Test Detail
Understanding the Test
Test Measures
Interpreting Results
FAQ's
References
Other Tests
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Dr. Ashish Ranjan
MBBS, MD (Pharmacology)
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Serum Iron Studies Basic

Also known as Iron serum, Iron indices, Iron profile
Serum Iron Studies Basic Includes 4 testsView All
You need to provide
Blood
This test is for
Male, Female
Test Preparation
  1. Overnight fasting is preferred but not mandatory.
  2. Avoid iron supplements for at least 24 hours prior to sample collection.

Understanding Serum Iron Studies Basic


What is Serum Iron Studies Basic?

The Serum Iron Studies Basic is a set of blood tests that measures the amount of iron and iron-binding proteins in the blood. This test helps detect conditions associated with iron deficiency or iron overload. It may be done as a follow-up to certain routine rests or during anemia therapy.

Iron is an essential nutrient required to produce healthy red blood cells (RBCs) and is an integral part of hemoglobin. The Serum Iron Studies Basic test evaluates the body's iron status, including the levels of iron in the blood and the body's ability to transport and store iron. This test helps detect iron deficiency anemia, iron overload disorders (hemochromatosis), and other conditions affecting iron metabolism.

You may need the Serum Iron Studies Basic package if you experience symptoms suggestive of abnormal iron levels, such as pale skin, fatigue, headaches, weakness, and joint and abdominal pain. Overnight fasting is preferred but not mandatory before undergoing the Serum Iron Studies Basic test. It is also essential to inform the doctor about any of the medicines you are taking, especially iron supplements, as some of them may affect your iron levels and need to be adjusted or temporarily discontinued before the test.

Test result ranges are approximate and may differ slightly between labs depending on the methodology and laboratory guidelines. Most conditions affecting iron levels can be successfully treated with iron supplements, diet, and medicines. Talk to your doctor about your specific test results. Narrate your complete medical history to help them correlate your clinical and laboratory findings. The test results will help the doctor determine your medical condition and formulate your treatment plan.

What is Serum Iron Studies Basic used for?

The Serum Iron Studies Basic package can be done:

  • As part of routine health checkups to estimate iron levels in your body.
  • If you have signs or symptoms of iron-deficiency anemia, like pallor, fatigue, weakness, or headaches.
  • If your CBC test results show that your hemoglobin and hematocrit are low and RBCs are smaller and paler than usual. This usually suggests iron deficiency anemia. 
  • If you have signs or symptoms of increased accumulation of iron in the body, like joint pain, abdominal pain, fatigue, or loss of body hair.

What does Serum Iron Studies Basic measure?

Contains 4 tests

The Serum Iron Studies Basic package measures the level of iron in the body. It comprises a series of blood tests, including a serum iron test that measures the level of iron in the blood, a Total Iron-Binding Capacity (TIBC) test that reflects the body's iron stores, an unsaturated iron binding capacity (UIBC) test that reflects binding of iron with transferrin which is the main protein that binds with iron, and transferrin saturation test that checks how much transferrin is saturated with iron.

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Iron, Serum

An Iron, Serum test determines iron levels in the blood and can help diagnose conditions like anemia, or iron overload in the body. People usually suffer from low iron levels in the blood if they prefer a diet that has low iron content, or if their body has trouble absorbing the iron from the foods or supplements they intake. Low iron levels can also occur due to intense blood loss or even during pregnancy. Similarly, an excess amount of iron in the blood can occur due to over-intake of iron supplements, blood transfusions, or if you are suffering from a condition called hemochromatosis (a rare genetic disorder that causes too much iron to build up in the body or cause problems in the body to remove excess iron). 

Therefore, doctors often suggest an Iron, Serum to help check the status of your iron level, get valuable information about your nutritional well-being, detect potential health issues (if any), and take timely preventive measures.

Know more about Iron, Serum

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Total Iron Binding Capacity

The Total Iron Binding Capacity test measures the ability of your blood to bind and transport iron, and therefore reflects your body's iron stores. TIBC correlates with the amount of transferrin, a protein, in your blood, that helps bind iron and facilitates its transportation in the blood. Usually, about one-third of the transferrin measured is being used to transport iron, and this is called transferrin saturation.

