How long until results are ready? Most labs report results in 1–3 business days.

What should I discuss with my clinician? Share symptoms, diet, supplements, alcohol use, medications, and recent illness. Ask if you need CRP, iron studies, or liver tests next.

Sources:

  • MedlinePlus — Ferritin Blood Test. (2024). https://medlineplus.gov/lab-tests/ferritin-blood-test/
  • MedlinePlus — Albumin Blood Test. (2024). https://medlineplus.gov/lab-tests/albumin-blood-test/
  • WHO — Serum ferritin concentrations for the assessment of iron status. (2020). https://www.who.int/publications/i/item/9789240000124
  • ARUP Consult — Iron Deficiency Anemia and Iron Status. (2024). https://arupconsult.com/content/iron-deficiency-anemia-and-iron-status
  • FDA — Biotin interference with lab tests. (2022). https://www.fda.gov/medical-devices/vitro-diagnostics/biotin-interference-lab-tests
Medical disclaimer: This content is for informational purposes only and is not medical advice. Always discuss results with a qualified healthcare professional.

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