Below the range
Your iron stores are running down. It's common, especially with heavy periods, pregnancy, blood donation or a diet low in iron. Your doctor may suggest iron tablets and a repeat test in two to three months, and may look for the cause.
Above the range
Ferritin rises for many reasons, and most aren't about iron. Infection, inflammation, liver conditions and alcohol all push it up. Occasionally it points to iron overload, so your doctor reads it alongside tests like transferrin saturation.