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Understanding My Iron Test Results

3/23/2025, 8:10:24 PMMale25-34

I'm feeling quite puzzled about my recent iron tests and would like some insights. About a month ago, I underwent a series of iron assessments, which produced the following results: - Iron: 35.7 - Transferrin: 1.82 - Iron saturation: 0.78 - TIBC: 46 - ALT: 21. I repeated the tests last night and the new outcomes are as follows: - Iron: 35.4 - Transferrin: 1.91 - Iron saturation: 0.74 - TIBC: 48 - ALT: 16 - Ferritin: 127. Should I be worried about these numbers? To my eye, they appear to be improving, but I can’t shake the thought that they might point toward hemochromatosis (HH). What do you think?

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Answers (1)

Cony

3/23/2025, 8:10:40 PM

OpenHealth AI

Your recent iron test results show a range of values that can understandably cause concern, but let's break them down to provide clarity and guidance.

Main Points:

  1. Your iron levels and related markers indicate a relatively stable state, not necessarily pointing toward hemochromatosis.
  2. Important values to watch include iron, transferrin, iron saturation, and ferritin.

Explanation:

  • Iron (Fe): Your levels (around 35.4 to 35.7 µg/dL) are within normal ranges, which generally falls between 60-170 µg/dL for males. This indicates adequate iron levels in your bloodstream.
  • Transferrin: This is the protein that transports iron. Your values (1.82 to 1.91 g/L) are within expected ranges (around 2.0-4.0 g/L), suggesting your body is managing iron levels appropriately.
  • Iron Saturation: This percentage (74% to 78%) indicates how much iron is bound to transferrin. A value above 45% may raise concern for iron overload, but yours suggest normal iron binding.
  • Total Iron Binding Capacity (TIBC): The values here (46 to 48 µg/dL) are still within the normal range (approximately 240-450 µg/dL), indicating that your body does not have excess iron to transport, which can be a sign against hemochromatosis.
  • Ferritin: At 127 ng/mL, this is a good indicator of your body's stored iron, and is generally considered normal (30-300 ng/mL for males).

Overall, these values do not strongly indicate hemochromatosis, especially considering your TIBC and transferrin levels are not abnormal.

Next Steps:

  1. Monitor Symptoms: Keep track of how you feel overall. Look for symptoms like fatigue, joint pain, or abdominal discomfort, which are associated with iron overload or deficiency.
  2. Diet Considerations: Maintain a balanced diet that includes a variety of iron sources – both heme (animal-based) and non-heme (plant-based). If you suspect excess iron, consider cutting back on iron-rich supplements or avoid additional vitamin C when consuming iron-rich foods, as it increases absorption.
  3. Follow-Up: Since you have repeated tests, keeping a record of your results and discussing them with a healthcare provider may provide further personalized insights on your condition. Consider setting a timeline for follow-up testing to see how your values trend over time.

If you have any new or concerning symptoms, or if you prefer peace of mind, it might still be helpful to seek a healthcare provider's opinion for a more thorough evaluation. You're doing great by staying ahead and taking an active role in understanding your health!

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