{"id":7631,"date":"2026-09-11T06:28:34","date_gmt":"2026-09-11T00:58:34","guid":{"rendered":"https:\/\/higoodhealth.com\/india\/?p=7631"},"modified":"2026-09-11T08:35:27","modified_gmt":"2026-09-11T03:05:27","slug":"ferritin-test-anaemia-older-adults-india","status":"publish","type":"post","link":"https:\/\/higoodhealth.com\/india\/ferritin-test-anaemia-older-adults-india\/","title":{"rendered":"Anaemia in Older Adults: The Ferritin Test, the Causes, and Why It Is So Often Missed"},"content":{"rendered":"\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"576\" src=\"https:\/\/higoodhealth.com\/india\/wp-content\/uploads\/2026\/09\/elder-anemia-1024x576.webp\" alt=\"Ferritin test and anaemia in older adults in India\" class=\"wp-image-7681\" title=\"\" srcset=\"https:\/\/higoodhealth.com\/india\/wp-content\/uploads\/2026\/09\/elder-anemia-1024x576.webp 1024w, https:\/\/higoodhealth.com\/india\/wp-content\/uploads\/2026\/09\/elder-anemia-300x169.webp 300w, https:\/\/higoodhealth.com\/india\/wp-content\/uploads\/2026\/09\/elder-anemia-768x432.webp 768w, https:\/\/higoodhealth.com\/india\/wp-content\/uploads\/2026\/09\/elder-anemia-1536x864.webp 1536w, https:\/\/higoodhealth.com\/india\/wp-content\/uploads\/2026\/09\/elder-anemia.webp 1600w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p>Most Indians over sixty have had a haemoglobin reading at some point. Far fewer have had a ferritin test, which is the one that would actually have explained it.<\/p>\n\n\n\n<p>Haemoglobin tells you that you are anaemic. A ferritin test tells you why, and it falls months before haemoglobin does. In an older adult, that gap is where the real diagnosis usually hides.<\/p>\n\n\n\n<p>This article is about anaemia in older adults, and about the one cheap test most Indian health packages leave out.<\/p>\n\n\n\n<div id=\"quick-answer\" class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-flow wp-block-group-is-layout-flow\">\n<h2 class=\"wp-block-heading\">At a glance<\/h2>\n\n\n\n<p>In India anaemia is so common that a low haemoglobin reading barely registers. Over half of Indian women and about a quarter of men are anaemic, and in an older adult that familiarity is dangerous, because it turns a finding into a shrug.<\/p>\n\n\n\n<p>The commonest causes of low haemoglobin in older adults are iron deficiency from slow bleeding in the gut, chronic kidney disease, and inflammation from a long-term illness. Ageing itself is not one of them. A low reading is something to explain, never a normal part of getting older.<\/p>\n\n\n\n<p>Two tests do most of the work. A complete blood count gives the haemoglobin figure, and a ferritin test shows whether iron stores are actually empty. The ferritin test is the more useful of the two, because it drops before haemoglobin does. Both are cheap and available at any accredited lab without a referral.<\/p>\n\n\n\n<p><strong>The single most important warning in this article: do not start iron tablets on your own.<\/strong> In an older Indian adult, iron deficiency is often a bleed, and swallowing iron because everyone assumes anaemia is dietary can hide a cancer for months.<\/p>\n<\/div><\/div>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"572\" src=\"https:\/\/higoodhealth.com\/india\/wp-content\/uploads\/2026\/09\/Anaemia_in_Older_Adults-1-scaled-1-1024x572.webp\" alt=\"Why anaemia in older adults is missed, and what a ferritin test shows\" class=\"wp-image-7682\" title=\"\" srcset=\"https:\/\/higoodhealth.com\/india\/wp-content\/uploads\/2026\/09\/Anaemia_in_Older_Adults-1-scaled-1-1024x572.webp 1024w, https:\/\/higoodhealth.com\/india\/wp-content\/uploads\/2026\/09\/Anaemia_in_Older_Adults-1-scaled-1-300x167.webp 300w, https:\/\/higoodhealth.com\/india\/wp-content\/uploads\/2026\/09\/Anaemia_in_Older_Adults-1-scaled-1-768x429.webp 768w, https:\/\/higoodhealth.com\/india\/wp-content\/uploads\/2026\/09\/Anaemia_in_Older_Adults-1-scaled-1-1536x857.webp 1536w, https:\/\/higoodhealth.com\/india\/wp-content\/uploads\/2026\/09\/Anaemia_in_Older_Adults-1-scaled-1-2048x1143.webp 2048w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">Why this reads differently in India<\/h2>\n\n\n\n<p>Anaemia here is not an unusual finding. It is the background.