Know more about Total Iron Binding Capacity

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Unsaturated Iron Binding Capacity

An Unsaturated Iron Binding Capacity test determines the reserve capacity of transferrin, i.e., the portion not yet saturated with iron. The iron-binding capacity of our body can be segregated into two parts – Total Iron Binding Capacity (TIBC) and Unsaturated Iron Binding Capacity (UIBC). UIBC refers to the capacity of transferrin, a protein that transports iron, to bind with additional iron. In easy terms, it represents the available "slots" on transferrin to carry iron molecules. Unlike iron saturation, which assesses the occupied slots, UIBC measures the unoccupied ones.

Know more about Unsaturated Iron Binding Capacity

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Transferrin Saturation

The Transferrin Saturation test determines an individual’s iron status by using the ratio of serum iron concentration and total iron binding capacity (TIBC) as a percentage. The test tells us how much iron in the blood is bound to transferrin, the main protein in the blood that binds to iron and transports it throughout the body. Under normal conditions, transferrin is one-third saturated with iron, so about two-thirds of its capacity is held in reserve. This test is often employed alongside others to evaluate iron levels and diagnose conditions like iron deficiency anemia if transferrin saturation is low or hemochromatosis (an iron overload disorder) if transferrin saturation is higher than normal.

Know more about Transferrin Saturation

Interpreting Serum Iron Studies Basic results


Interpretations

  • A low iron with a high TIBC and transferrin usually indicates iron deficiency anemia. Various causes of iron deficiency are decreased intake, pregnancy, lactation, and malabsorption syndromes. 
  • High levels of serum iron can occur as a result of multiple blood transfusions, lead poisoning, liver diseases, sideroblastic anemia, and hemochromatosis.

Answers to Patient Concerns & Frequently Asked Questions (FAQs) about Serum Iron Studies Basic


Frequently Asked Questions about Serum Iron Studies Basic

Q. Why is the Serum Iron Studies Basic package performed?

The Serum Iron Studies Basic package helps to measure iron levels in the blood. This test is essential for diagnosing and monitoring various types of anemias or iron overload (excess).

Q. Are there any risks associated with the Serum Iron Studies Basic package?

No, usually, there are no risks associated with this package. A blood sample is withdrawn with the help of a needle, and the process is fairly fast and relatively painless. Very rarely, you may experience excessive pain, bleeding, hematoma (blood collection under the skin), bruising, or infection at the site of the needle prick. Consult your doctor if you experience any of these symptoms.

Q. Which disease is diagnosed with the Serum Iron Studies Basic package?

Diseases like iron-deficiency anemia and hemochromatosis are identified using the Serum Iron Studies Basic package.

Q. Is fasting required for the Serum Iron Studies Basic package?

Yes, overnight fasting of 8-12 hours is preferred before undergoing the Serum Iron Studies Basic package.

Q. What factors can affect the results of the Serum Iron Studies Basic package?

Factors like blood loss, menstrual periods, and medicines like antibiotics, birth control pills, or blood pressure drugs can affect the test results of the Serum Iron Studies Basic package.

Q. What are the signs and symptoms of anemia?

The signs and symptoms of anemia include chronic fatigue, tiredness, dizziness, weakness, headache, and pale skin.

Q. What are the signs and symptoms of iron overload?

The signs and symptoms of iron overload include joint pain, fatigue, weakness, weight loss, lack of energy, abdominal pain, loss of sex drive, and damage to organs such as the heart or liver.

Q. What are the possible causes of iron deficiency?

Common causes of iron deficiency include not getting enough iron in your diet, chronic blood loss, pregnancy, and vigorous exercise.

Q. What are the natural food sources of iron?

Spinach, broccoli, lentils, peas, figs, dates, dark chocolate, tofu, and eggs are some of the natural food sources of iron.

Q. What causes iron deficiency in children?

Premature birth and low birth weight, feeding children less than 2 years of age a high quantity of cow’s milk, providing a poor diet to children in the second year of their life, and possible gastrointestinal diseases, etc., may lead to iron deficiency in children.

Q. What is iron-deficiency anemia?

Iron-deficiency anemia is a condition in which your body does not have enough iron to make hemoglobin. Iron-deficiency symptoms, such as fatigue, extreme weakness, pale skin, shortness of breath, etc., may develop over time. Your doctor may prescribe iron supplements to treat iron-deficiency anemia.
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