BiomarkersTransferrin saturation

Blood & iron

Transferrin saturation

How full your iron carriers are

On your report it may say: TSAT, % saturation

Transferrin saturation shows what percentage of your iron-carrying protein is loaded with iron. It helps tell iron deficiency apart from iron overload.

Updated 2026-10-26

Typical ranges · %

Low below 20
In range 20–45
High 45+

Calculated: serum iron ÷ TIBC × 100

Repeated results above 45% are a reason to check for iron overload.

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

If it's low

Too little iron is available for making red blood cells.

Common causes

  • Iron deficiency
  • Inflammation

What you might notice

  • Tiredness
  • Breathlessness

If it's high

Carriers are very full, which can suggest iron overload.

Common causes

  • Hereditary haemochromatosis
  • Excess iron supplements
  • Liver disease

What you might notice

  • Joint pain
  • Fatigue
  • Often none early on

Testing

Who should test
With a full iron panel.
How to prepare
Morning, fasting test, no iron supplements for 24 hours.
When to retest
With your iron panel.

What can help

Food sources

See ferritin

See a doctor if it's repeatedly above 45%.

Common questions

Is this the same as ferritin?

No. Ferritin is storage; saturation is what's in transit.

Why does inflammation matter?

It traps iron in storage and lowers saturation.

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.