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Real members of myRAteam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.
A myRAteam Member asked a question 💭
Phalaborwa, ZA

Good day, on my blood test under my Iron levels, my saturation is always low
This time 12 out of 20
My ferritin was 9 out of 30.
I am so fatigued and feel half asleep the whole day. I am walking around like a zombie. My rheumatologist is not worried about these test results.
I can feel I am not myself under "normal " circumstances. Thank you Kindly.

April 15
 · 
Reactions
A myRAteam Member

Low iron saturation and ferritin like that can definitely cause fatigue, brain fog, and that “zombie” feeling you described. Even if your rheumatologist is not concerned, it might be worth discussing iron deficiency more directly or checking with a general physician. Sometimes treating low iron can make a big difference in energy levels. You are not imagining it, your body is likely reacting to those low levels.

April 15
myRAteam

Are low ferritin levels contributing to your extreme fatigue with RA?

Your concerns about feeling like a zombie with such low ferritin levels are completely valid. While your rheumatologist may not be worried, the fatigue you're experiencing could be related to anemia (low red blood cells), which is common in people with Show Full Answer

Are low ferritin levels contributing to your extreme fatigue with RA?

Your concerns about feeling like a zombie with such low ferritin levels are completely valid. While your rheumatologist may not be worried, the fatigue you're experiencing could be related to anemia (low red blood cells), which is common in people with RA and can be worsened by low iron levels.

Anemia is a known contributor to fatigue in RA. When your ferritin and iron saturation are low, your body struggles to produce enough healthy red blood cells to carry oxygen throughout your body, which can make you feel exhausted and foggy.

What you can do:

* Ask your doctor specifically about testing for anemia and whether iron supplementation might help
* Request a review of your medications to see if any could be contributing to fatigue
* Discuss whether your current RA treatment is adequately controlling inflammation, as active disease can worsen fatigue

If you don't feel heard by your current rheumatologist, it's okay to seek a second opinion or ask for a more thorough explanation of why they're not concerned about your levels when you're feeling so poorly.

April 15

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