It looks like you have low iron intake,your ferritin could be much higher, but you can't evaluate an anemia with only those values. should test also:
Full blood count (FBC)
Blood film (morphology of cells)
You should test also for transferrin instead of TIBC, it's more accurate for anaemia evaluation. But a low TIBC or transferrin may occur if you have hemochromatosis (you don't because your iron in serum is low), certain types of anemia in which iron accumulates, malnutrition, inflammation, liver disease, or nephrotic syndrome (a kidney disease that causes loss of protein in urine).
I think you need a more study of your blood, looks like you don't absorb much iron may be because of low Vit B12 (242 is normal but you can have higher), I would test for antibodies that cause pernicious anaemia too. Don't forget the tranferrin (it gives information about how your liver is working), retyculocites, blood film and hemoglobin electrophoreses. You should also test white blood cells and platelets counts.Your folic acid is high, no problem isn't toxic (so it isn't the reason).
Are you taking any medication?
With TIBC you measure transferrin saturation. Total iron binding capacity (TIBC) is an indirect measure of transferrin.I prefer the transferrin test (direct test). Because transferrin is made in the liver, TIBC and transferrin will also be low with liver disease. Lower-than-normal TIBC may mean:
Cirrhosis; Hemolytic anemia; Hypoproteinemia ;Pernicious anemia ;Sickle cell anemia ;Inflammation ;Malnutrition ;Liver disease ; hyperthyroidism.
In iron overload states TIBC usually is high, in your case with low iron in serum and low ferritin you should also have high TIBC and you don't have, so something is not working correctly.....But with your values you have low iron in your blood.......I would repeat everything.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.