In r/FamilyMedicine, clinicians cite UpToDate guidance that iron deficiency can be symptomatic without anemia and discuss ferritin targets and the need to identify bleeding sources.
I would advise peaking at the uptodate article "Treatment of iron deficiency and iron deficiency anemia in adults" since I think it answers your questions.
- you can have symptomatic iron deficiency without anemia
-target 50, 70, or 75 depending on the situation
-always find the bleed source (menstruation for your example but from experience I always ask if they are actually ha
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