
How do you calculate TIBC? TIBC is calculated by measuring serum iron and serum unsaturated iron-binding capacity and summing these values. The percentage saturation of transferrin
Transferrin
Transferrins are iron-binding blood plasma glycoproteins that control the level of free iron in biological fluids. Human transferrin is encoded by the TF gene. Transferrin glycoproteins bind iron tightly, but reversibly. Although iron bound to transferrin is less than 0.1% (4 mg) of total body i…
How do you calculate TIBC and UIBC?
TIBC is the total of serum iron and UIBC. Percentage transferrin saturation is calculated by dividing serum iron by TIBC and multiplying the result by 100. Total iron-binding capacity (TIBC) is an essential test used for the diagnosis of iron deficiency anemias and other disorders of iron metabolism.
What is the TIBC test for iron?
Since transferrin is the primary iron-binding protein, the TIBC test is a good indirect measurement of transferrin availability—the amount of transferrin that is available to bind to iron. In healthy individuals, transferrin is one-third saturated with iron. This means that there is about two-thirds held in reserve.
What is total iron binding capacity (TIBC)?
Total iron-binding capacity (TIBC) is an essential test used for the diagnosis of iron deficiency anemias and other disorders of iron metabolism. Iron binding capacity is the capacity of transferrin to bind with iron.
What is the difference between transferrin saturation and TIBC?
As only one-third of transferrin is saturated with iron, so the transferrin present in serum has an extra binding capacity (67%). This is unsaturated iron-binding capacity. TIBC is the total of serum iron and UIBC. Percentage transferrin saturation is calculated by dividing serum iron by TIBC and multiplying the result by 100.

How is TIBC measured?
TIBC may be calculated from the direct measurement of serum transferrin by the following formula: TIBC µg/dL = serum transferrin mg/dL x 1.2521. A small proportion of the iron is bound to other proteins, so the above equation underestimates the TIBC.
What is the relationship between TIBC and serum iron?
The serum iron test measures the amount of iron in your blood. The total iron-binding capacity (TIBC) test looks at how well the iron moves through your body. Iron is an important mineral that your body needs to stay healthy.
Is TIBC the same as iron binding capacity?
Total iron binding capacity (TIBC) is a blood test to see if you have too much or too little iron in your blood. Iron moves through the blood attached to a protein called transferrin. This test helps your health care provider know how well that protein can carry iron in your blood.
How do you interpret TIBC and iron?
A transferrin test is similar. If you have iron deficiency anaemia (a lack of iron in your blood), your iron level will be low but your TIBC will be high. If you have too much iron (for example, if you have a condition like haemochromatosis), your iron level will be high but your TIBC will be low or normal.
What is the difference between TIBC and ferritin?
total iron binding capacity (TIBC) - measures the transferrin capacity to bind iron; serum ferritin - measures the body's ability to store iron.
How do you read iron studies results?
Saturations of less than 20% may indicate iron deficiency, whereas saturations of over 45% may suggest overload. Ferritin levels reflects the amount of stored iron in the liver. Elevated levels reflect iron overload which may be due to excess dietary/supplementary levels or haemochromatosis.
Is transferrin and TIBC the same?
Since transferrin is the primary iron-binding protein, the TIBC test is a good indirect measurement of transferrin availability—the amount of transferrin that is available to bind to iron. (Note: Though TIBC is a reflection of the amount of transferrin available, TIBC and transferrin are not synonymous.)
Why is TIBC low in iron-deficiency anemia?
In iron-deficient conditions, the relative transferrin content compared to iron content increases, and thus the TIBC values are high. The opposite happens in iron overloaded states of the body; the quantity of free transferrin in blood decreases, and consequently, TIBC values are low.
What does low ferritin and high TIBC mean?
Total iron binding capacity High levels of TIBC indicate a low amount of iron “filling seats” on the bus. This is one way to tell if ferritin levels are elevated due to inflammation—a normal or high ferritin level coupled with high TIBC indicates inadequate intake of iron.
What does high iron and high TIBC mean?
High TIBC means that you have low levels of iron. When there isn't much iron to attach to, you'll have a lot of free transferrin in your blood. Low iron levels can lead to iron deficiency anemia, a condition in which your body doesn't have enough iron to make healthy red blood cells.
What is a normal iron reading?
Normal Results Iron: 60 to 170 micrograms per deciliter (mcg/dL), or 10.74 to 30.43 micromoles per liter (micromol/L)
How are iron levels measured?
Serum iron test, which measures the amount of iron in the blood. Transferrin test, which measures transferrin, a protein that moves iron throughout the body. Total iron-binding capacity (TIBC), which measures how well iron attaches to transferrin and other proteins in the blood.
Why does TIBC increase in iron deficiency anemia?
