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This is tragic, because pernicious anemia symptoms resurface quickly, and can become permanent

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But ferritin tells the difference: Iron deficiency anemia – Low ferritin (below 30 mcg/L) Anemia of chronic disease – Normal or high ferritin (above 100 mcg/L) When ferritin falls in the middle range (30 to 100 mcg/L), the patient may have both conditions