Well, I actually had to press for the scan and the appointment with the hematologist. My doc was like "lets wait and see if your ferritin comes down". It has been higher every time I have had my blood checked in the last 2.5 years. I just called her and said I'm going to a hematologist, you can recommend one or I'll just make the appointment and go on my own. Hematologist said, "oh 700 isn't that high, lets watch it". Ferritin of 700 isn't normal and causes fatigue, which I have and had even before starting Tirz. I pressed for the scan and since I am max out of pocket on my insurance, they paid for all of it, so I figured why not get it for peace of mind.
Doc also wouldn't prescribe phlebotomy, which is the safest way to bring it down. Now I am going to just keep giving blood every two months to see if I can bring it down on my own. Yup, bloodletting is still a medical procedure in 2025.