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Total iron binding capacity

TIBC; Anemia -TIBC

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.

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Blood test

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How the Test is Performed

A blood sample is needed.

How to Prepare for the Test

You should not eat or drink for 8 hours before the test.

Certain medicines may affect the result of this test. Your provider will tell you if you need to stop taking any medicines. DO NOT stop any medicine before talking to your provider.

Medicines that can affect the test result include:

How the Test will Feel

When the needle is inserted to draw blood, some people feel moderate pain. Others feel only a prick or stinging. Afterward, there may be some throbbing or a slight bruise. This soon goes away.

Why the Test is Performed

Your provider may recommend this test if:

Normal Results

Normal value range is:

The numbers above are common measurements for results of these tests. Normal value ranges may vary slightly among different laboratories. Some labs use different measurements or test different samples. Talk to your provider about the meaning of your specific test results.

What Abnormal Results Mean

TIBC is usually higher than normal when the body's iron supplies are low. This can occur with:

Lower-than-normal TIBC may mean:

Risks

There is little risk involved with having your blood taken. Veins and arteries vary in size from one person to another and from one side of the body to the other. Taking blood from some people may be more difficult than from others.

Other risks associated with having blood drawn are slight, but may include:

Related Information

Anemia
Hemoglobin
Ferritin blood test
Serum iron test
Iron deficiency anemia
Cirrhosis
Hemolytic anemia
Pernicious anemia
Sickle cell disease

References

Brittenham GM. Disorders of iron homeostasis: iron deficiency and overload. In: Hoffman R, Benz EJ, Silberstein LE, et al, eds. Hematology: Basic Principles and Practice. 7th ed. Philadelphia, PA: Elsevier; 2018:chap 36.

Chernecky CC, Berger BJ. Iron (Fe) and total iron-binding capacity (TIBC)/transferrin – serum. In: Chernecky CC, Berger BJ, eds. Laboratory Tests and Diagnostic Procedures. 6th ed. Philadelphia, PA: Elsevier; 2013:691-692.

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Review Date: 1/19/2018  

Reviewed By: Richard LoCicero, MD, private practice specializing in hematology and medical oncology, Longstreet Cancer Center, Gainesville, GA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

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