<\/p>\n\n\n\n<p>The National Family Health Survey found roughly two-thirds of children under five, more than half of women aged 15 to 49, and about a quarter of men aged 15 to 49 to be anaemic, and prevalence rose rather than fell between the fourth and fifth rounds.<\/p>\n\n\n\n<p>So most Indian families have seen anaemia, have been told it is a diet problem, and have a strip of iron tablets somewhere in the house.<\/p>\n\n\n\n<p><strong>That familiarity is exactly what makes anaemia in an older adult dangerous here.<\/strong> The national programmes, Anaemia Mukt Bharat among them, are aimed largely at children, adolescent girls and pregnant women, where dietary iron deficiency really is the main story. Nobody built a programme around a 72-year-old man, and in him the same reading usually means something else.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">A problem that is easy to miss<\/h2>\n\n\n\n<p>Your 72-year-old father says he is just getting older. He is tired most of the time, gets dizzy standing up, and has stopped walking to the market.<\/p>\n\n\n\n<p>Maybe he is slowing down. Or maybe he is anaemic.<\/p>\n\n\n\n<p>Anaemia is when haemoglobin is too low to carry enough oxygen around the body. Using WHO definitions it is generally diagnosed below 13 g\/dL in men and below 12 g\/dL in women.<\/p>\n\n\n\n<p>The trouble is that its symptoms look exactly like ageing. Tiredness, weakness, forgetfulness and breathlessness get put down to years, when the real cause may be iron deficiency, vitamin B12 deficiency, chronic disease, a kidney problem, or several of them together.<\/p>\n\n\n\n<p>This is the second article in our series on anaemia in older adults. The first introduced the subject. This one goes into symptoms, causes and the blood tests that matter.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Why anaemia is different in older adults<\/h3>\n\n\n\n<p>It is much more common with age: roughly 5 to 10 per cent in younger adults against 17 per cent or more in older ones, and higher again in some groups.<\/p>\n\n\n\n<p>In a younger person there is often one cause, poor diet or blood loss. In an older person it is usually several at once: nutrition, inflammation, chronic disease, kidney disease, hidden bleeding. Mixed causes mean the diagnosis takes more work.<\/p>\n\n\n\n<p>And the symptoms are vaguer. Fatigue, dizziness, weakness and slower thinking all pass for normal ageing, which is why so much of it goes uninvestigated.<\/p>\n\n\n\n<p>Anaemia reduces energy, walking speed and daily function. It raises the risk of falls and hospital admission. It is linked to poor memory, low mood and confusion.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Symptoms to watch for<\/h3>\n\n\n\n<p>It rarely announces itself. It starts quietly.<\/p>\n\n\n\n<p>Persistent tiredness. Dizziness or light-headedness. Breathlessness on ordinary effort, such as one flight of stairs. Pale skin, or a pale inner eyelid, which is the check most Indian families already know. Cold hands and feet. Palpitations. Brain fog, forgetfulness or confusion. Weakness and walking less than before.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">What actually causes it in older adults<\/h3>\n\n\n\n<p><strong>Nutritional deficiency.<\/strong> Iron deficiency is common, but in an older adult it usually points to blood loss rather than diet. B12 and folate deficiency also cause anaemia.<\/p>\n\n\n\n<p><strong>And B12 deficiency deserves more attention in India than the international guidance gives it.