In iron-deficient conditions, the relative transferrin content compared to iron content increases, and thus the TIBC values are high. The opposite happens in iron overloaded states of the body; the quantity of free transferrin in blood decreases, and consequently, TIBC values are low.
What does high TIBC and low iron saturation mean?
High TIBC means that you have low levels of iron. When there isn't much iron to attach to, you'll have a lot of free transferrin in your blood. Low iron levels can lead to iron deficiency anemia, a condition in which your body doesn't have enough iron to make healthy red blood cells.
What does low TIBC and high ferritin mean?
Total iron binding capacity High levels of TIBC indicate a low amount of iron “filling seats” on the bus. This is one way to tell if ferritin levels are elevated due to inflammation—a normal or high ferritin level coupled with high TIBC indicates inadequate intake of iron.
What are serum iron levels?
What is a serum iron test? A serum iron test measures how much iron is in your serum. Serum is the liquid that's left over from your blood when red blood cells and clotting factors have been removed. The serum iron test can reveal abnormally low or high blood iron levels.
What is the normal range for a TIBC test?
However, most laboratories define a normal range for adults as 250 to 450 micrograms per deciliter (mcg/dL).
What is a TIBC test?
A total iron binding capacity (TIBC) test is a type of blood test that gauges whether there’s too much or too little of the mineral in your bloodstream. You get the iron you need through your diet. Iron is present in numerous foods, including: Once iron enters the body, it’s carried throughout your bloodstream by a protein called transferrin, ...
What is a total iron binding capacity test?
How a total iron binding capacity test is performed. A TIBC test may be ordered along with a serum iron test, which measures the amount of iron in your blood. Together these tests can help your healthcare provider determine whether there’s an abnormal amount of iron in your blood. The tests involve taking a small sample of blood.
Why do doctors order TIBC tests?
Doctors typically order TIBC tests to check for medical conditions that cause abnormal iron levels.
How long does it take to get a TIBC test results?
If you choose this home test, you’ll also need to send your blood sample off to a laboratory. Your test results should be available online within 5 business days.
What is the best way to get iron?
dark green, leafy vegetables, such as spinach. beans. eggs. poultry. seafood. whole grains. Once iron enters the body, it’s carried throughout your bloodstream by a protein called transferrin, which is produced by your liver. The TIBC test evaluates how well transferrin carries iron through your blood. Once it’s in your blood, iron helps form ...
Why is iron important for hemoglobin?
Once it’s in your blood, iron helps form hemoglobin. Hemoglobin is an important protein in red blood cells (RBCs) that helps carry oxygen throughout the body so it can function normally. Iron is considered an essential mineral because hemoglobin can’t be made without it.
What is a TIBC?
TIBC is an indirect measurement of Transferrin concentration. TIBC measures the total amount of iron that apotransferrin has the capacity to bind. TIBC refers to the amount of iron that could be bound by saturation of transferrin and other minor iron-binding proteins present in the serum or plasma.
What is the normal ferritin level in anemia?
Because ferritin is the measure of the iron stores in the body. In an iron deficiency anemia, the ferritin level is <15 µg/L as compared to the normal level of 20 to 250 µg/L. In children <, 6 µg/L compared to the normal value of 7 to140 µg/L. In baby <, 12 µg/L compared to the normal values of 50 to 200 µg/L.
What is the mechanism of cellular uptake of iron?
The cellular uptake of iron is mediated by the cell surface transferrin receptor (TR). The number of transferrin receptors depends upon the needs of the cell for the iron. In the case of apoferritin deficiency, an excess of the iron is deposited as small granules as Iron-oxide, called hemosiderin.
What is the most abundant trace element in the body?
Iron. It is the most abundant trace element in the body. 65% is bound to Heme. Measurement of the iron concentration refers specifically to the Fe +++ bound to the transferrin and not to the iron circulating as free hemoglobin in the blood. Iron is constituents of:
Where is iron stored in the body?
Ferritin represents stored iron. 10 to 20% to 30% of the total iron is stored as Ferritin. Iron is stored as ferritin in the body in the liver, spleen, and bone marrow.
Where is iron absorbed?
Iron in the food is absorbed by the intestinal epithelium. Iron is ingested as Fe +++ form and is converted to Fe ++ form for the absorption. The conversion of Fe +++ to Fe ++ form takes place in the stomach where gastric acid HCL provides the acidity to reduce the iron. Iron metabolism and absorption.
Does milk affect iron absorption?
Milk and antacid bind to iron and reduce its absorption. Iron 1 mg/day is lost in the urine, sweat, bile, and epithelial cells. Iron metabolism. In the blood, this absorbed iron attaches with the transport protein (Transferrin). So transferrin may indirectly represent the TIBC. Iron metabolism and absorption.
What is the TIBC?
This is called the total iron binding capacity (TIBC). Iron is an essential nutrient that, among other functions, is necessary for the production of healthy red blood cells (RBCs) .
How much of iron is held in reserve?
