BiomarkersTIBC

Blood & iron

TIBC

How much iron your blood could carry

On your report it may say: Total iron-binding capacity

TIBC measures how much iron your blood proteins could carry. When iron is low, the body makes more carrier protein, so TIBC rises.

Updated 2026-10-26

Typical ranges · µg/dL

Low below 250
In range 250–450
High 450+

µmol/L = µg/dL × 0.179

Used to calculate transferrin saturation.

Ranges vary by lab, age and sex. The range printed on your report applies.

If it's low

Low TIBC can occur with inflammation, iron overload or low protein.

Common causes

  • Inflammation or chronic illness
  • Iron overload
  • Malnutrition or liver disease

What you might notice

  • Depends on the cause

If it's high

High TIBC usually signals that iron stores are low.

Common causes

  • Iron deficiency
  • Pregnancy
  • Oral contraceptives

What you might notice

  • Same as iron deficiency

Testing

Who should test
As part of a full iron panel.
How to prepare
Morning, fasting test.
When to retest
With your iron panel.

What can help

Food sources

See ferritin

Discuss the whole iron panel with your doctor.

Common questions

Why would TIBC be high when iron is low?

The body makes more carriers to grab any iron it can.

Do I need it if I have ferritin?

It helps when ferritin is unclear, for example during inflammation.

Explore further

Sources

  1. MedlinePlus (US National Library of Medicine): Iron tests

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For general education only, not medical advice. Ranges shown are typical for adults; the range printed on your lab report applies. Talk to a qualified doctor about your results.