On the subject of Exjade and how long it takes to show a reduction in ferritin in some patients.
I talked to a friend in Hong Kong this past week who was on a one year trial of Exjade and continuously saw her ferritin rise. After the trial, she was finally able to get some compensation to help cover the costs, so she resumed Exjade. Since her first worrisome year on Exjade, in which her doctor told her to be patient, her ferritin has dropped in half, from 7000 to 3500. It took some time but she eventually had a significant reduction. Her doctor had told her what we have heard often. Initially, the iron being released from tissue and organs can cause an increase in serum ferritin but this will eventually correct itself. Serum ferritin is not the ideal way to measure iron concentrations and a liver scan would be of much more value for this purpose.
I would recommend that patients have patience when using Exjade.