<\/strong> Vitamin B12 comes almost entirely from animal foods, and in a largely vegetarian population deficiency is widespread and often long-standing. In an older vegetarian with anaemia and large red cells, B12 should be checked early, not last.<\/p>\n\n\n\n<p><strong>Functional iron deficiency and hepcidin.<\/strong> Most people picture iron deficiency as not having enough iron. In older adults there is a second problem: having iron and not being able to use it.<\/p>\n\n\n\n<p>When the body is dealing with chronic inflammation, from kidney disease, heart failure, rheumatoid arthritis or any long illness, it makes more of a hormone called hepcidin. Hepcidin acts as a gatekeeper.<\/p>\n\n\n\n<p>It locks iron inside storage cells and blocks the gut from absorbing new iron, whether from food or from tablets.<\/p>\n\n\n\n<p>So the blood test can show a normal or even high ferritin while the bone marrow is still short of iron. This is why an older adult with chronic illness can be anaemic with iron stores that look adequate on paper.<\/p>\n\n\n\n<p>This matters practically. More oral iron usually does not fix it, and may not be needed at all. The target is the inflammation.<\/p>\n\n\n\n<p><strong>Chronic disease and inflammation.<\/strong> Kidney disease, heart failure, cancer and inflammatory conditions all interfere with red cell production and iron use.<\/p>\n\n\n\n<p><strong>Chronic kidney disease.<\/strong> The kidneys make erythropoietin, the hormone that tells the marrow to produce red cells. When kidney function falls, anaemia follows. Given how common diabetes and hypertension are in India, and how much kidney disease follows from them, this is a bigger share of Indian cases than of Western ones.<\/p>\n\n\n\n<p><strong>Medicines and the gut.<\/strong> Long-term use of proton pump inhibitors reduces stomach acid and impairs iron absorption, and PPIs are taken casually and for years in India, often without anyone reviewing them.<\/p>\n\n\n\n<p>Aspirin, ibuprofen, naproxen, blood thinners and other anti-inflammatory drugs can irritate the stomach lining or increase bleeding. Painkillers bought over the counter for knees and back are so routine here that they rarely get mentioned to the doctor, and they should be.<\/p>\n\n\n\n<p><strong>Bone marrow disorders.<\/strong> Conditions that appear mainly in later life include myelodysplastic syndromes, a group of blood cancers in which the marrow makes ineffective red cells, and multiple myeloma, a cancer of the plasma cells.<\/p>\n\n\n\n<p><strong>Unexplained anaemia of ageing.<\/strong> Sometimes a full workup finds nothing. Researchers are still examining whether these cases involve low-grade inflammation, a weaker erythropoietin response, early marrow changes, or red cells that simply do not survive as long.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"572\" src=\"https:\/\/higoodhealth.com\/india\/wp-content\/uploads\/2026\/09\/Anaemia_in_Older_Adults-2-1024x572-1.webp\" alt=\"Anaemia_in_Older_Adults-2-1024x572\" class=\"wp-image-7683\" title=\"\" srcset=\"https:\/\/higoodhealth.com\/india\/wp-content\/uploads\/2026\/09\/Anaemia_in_Older_Adults-2-1024x572-1.webp 1024w, https:\/\/higoodhealth.com\/india\/wp-content\/uploads\/2026\/09\/Anaemia_in_Older_Adults-2-1024x572-1-300x168.webp 300w, https:\/\/higoodhealth.com\/india\/wp-content\/uploads\/2026\/09\/Anaemia_in_Older_Adults-2-1024x572-1-768x429.webp 768w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\">One more cause that is specifically Indian<\/h3>\n\n\n\n<p><strong>A small red cell in India does not automatically mean iron deficiency.<\/strong><\/p>\n\n\n\n<p>Beta-thalassaemia trait is common across much of the country, and sickle cell trait and disease are common in several tribal and central Indian populations, enough that the government runs a national sickle cell elimination mission. Both produce small red cells and a mildly low haemoglobin that can look exactly like iron deficiency on a basic report.