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Serum Iron and Transferrin Saturation (Iron Binding Capacity)

Published: August 9, 2026Updated: August 17, 2026

This test measures how much iron your body can use and how much iron is bound to a protein called transferrin in your blood.

Quick summary

["Iron levels help assess iron deficiency or overload, which can affect energy and health."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 17, 2026Editorial policy

Key facts at a glance

LOINC
60517-0
Short code
Iron/Transferrin SerPl-Rto
Synonyms
Iron/Transferrin SerPl-Rto
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
60
Ref high
170
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
83540
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

What This Test Measures

The test includes two key measurements: **iron concentration** in your serum (how much iron is available for the body) and **transferrin saturation** (the percentage of transferrin protein that is bound to iron). These together help diagnose whether you have low iron availability or excess iron storage.

Why It Matters in Your Health

Iron is essential for making red blood cells and carrying oxygen throughout your body. Low levels can cause fatigue, weakness, or anemia, while high levels may indicate iron overload, which can strain organs like the liver or heart.

Common Reasons for Testing

Doctors may order this test if you have symptoms like fatigue, pale skin, shortness of breath, or if you’re at risk for iron deficiency (e.g., heavy menstrual bleeding, poor diet, or pregnancy). It’s also used to monitor iron overload in conditions like hemochromatosis.

Sample Collection and Preparation

A blood sample is drawn from a vein, usually in your arm. The blood is processed to separate serum (the liquid part after clotting), which is then analyzed in a lab.

Reference range

NCBI: Serum Iron Male 65-180; Female 50-170 µg/dLN/A

Specimen: serum

Fasting for 12 hours preferred. Iron supplements should be stopped 24 hours before if possible.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance

Short name

Iron Studies

Frequently asked questions

How Your Results Are Interpreted
Results are typically reported as two values: **serum iron** (how much iron is present) and **transferrin saturation** (percentage of transferrin bound to iron). While reference ranges vary by lab, low iron + low saturation often indicate iron deficiency, while high iron + high saturation may suggest iron overload.
What Does a Low Transferrin Saturation Mean?
A low transferrin saturation often means your body isn’t absorbing enough iron (e.g., from diet, malabsorption, or blood loss). This can lead to anemia, weakness, or fatigue. Your doctor may recommend dietary changes, supplements, or further testing to identify the cause.
Can Iron Levels Be Too High?
Yes, high iron levels can occur if you have conditions like hemochromatosis (genetic iron overload) or frequent blood transfusions. Excess iron can damage organs over time, so monitoring is important. Your doctor may suggest lifestyle changes, dietary restrictions, or treatments like phlebotomy (bloodletting) to manage it.
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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 17, 2026. · Read our editorial policy