This means that about two-thirds of its capacity is held in reserve. (Less commonly, the iron concentration may be divided by the transferrin concentration, not the TIBC. This similar estimate is usually called the transferrin index.)
What other factors affect the transferrin level?
Transferrin is a protein that may decrease during any inflammatory process and is referred to as a negative acute phase reactant. Chronic inflammation, infections, and malignancies may cause changes in transferrin levels.
What is the main protein in the blood that binds to iron and transports it throughout the body?
Transferrin is the main protein in the blood that binds to iron and transports it throughout the body. A transferrin test directly measures the level in the blood. Alternatively, transferrin may be measured indirectly (or converted by calculation) so that its level is expressed as the amount of iron it is capable of binding. ...
Why is there an increase in the need for iron?
There is an increased need for iron, for example during pregnancy or childhood, or due to a condition that causes chronic blood loss (e.g., peptic ulcer, colon cancer) Not enough iron is consumed (either foods or supplements) The body is unable to absorb iron from the foods eaten in conditions such as celiac disease.
Can iron deficiency cause anemia?
Insufficient levels of circulating and stored iron may eventually lead to iron deficiency anemia (decreased hemoglobin and hematocrit, smaller and paler red cells). In the early stage of iron deficiency, no physical effects are usually seen and the amount of iron stored may be significantly depleted before any signs or symptoms of iron deficiency develop. If a person is otherwise healthy and anemia develops over a long period of time, symptoms may not appear before the hemoglobin in the blood drops below the lower limit of normal.
Can iron be toxic?
Read the article on Anemia to learn more. Conversely, too much iron can be toxic to the body. Iron storage and ferritin levels increase when more iron is absorbed than the body needs.
What is TIBC in serum?
TIBC is the sum of serum iron and serum unsaturated iron binding capacity.
What percentage of transferrin is iron bound?
Normally, about 1/3 of transferrin (33%) has iron bound to it: A transferrin saturation value of 30 percent means that 30% of iron-binding sites of transferrin are being occupied by iron. The total iron binding capacity (TIBC) of serum is a measure of total serum transferrin (the three types: apotransferrin, monotransferrin ...
How does transferrin affect iron?
Transferrin concentrations, which can in turn affect how much transferrin is available to be bound to iron, are influenced by the following: 1 Hepatic production of apotransferrin due to hepatocyte iron content, inflammatory cytokines or hepatic insufficiency or portosystemic shunts; 2 Loss in protein-losing or exudative disorders; 3 Catabolism in states of negative energy balance.
How to calculate percentage saturation of transferrin?
The percentage saturation of transferrin with iron is calculated by dividing the serum iron concentration by the total iron binding capacity (TIBC) and multiplying by 100.
Why does transferrin saturation decrease?
Decreased transferrin saturation may be caused by an iron-poor diet, impaired iron absorption, pregnancy and lactation or chronic blood loss. Increased transferrin saturation may be caused by an iron-rich diet, iron supplements, increased iron absorption or repeated blood transfusions. The percentage saturation of transferrin with iron is ...
What affects how much transferrin is available to be bound to iron?
Transferrin concentrations , which can in turn affect how much transferrin is available to be bound to iron, are influenced by the following: Hepatic production of apotransferrin due to hepatocyte iron content, inflammatory cytokines or hepatic insufficiency or portosystemic shunts;
How to print calculator results?
Steps on how to print your input & results: 1. Fill in the calculator/tool with your values and/or your answer choices and press Calculate. 2. Then you can click on the Print button to open a PDF in a separate window with the inputs and results.
Why Is TIBC High in Iron Deficiency?
High TIBC means that you have low levels of iron. When there isn’t much iron to attach to, you’ll have a lot of free transferrin in your blood.
What Is a TIBC Blood Test?
A total iron-binding capacity test is a blood test that tells you how much transferrin in your blood is binding to iron, which tells you how well iron is functioning in your body.
Why Do You Need a TIBC Test?
Your body doesn’t really have a way to stop iron loss, so it tightly controls how it's absorbed.
What Other Tests Do You Have With TIBC?
A TIBC blood test is usually done as part of an iron panel that includes iron and transferrin. Since transferrin and TIBC tests both measure the amount of transferrin, these are basically the same thing. In some cases, your doctor might order one or the other.
What Does It Mean When Your TIBC Is Low?
Low TIBC means that you don’t have very much transferrin available to bind to iron. In other words, you have high iron levels, so most of the transferrin is bound to it, which leaves very little free in your blood.
What Can Affect Your TIBC Test Results?
Some substances and medications can affect your TIBC results. These include:
Are There Any Risks Associated With a TIBC Test?
A TIBC test is a simple blood test, so there are very few risks. You might feel some discomfort or feel lightheaded and faint. These symptoms will pass, and you will be able to return to your normal activities shortly after having your blood drawn .