<\/p>\n\n\n\n<p>The practical consequence is real. Someone with thalassaemia trait given iron for years gains nothing and may accumulate iron they cannot excrete.<\/p>\n\n\n\n<p>So if a small-cell anaemia does not respond to iron, or the family history includes anaemia that never went away, the question to ask the doctor is whether haemoglobin electrophoresis, or HPLC, is worth doing.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">The blood tests that matter, and why the ferritin test comes first<\/h2>\n\n\n\n<p>If anaemia is suspected, confirming it is not the goal. Finding the reason is.<\/p>\n\n\n\n<p><strong>Complete blood count.<\/strong> Confirms anaemia and shows red cell size. Small cells suggest iron deficiency, chronic blood loss or a haemoglobin disorder. Normal-sized cells suggest chronic disease or kidney disease. Large cells suggest B12 or folate deficiency.<\/p>\n\n\n\n<p>Then, as needed: reticulocyte count to see whether the marrow is responding; a peripheral smear to look at cell size and shape; serum ferritin; serum iron, transferrin saturation and total iron-binding capacity; vitamin B12, methylmalonic acid and folate; kidney and thyroid function; CRP; stool occult blood; and endoscopy or colonoscopy where bleeding is suspected.<\/p>\n\n\n\n<p>In India a complete blood count and a ferritin are inexpensive, and any accredited laboratory will do both without a referral. <strong>The cost is not the barrier here. Asking the question is.<\/strong><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">The ferritin test: what the number actually means<\/h2>\n\n\n\n<p>Ferritin is the result most worth understanding, because it measures stored iron rather than circulating iron. It is also the one most often misread.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Normal values<\/h3>\n\n\n\n<p>Ranges differ between laboratories. Ferritin is usually quoted as roughly 30 to 300 ng\/mL for men and 15 to 200 ng\/mL for women. Read your result against the range printed on your own report, not a figure from the internet.<\/p>\n\n\n\n<p>The threshold that matters clinically is lower than most people expect, and it is the most actionable number in the whole panel.<\/p>\n\n\n\n<p>Ferritin below about 30 ng\/mL is generally taken as iron deficiency, and many doctors will act on anything under 45 ng\/mL in an older patient with symptoms, because missing it costs more than investigating it.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Low ferritin with low iron<\/h3>\n\n\n\n<p>This is the clearest picture: the stores are empty and the supply is short. In an older adult that is where the investigation starts, not where it ends, because the next question is where the iron is going.<\/p>\n\n\n\n<p>Slow bleeding from the gut is the answer often enough that guidelines treat unexplained iron deficiency in this age group as a reason to look inside. <strong>This is the finding that must never simply be supplemented away.<\/strong><\/p>\n\n\n\n<h3 class=\"wp-block-heading\">A high ferritin can still mean iron deficiency<\/h3>\n\n\n\n<p>This is the part that catches people out. Ferritin is an acute-phase reactant: it rises with inflammation anywhere in the body, including infection, arthritis, kidney disease, cancer, and even a recent operation.<\/p>\n\n\n\n<p>So a raised ferritin does not reliably mean iron overload, and a normal ferritin does not reliably rule iron deficiency out. Someone with a chronic inflammatory illness can have empty stores and a normal-looking ferritin at the same time.<\/p>\n\n\n\n<p>That is why ferritin is read alongside CRP and transferrin saturation, and why a single number cannot be self-diagnosed from.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">What the evidence says<\/h3>\n\n\n\n<p>Anaemia is associated with worse physical function, more hospital admissions, lower quality of life and more depression in older adults.<\/p>\n\n\n\n<p>Even mild anaemia matters clinically and should not be written off as ageing.