Ferritin / Albumin Ratio

A simple ratio comparing ferritin to albumin to reflect inflammation and nutrition balance.

Last reviewedJune 16, 2026
Calculated
sample type
Not applicable (calculated)
blood needed
~7 days
results in app
Same as its component tests
best timing
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In short

The ferritin/albumin ratio is a calculated value, not a separate blood test. It is ferritin (a marker of iron stores and inflammation) divided by albumin (a protein that tends to fall with illness). It pairs a marker that rises in inflammation with one that falls.

Liver Function
Reviewed against DGKL reference practice.
Why it matters

Why test this?

A higher ferritin/albumin ratio reflects high ferritin, low albumin, or both, a combination studied as a marker of more severe inflammation and worse outcomes in critical illness. It is mainly a research and intensive-care index rather than a routine wellness test, and is read with the underlying values.

Reference ranges

What is a normal result?

Aniva reads your result against research-backed ranges, not just the lab's wide normal. The reference shown below is specific to this biomarker.

This is a research and critical-care index with no firmly established cut-off for routine use. It is interpreted as a trend alongside its components.

PatternInterpretation
Higher ratioHigh ferritin and/or low albumin; studied as worse prognosis
Lower ratioLess inflammatory and illness burden

Thresholds are not standardised. Source: Ferritin to albumin ratio and outcomes research.

Ranges are guidance and vary by lab and assay, aligned with DGKL practice. Always read your result against your own lab's reference interval.
What you'll learn

What insights will this test give you?

  • A combined signal of inflammation (ferritin) and illness severity (low albumin).
  • A pattern studied as a prognostic marker in severe illness.
  • Context that complements ferritin and albumin read separately.
What affects your level

What can affect this result?

What can skew the result

Ferritin rises with any inflammation, infection, or liver injury, so a high ferritin does not always mean high iron. Albumin falls with illness, poor nutrition, and liver or kidney disease. Recent illness can move both and distort the ratio.

Best interpreted with

Best read with its components, ferritin and albumin, plus CRP and a full iron panel.

How testing works

How is this tested?

Sample
Calculated
Blood needed
Not applicable (calculated)
Method
Calculated ratio
Best timing
Same as its component tests
FAQ

Common questions

What does a high result mean? It shows more ferritin compared with albumin, often seen with inflammation or lower protein status. Your clinician will interpret it with other tests.

What can affect my results? Recent illness, surgery, hard workouts, pregnancy, dehydration, iron supplements, liver or kidney disease, and high-dose biotin can all shift results.

Do I need to fast? No. Fasting is not required for this ratio.

How often should I test? It depends on your situation. Many people recheck in 4 to 12 weeks to watch trends or as advised.

How long until results are ready? Results are usually ready in about 7 days.

What should I discuss with my clinician? Share symptoms, diet, supplements, alcohol use, medications, and recent illness. Ask if you need CRP, iron studies, or liver tests next.

On this page
Why testReference rangesWhat you'll learnWhat affects itHow testing worksSourcesFAQ
✦ Privately insured? German PKV usually reimburses.

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