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Transferrin Saturation

The percentage of transferrin's iron-binding sites that are occupied by iron.

Typical reference range (male)20–48 %
Typical reference range (female)16–45 %

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

What it measures

Transferrin saturation is serum iron divided by TIBC, times 100. It describes how much iron is immediately available for red cell production and tissues.

Why it matters

Low saturation indicates insufficient iron supply to the marrow; persistently high saturation (above ~45%) is the key screening marker for hereditary hemochromatosis.

What a high result can mean

High values occur with hemochromatosis, recent iron supplementation, liver disease, hemolysis and transfusion-related iron overload.

What a low result can mean

Low values occur with iron deficiency and with anemia of inflammation or chronic disease.

What affects the result

Because serum iron fluctuates, test in the morning, fasting, without iron supplements for 24 hours. A high result is usually repeated before genetic testing for hemochromatosis (HFE).

Unit

Usually reported in %.

Also called on lab reports

Iron Saturation, % Saturation, Iron Saturation %, Iron % Saturation, TSAT, % Transferrin Saturation, Saturation, Transferrin, Iron Sat

Related tests: Iron Status

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