<\/p>\n\n\n\n<p>Work continues on why unexplained anaemia of ageing occurs, and whether shortened red cell survival or a weaker marrow response explains some of it.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">When to see a doctor without waiting<\/h3>\n\n\n\n<p>Tiredness lasting more than two weeks. Dizziness, falls or fainting. Breathlessness on small effort. New confusion or memory change. <strong>Black or tarry stools, which mean bleeding and need same-day attention.<\/strong> Palpitations or chest pain. Visible pallor of the skin or inner eyelid.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Why finding the cause matters<\/h3>\n\n\n\n<p>Anaemia is often treatable, but only once it is recognised. Iron deficiency may require a search for hidden bleeding. B12 deficiency needs treatment and follow-up, and methylmalonic acid can settle the question when the standard B12 level looks borderline, which it often does.<\/p>\n\n\n\n<p>Anaemia from chronic disease improves when the underlying condition is treated. Unexplained anaemia still deserves monitoring and a specialist opinion. Treating the cause can restore strength, mobility and concentration in a way that iron tablets alone will not.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">What to do next<\/h3>\n\n\n\n<p>Ask for a complete blood count. Ask for ferritin and iron studies. Check B12 and folate, particularly in a vegetarian. Review kidney and thyroid function. If iron deficiency is found, look for the bleed. And do not accept tiredness as ageing.<\/p>\n\n\n\n<p><strong>And the warning again, because in India it is the one that gets ignored.<\/strong> Iron tablets are cheap, sold without a prescription, and handed round families like vitamins.<\/p>\n\n\n\n<p>Not all anaemia is iron deficiency. Iron taken wrongly causes constipation, nausea and stomach pain, and in an older adult it can delay the diagnosis of a bleeding ulcer or a bowel cancer by months. <strong>Test first.<\/strong><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How to get a ferritin test in India, and what it costs<\/h2>\n\n\n\n<p>A ferritin test needs no referral. Any NABL-accredited laboratory will accept a walk-in or send someone to your home for the sample, and the result is usually back the same evening.<\/p>\n\n\n\n<p>It is a serum test on an ordinary blood draw. No fasting is needed, and it can be added to a complete blood count on the same sample if you ask before the needle goes in.<\/p>\n\n\n\n<p>Cost varies by city and by laboratory. In most Indian cities a ferritin test is priced in the low hundreds of rupees, and it is cheaper inside an iron-studies panel than ordered on its own a week later.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">The one instruction that matters<\/h3>\n\n\n\n<p>Ask for it at the same time as the complete blood count. A ferritin test ordered afterwards means a second visit and a second needle, and in practice it is a test many people never go back for.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">When a ferritin test can mislead you<\/h3>\n\n\n\n<p>With an infection, an injury, arthritis or kidney disease, ferritin can read normal while your stores are empty. Ask for CRP and transferrin saturation alongside it, and take all three to a doctor together.<\/p>\n\n\n\n<p>In an older adult a ferritin test is a starting point, never a conclusion. If it is low, the next question is where the iron is going, and that question belongs to a doctor.<\/p>\n\n\n\n<div id=\"key-takeaways\" class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-flow wp-block-group-is-layout-flow\">\n<h2 class=\"wp-block-heading\">Key takeaways<\/h2>\n\n\n\n<p>Anaemia is never a normal part of ageing, and in India its sheer commonness is what makes it easy to dismiss. A low reading is a finding to explain.