Would you treat a hemochromatosis carrier with IV iron if they have iron deficiency anemia in conjunction with elevated ferritin?

This scenario, with numbers like these, suggests another underlying issue. A carrier of hemochromatosis cannot typically have a ferritin level of >900 due to hemochromatosis. The TSAT of <10% corroborates this statement. If this patient is real, they likely have an underlying inflammatory disorder causing severe (<10%) iron-restricted erythropoiesis. I've encountered similar numbers in cases of metastatic cancer.

If I know the specific disorder and liver function tests, administering IV iron with numbers like these would be my consideration. Additional information is required to make a more intelligent answer. It's important to note that the TSAT and RET-He exclude elevated iron stores.