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Total Iron-Binding Capacity (TIBC) in Serum

Published: August 9, 2026Updated: August 15, 2026

This test measures the total amount of iron your body can carry in the blood when it’s bound to a protein called transferrin. It helps assess iron status and identify potential iron deficiency or overload.

Quick summary

["TIBC helps evaluate how well your body can transport iron in the bloodstream."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 15, 2026Editorial policy

Key facts at a glance

LOINC
61306-7
Short code
CHERRY IGE
Synonyms
Cherry IgE/IgE total %
Category
chemistry
Sample
serum
Container
Serum separator tube (SST) or red top tube
Units
N/A
Ref low
0.35
Ref high
0.69
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
Immunoassay (Fluorescent Enzyme Immunoassay or Chemiluminescent Immunoassay)
CPT
86003
SNOMED
313236002
Specimen volume
1.0 mL serum (minimum 0.5 mL)
Stability
Room temperature: 8 hours; Refrigerated (2-8°C): 7 days; Frozen (-20°C or below): 30 days; Avoid repeated freeze-thaw cycles
Hemolysis max
100
Lipemia max
100
Icterus max
50
TAT
24–72 hours
Order
routine

What Is TIBC Used For?

Doctors use TIBC to diagnose or monitor conditions like iron deficiency anemia, iron overload (such as hemochromatosis), and certain liver or kidney disorders. It’s also part of a broader iron panel that includes ferritin and serum iron levels.

How Is TIBC Performed?

A small blood sample is drawn from a vein in your arm. The blood is processed to measure the maximum capacity of transferrin to bind iron, which is then compared to standard reference values.

What Does a TIBC Result Mean?

A low TIBC may suggest iron deficiency (since transferrin is more likely to bind iron when iron stores are low). A high TIBC could indicate conditions like anemia of chronic disease or liver dysfunction, though further testing is needed to confirm.

Common Conditions Linked to TIBC

Changes in TIBC are often seen in iron-related disorders, but it can also be affected by conditions like chronic inflammation, liver disease, or certain medications that alter iron metabolism.

Reference range

IgE total: <100 IU/mL; Cherry-specific IgE: <0.35 kU/L (Class 0 - Negative); 0.35-0.69 kU/L (Class 1 - Low); 0.70-3.49 kU/L (Class 2 - Moderate); 3.50-17.49 kU/L (Class 3 - High); 17.50-49.99 kU/L (Class 4 - Very High); 50.00-99.99 kU/L (Class 5 - Very High); >=100 kU/L (Class 6 - Very High)N/A

Specimen: serum

No special preparation required. Patient should inform clinician of all medications and antihistamine use, as antihistamines may not affect IgE testing but should be documented.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

TIBC is part of an iron study and helps clinicians assess iron transport efficiency in the body. While useful, it’s typically interpreted alongside other iron markers (like ferritin and serum iron) for a complete picture.

Short name

TIBC

Frequently asked questions

Why might my doctor order a TIBC test?
Your doctor may order a TIBC test if you have symptoms like fatigue, weakness, or pale skin, or if they suspect iron deficiency, iron overload, or another condition affecting iron metabolism.
What should I expect during or after the blood draw?
You’ll likely feel a brief pinch when the needle is inserted, but most people tolerate it well. Afterward, you may experience mild bruising or soreness at the site. Rest for a few minutes afterward and avoid strenuous activity for the rest of the day.
Can I eat or drink anything before the TIBC test?
No special preparation is needed for a TIBC test. However, if your doctor has specific instructions (like fasting), follow them to ensure accurate results.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 15, 2026. · Read our editorial policy