<\/p>\n\n\n\n<p>In an older adult the usual causes are iron deficiency from slow bleeding in the gut, chronic kidney disease, and inflammation from long-term illness, not diet.<\/p>\n\n\n\n<p>B12 deficiency deserves early attention in a largely vegetarian population, and a small red cell in India can mean thalassaemia trait rather than iron deficiency, which iron will not fix.<\/p>\n\n\n\n<p>Ferritin below about 30 ng\/mL generally means iron deficiency, but ferritin rises with inflammation, so a normal result does not rule it out. It is read with CRP and transferrin saturation.<\/p>\n\n\n\n<p>Never start iron on your own reading of a report. A complete blood count and a ferritin test cost very little at any accredited lab, and the answer they give changes the treatment completely.<\/p>\n<\/div><\/div>\n\n\n\n<h2 class=\"wp-block-heading\">Frequently asked questions<\/h2>\n\n\n<div id=\"rank-math-faq\" class=\"rank-math-block\">\n<div class=\"rank-math-list \">\n<div id=\"faq-q-1\" class=\"rank-math-list-item\">\n<h4 class=\"rank-math-question \"><strong>1. Is anaemia normal in old age?<\/strong><\/h4>\n<div class=\"rank-math-answer \">\n\n<p>No. It is common in India at every age, but common is not the same as normal. In an older adult a low haemoglobin should be explained, not accepted.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-q-2\" class=\"rank-math-list-item\">\n<h4 class=\"rank-math-question \"><strong>2. Should I just take iron tablets if my haemoglobin is low?<\/strong><\/h4>\n<div class=\"rank-math-answer \">\n\n<p>No, and this is the most important point in the article. Not all anaemia is iron deficiency, and in an older adult iron deficiency often means bleeding somewhere in the gut. Taking iron without testing can delay that diagnosis by months.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-q-3\" class=\"rank-math-list-item\">\n<h4 class=\"rank-math-question \"><strong>3. Which tests should I ask for, is a ferritin test included, and do I need a doctor&#8217;s referral?<\/strong><\/h4>\n<div class=\"rank-math-answer \">\n\n<p>A complete blood count and a serum ferritin are the first two, and any accredited laboratory in India will do both without a referral. Take the report to a doctor rather than reading it against a range online.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-q-4\" class=\"rank-math-list-item\">\n<h4 class=\"rank-math-question \"><strong>4. Why is vitamin B12 deficiency mentioned so often in India?<\/strong><\/h4>\n<div class=\"rank-math-answer \">\n\n<p>B12 comes almost entirely from animal foods, so deficiency is widespread in a largely vegetarian population. In an older vegetarian with anaemia and large red cells it should be checked early.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-q-5\" class=\"rank-math-list-item\">\n<h4 class=\"rank-math-question \"><strong>5. Can anaemia cause memory problems?<\/strong><\/h4>\n<div class=\"rank-math-answer \">\n\n<p>Yes. Brain fog, poor concentration and confusion are recognised effects, and in an older adult they are often mistaken for early dementia.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-q-6\" class=\"rank-math-list-item\">\n<h4 class=\"rank-math-question \"><strong>6. My haemoglobin is low and iron tablets have not helped. What now?<\/strong><\/h4>\n<div class=\"rank-math-answer \">\n\n<p>That is a reason to go back to the doctor rather than take more iron. It may be inflammation blocking iron use, a B12 or kidney problem, or a haemoglobin disorder such as thalassaemia trait, which iron does not treat.<\/p>\n\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n<h2 class=\"wp-block-heading\">Glossary<\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Anaemia: when the blood cannot carry enough oxygen.<\/li>\n\n\n\n<li>Haemoglobin: the oxygen-carrying protein in red blood cells.<\/li>\n\n\n\n<li>CBC: complete blood count, the basic blood test covering red cells, white cells and platelets.