Many high ferritin levels are not from high iron levels, but fron fatty liver deciese. Many vegan foods are high carb, which create fatty liver and high ferritin. Rapa will help but i suggest adding acarbose for the carbs
I wouldn’t worry about a fatty liver, your ALT levels are fantastic. I’ve been vegan for 37 years and I always get very high albumin levels which always confounds the doctors. Personally I wouldn’t be particularly worried about those iron levels but definitely check any supplements you are taking which might contain iron. Do you use iron skillets or saucepans? Are you taking any prescription drugs which might affect iron levels? Have you had a gene test at all? These can sometimes highlight mutations which can cuase deficiencies or excesses of certain minerals and vitamins.
Like yourself I had a blood test done before starting rapamycin and had an identical iron level of 260, but my insulin was high at 11. I ordered the blood test through Ulta labs which I believe uses Quest laboratories to do their actual testing. I alerted my doctor and she reran the tests using the local hospital lab. The iron now came back at 160 and the insulin at 5.2, quite a difference! These were both fasting levels one week apart. Also the ApoB numbers were different, from high with Ulta to normal with the hospital.
She then said I was fine and no further testing necessary, but how did the doctor determine which lab results to trust? and why were the numbers so different? The insulin I can understand being different because apparently there is not a standardized test for insulin levels nationwide.
This taught me not to trust one test or one lab. Possibly do more testing if you are concerned about any particular lab result and you may get a different number.
Have you had the genetic test that shows whether you have hemochromatosis?
“Genetic mutations in the hemochromatosis gene (HFE) make up the most common genetic cause of elevated ferritin levels and are usually seen in Caucasian patients with northern European ancestors. The typical patient with hemochromatosis carries two copies of the C282Y mutation of the HFE gene.”
I have one copy and have elevated ferritin.