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Why Men Over 50 Shouldn’t Ignore Low Ferritin: From Weakness to Heart Health

Men over 50, don't ignore low ferritin. Learn why this common issue can cause fatigue and weakness, and how it's connected to heart health, impacting your well-being.

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Written by Dr. J T Hema Pratima

Reviewed by Dr. Siri Nallapu MBBS

Last updated on 8th Aug, 2025

Ferritin

Many men over fifty may feel surprisingly tired or weaker than expected, even without any obvious illness. These symptoms are often chalked up to ageing or a busy schedule. What’s less often discussed is the role of iron and its key storage protein, ferritin, in maintaining strength, energy, and heart health.
A Ferritin Test for men 50 plus can uncover hidden iron deficiency before it progresses to anaemia or cardiovascular issues. Understanding ferritin’s role and this connection and the importance of routine testing can help older men take proactive steps for better health control and a more energetic life.

What is Ferritin and Why is it Important for Men Over 50?

Ferritin is a protein that stores iron in your body. While haemoglobin measures the iron circulating in your blood, ferritin reflects how much iron is stored and available when your body needs it.

Iron is essential for several key functions:

  • Producing energy at the cellular level
  • Supporting brain function and concentration
  • Building and repairing muscle tissue
  • Transporting oxygen throughout the body
  • Maintaining immune and heart health

In men over 50, ferritin levels can change due to factors like diet, reduced absorption, inflammation, or chronic medical conditions. Unlike women, men do not lose iron regularly through menstruation, so they often accumulate iron over time. However, iron deficiency can still occur due to poor absorption, gastrointestinal disorders, or hidden blood loss.

What Causes Low Ferritin in Men Over 50?

While iron deficiency is often associated with women due to menstrual blood loss, men, especially as they age, can also develop low ferritin levels. Common causes may include:

  • Chronic Blood Loss: This is a frequent cause in men, often from the digestive tract due to conditions like ulcers, polyps, or certain medications (e.g., long-term use of aspirin or NSAIDs). It can also occur from conditions like haemorrhoids.
  • Poor Iron Intake from Diet: A diet consistently low in iron-rich foods can gradually deplete stores.
  • Reduced Absorption: Certain digestive issues (like coeliac disease, inflammatory bowel disease) or surgeries (e.g., gastric bypass) can interfere with the body's ability to absorb iron from food.
  • Certain Medications: Some medications can interfere with iron absorption or cause microscopic blood loss.


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Even if iron deficiency hasn't progressed to full-blown iron deficiency anaemia (where haemoglobin levels also drop), low ferritin can still cause noticeable symptoms and increase health risks.

Here's how low ferritin can impact men over 50:

  • Fatigue and Weakness: Iron is directly involved in energy production. When iron stores are low, your cells don't get enough oxygen, and your body struggles to produce energy efficiently. This can lead to persistent feelings of tiredness, weakness, and a general lack of stamina, making even simple daily tasks feel exhausting. This fatigue can be more profound than typical age-related tiredness.
  • Muscle Weakness: Iron is vital for healthy muscle function. Low iron can contribute to general muscle weakness and reduced exercise tolerance, impacting your ability to stay active and maintain strength.
  • Increased Risk of Anaemia: Low ferritin is the earliest sign of iron deficiency. If left unaddressed, these depleted stores will eventually lead to anaemia in elderly men, where the body doesn't have enough healthy red blood cells to carry oxygen efficiently. Symptoms like severe fatigue, shortness of breath, and dizziness become more pronounced.
  • Heart-Related Issues: The heart has to work harder to pump oxygen-poor blood around the body when iron levels are low. Over time, this extra strain can contribute to or worsen existing heart conditions, increasing the risk of heart failure or other cardiovascular problems. Addressing iron deficiency can help reduce this strain on the heart.

So, if you or an older man you care about is dealing with ongoing tiredness, unexplained weakness, or has existing heart concerns, checking iron levels with a ferritin test for men 50 plus can be an important step to take.

When to Consider a Ferritin Test for Men Over 50?

A doctor might suggest a ferritin test for men 50 plus if there are signs that could point to iron deficiency or if other common causes for symptoms have been ruled out.

Here are common signs that suggest a ferritin test might be needed:

  • Persistent Fatigue: If tiredness is severe, doesn't improve with rest, and impacts daily activities.
  • Unexplained Weakness: A noticeable decrease in strength or stamina.
  • Pale Skin: Noticeable paleness, especially on the inner eyelids or nails.
  • Dizziness or Light-headedness: These can be signs of reduced oxygen delivery due to low iron.
  • Shortness of Breath: Feeling breathless with minimal exertion, or worsening shortness of breath in those with heart conditions.
  • Known Risk Factors: If there's a history of conditions that affect iron absorption (e.g., coeliac disease, inflammatory bowel disease), chronic bleeding (e.g., from the digestive tract), or if dietary intake of iron is low.
  • General Health Check-up: As part of a comprehensive health assessment, especially if there are vague, unexplained symptoms that could be linked to iron status.

What to Expect from a Ferritin Test?

A ferritin test for men 50 plus is a simple blood test that helps measure how much iron your body has stored. During a ferritin test, a healthcare provider will take a small blood sample from a vein in your arm. The process is quick and typically causes only slight discomfort, like a brief pinch. You usually don’t need to fast beforehand, but it’s a good idea to confirm any special instructions with your doctor or the lab before your appointment.

Understanding Results:

While normal ranges can vary slightly between different laboratories, optimal ferritin levels (in nanograms per millilitre, ng/mL) for men are often considered to be:

Age Group

Normal Range (ng/mL)

Optimal Range (ng/mL)

50–60 years

40–300

100–200

60+ years

50–350

70–150

Levels below 30 ng/mL may indicate iron deficiency, even in the absence of anaemia in elderly men.
It is crucial to discuss all results with your doctor. They will consider your symptoms, medical history, and other factors to make a complete assessment and recommend the appropriate next steps.

Health Tests for Men Over 50 with Apollo 24|7

Taking care of your health becomes even more important as you age, and Apollo 24|7 makes the process simple and convenient. If your doctor recommends a Ferritin Test to check your iron levels, Apollo offers reliable diagnostic services designed with your needs in mind.

  • Easy online booking for ferritin tests or full-body check-up packages
  • Home sample collection for added comfort and convenience
  • Quick and accurate results sent directly to your phone or email
  • NABL-accredited labs ensure high-quality and trustworthy testing
  • Follow-up consultations with Apollo doctors to explain results and guide next steps

These services help men over 50 take control of their health with ease and confidence.

Get Your Symptoms Assessed

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Conclusion

For men over 50, symptoms like persistent fatigue, reduced stamina, and muscle weakness are often seen as part of the ageing process. However, these changes may be linked to low ferritin levels, which reflect the body’s iron stores. Even without anaemia, low ferritin can affect energy, physical performance, and heart health.

Get Your Symptoms Assessed

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