<\/li>\n\n\n\n<li>Ferritin: the protein that stores iron.<\/li>\n\n\n\n<li>TSAT: transferrin saturation, a measure of how much iron is available for use.<\/li>\n\n\n\n<li>TIBC: total iron-binding capacity.<\/li>\n\n\n\n<li>EPO: erythropoietin, the hormone made by the kidneys that signals red cell production.<\/li>\n\n\n\n<li>CKD: chronic kidney disease.<\/li>\n\n\n\n<li>PPI: proton pump inhibitor, a medicine that reduces stomach acid.<\/li>\n\n\n\n<li>MMA: methylmalonic acid, a test that confirms B12 deficiency at cell level.<\/li>\n\n\n\n<li>HPLC: high-performance liquid chromatography, used to detect thalassaemia trait and other haemoglobin disorders.<\/li>\n<\/ol>\n\n\n\n<h2 class=\"wp-block-heading\">References<\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li>International Institute for Population Sciences and ICF. National Family Health Survey (NFHS-5), 2019-21: India. Mumbai: IIPS.<\/li>\n\n\n\n<li>Ministry of Health and Family Welfare, Government of India. Anaemia Mukt Bharat.<\/li>\n\n\n\n<li>Ministry of Health and Family Welfare, Government of India. National Sickle Cell Anaemia Elimination Mission. 2023.<\/li>\n\n\n\n<li>World Health Organization. Haemoglobin concentrations for the diagnosis of anaemia and assessment of severity.<\/li>\n\n\n\n<li>Girelli D, Marchi G, Camaschella C. Anaemia in the elderly. Blood Reviews.<\/li>\n<\/ol>\n\n\n\n<h2 class=\"wp-block-heading\">Disclaimer<\/h2>\n\n\n\n<p>This article is for general information and is not a substitute for medical advice, diagnosis or treatment. Always speak to a qualified doctor about your own symptoms, test results and medicines.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Most Indians over sixty have had a haemoglobin reading at some point. Far fewer have had a ferritin test, which is the one that would actually have explained it. Haemoglobin tells you that you are anaemic. A ferritin test tells you why, and it falls months before haemoglobin does. In an older adult, that gap &#8230; <a title=\"Anaemia in Older Adults: The Ferritin Test, the Causes, and Why It Is So Often Missed\" class=\"read-more\" href=\"https:\/\/higoodhealth.com\/india\/ferritin-test-anaemia-older-adults-india\/\" aria-label=\"Read more about Anaemia in Older Adults: The Ferritin Test, the Causes, and Why It Is So Often Missed\">Read more<\/a><\/p>\n","protected":false},"author":22,"featured_media":7684,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_uag_custom_page_level_css":"","footnotes":"","_ppma_block_editor_authors":""},"categories":[21,24],"tags":[],"ppma_author":[68,75],"class_list":["post-7631","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-senior-elderly-health","category-mobility-physical-wellness-solutions","author-drvasundhara","author-diksha02"],"uagb_featured_image_src":{"full":["https:\/\/higoodhealth.com\/india\/wp-content\/uploads\/2026\/09\/Anaemia-in-Older-Adults.webp",1024,1024,false],"thumbnail":["https:\/\/higoodhealth.com\/india\/wp-content\/uploads\/2026\/09\/Anaemia-in-Older-Adults-150x150.webp",150,150,true],"medium":["https:\/\/higoodhealth.com\/india\/wp-content\/uploads\/2026\/09\/Anaemia-in-Older-Adults-300x300.webp",300,300,true],"medium_large":["https:\/\/higoodhealth.com\/india\/wp-content\/uploads\/2026\/09\/Anaemia-in-Older-Adults-768x768.webp",768,768,true],"large":["https:\/\/higoodhealth.com\/india\/wp-content\/uploads\/2026\/09\/Anaemia-in-Older-Adults.webp",1024,1024,false],"1536x1536":["https:\/\/higoodhealth.com\/india\/wp-content\/uploads\/2026\/09\/Anaemia-in-Older-Adults.webp",1024,1024,false],"2048x2048":["https:\/\/higoodhealth.com\/india\/wp-content\/uploads\/2026\/09\/Anaemia-in-Older-Adults.webp",1024,1024,false]},"uagb_author_info":{"display_name":"Dr. Vasundhara, MDS (Oral &amp; Maxillofacial Surgery), BDS","author_link":"https:\/\/higoodhealth.com\/india\/author\/drvasundhara\/"},"uagb_comment_info":0,"uagb_excerpt":"Most Indians over sixty have had a haemoglobin