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Hemoglobin

The iron-containing protein in red blood cells that carries oxygen.

Typical reference range (male)13.2–17.1 g/dL
Typical reference range (female)11.7–15.5 g/dL

Ranges vary by laboratory, method, age and sex: always use the range printed on your own report. Why labs differ.

What it measures

Hemoglobin binds oxygen in the lungs and releases it in tissues. Each red cell contains about 270 million hemoglobin molecules, and making it requires iron, B12, folate and other nutrients.

Why it matters

Hemoglobin is the primary measure used to define anemia. Low levels reduce oxygen delivery, causing fatigue and breathlessness; high levels increase blood viscosity.

What a high result can mean

High hemoglobin can result from dehydration, smoking, altitude, sleep apnea, lung or heart disease, testosterone or EPO use, and polycythemia vera.

What a low result can mean

Low hemoglobin indicates anemia, from iron deficiency (very common in menstruating women), blood loss, B12 or folate deficiency, chronic inflammation, kidney disease, hemolysis, thalassemia or marrow disorders. Endurance athletes may have slightly low values due to plasma expansion.

What affects the result

Hydration, altitude, smoking, pregnancy and testosterone therapy all shift values. Interpret with MCV, RDW, ferritin and reticulocytes to identify the cause of abnormal results.

Units and conversion

Usually reported in g/dL.

More about lab units

Also called on lab reports

Hgb, Hb, Haemoglobin, HGB, Blood

Related tests: Red Blood Cells

This page is educational and does not replace advice from a healthcare professional.