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You may want to watch/listen to Morley Robbins who has written a lot on the Iron/fatigue issue. He has a book called CU-re your Fatigue. The book Dumping Iron is also informative. If Chris Masterjohn has had something to say on the issue, his views are always valuable. There is way more to fatigue than Iron/Ferritin. Have you had a good work-up from a holistic Doc specifically focused on infections and micro-nutrient status? Ferritin is a carrier for Iron in the blood, but the Iron bound to the ferritin can vary dramatically. Also, note that excess Iron in the tissues can cause fatigue. Iron overload is likely more of a risk for most men than too little iron since there is no mechanism for removing iron from the body except blood loss, chelation, and IIRC extreme endurance activities.