reading at some point. Far fewer have had a ferritin test, which is the one that would actually have explained it. Haemoglobin tells you that you are anaemic. A ferritin test tells you why, and it falls months before haemoglobin does. In an older adult, that gap&hellip;","authors":[{"term_id":68,"user_id":22,"is_guest":0,"slug":"drvasundhara","display_name":"Dr. Vasundhara, MDS (Oral &amp; Maxillofacial Surgery), BDS","avatar_url":{"url":"https:\/\/higoodhealth.com\/india\/wp-content\/uploads\/2026\/07\/vashundhara.jpeg","url2x":"https:\/\/higoodhealth.com\/india\/wp-content\/uploads\/2026\/07\/vashundhara.jpeg"},"author_category":"1","exclude_author":"","first_name":"Dr. Vasundhara,","last_name":"MDS (Oral & Maxillofacial Surgery), BDS","user_url":"","job_title":"Author","description":"<strong>Oral &amp; Maxillofacial Surgeon<\/strong>\r\n\r\nJob Role: Author<strong>\r\n<\/strong>\r\n\r\n<strong>Bio:\r\n<\/strong>Dr. Vasundhara is an Oral and Maxillofacial Surgeon with experience in dental surgery, trauma management, and craniofacial procedures. She has worked on complex oral surgical treatments including dental implants, mandibular fracture management, cyst surgeries, and other advanced dental procedures. She is also actively involved in clinical research and scientific publications related to oral and maxillofacial surgery.\r\n\r\n<strong>Special Skills:\r\n<\/strong>Oral surgery, dental implants, maxillofacial trauma management, surgical procedures, clinical research.\r\n\r\n&nbsp;"},{"term_id":75,"user_id":29,"is_guest":0,"slug":"diksha02","display_name":"Dr. Diksha Kulshreshtha ,M.Sc.,Ph.D. (Molecular Medicine)","avatar_url":"https:\/\/higoodhealth.com\/india\/wp-content\/litespeed\/avatar\/23494c9101089ad44ae88ce9d2f56aac.jpg?ver=1792465550","author_category":"3","exclude_author":"","first_name":"Dr. Diksha","last_name":"Kulshreshtha ,M.Sc.,Ph.D. (Molecular Medicine)","user_url":"","job_title":"Reviewer","description":"<strong>Molecular Medicine Researcher<\/strong>\r\n\r\nJob Role: Reviewer\r\n\r\n<strong>Professional Role \/ Designation:<\/strong> Senior Metabolic Researcher &amp; Health Educator.\r\n\r\n<strong>Bio:<\/strong> With a Doctorate focused on how glucose and insulin regulate iron homeostasis, Diksha brings deep scientific rigor to the study of obesity and metabolic health. Along with this she has worked on inflammation and cancer.\r\n\r\n<strong>Special Skills:<\/strong> Expert in iron metabolism, glucose regulation, and obesity markers, Cancer, immunotherapy, inflammation. Skilled in breaking down complex biochemical processes for a general audience."}],"_links":{"self":[{"href":"https:\/\/higoodhealth.com\/india\/wp-json\/wp\/v2\/posts\/7631","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/higoodhealth.com\/india\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/higoodhealth.com\/india\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/higoodhealth.com\/india\/wp-json\/wp\/v2\/users\/22"}],"replies":[{"embeddable":true,"href":"https:\/\/higoodhealth.com\/india\/wp-json\/wp\/v2\/comments?post=7631"}],"version-history":[{"count":10,"href":"https:\/\/higoodhealth.com\/india\/wp-json\/wp\/v2\/posts\/7631\/revisions"}],"predecessor-version":[{"id":7863,"href":"https:\/\/higoodhealth.com\/india\/wp-json\/wp\/v2\/posts\/7631\/revisions\/7863"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/higoodhealth.com\/india\/wp-json\/wp\/v2\/media\/7684"}],"wp:attachment":[{"href":"https:\/\/higoodhealth.com\/india\/wp-json\/wp\/v2\/media?parent=7631"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/higoodhealth.com\/india\/wp-json\/wp\/v2\/categories?post=7631"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/higoodhealth.com\/india\/wp-json\/wp\/v2\/tags?post=7631"},{"taxonomy":"author","embeddable":true,"href":"https:\/\/higoodhealth.com\/india\/wp-json\/wp\/v2\/ppma_author?post=7631"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}