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Serum TIBC

Specimen Required

3-5cc Clotted Blood or Serum

Fasting Required

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Purpose of the Test

To learn about your body’s iron stores

When this test is required

TIBC (or transferrin) measurements may be requested when it appears that you have too much or too little iron in your system. If you have anaemia, especially if the red cells are small and pale (microcytic and hypochromic), this may be due to iron deficiency and iron tests are usually performed. If your doctor suspects you may have too much iron, or if you have a family history of haemochromatosis, iron and TIBC (or transferrin or UIBC) may be used to see if further testing is needed.

What the Test Detects

Total Iron Binding Capacity, or TIBC, measures the total capacity of your blood to bind and transport iron, and therefore reflects your body’s iron stores. TIBC correlates with the amount of the protein transferrin in your blood, available to bind iron. Transferrin is a protein that attaches iron molecules and transports iron in the blood plasma. Transferrin is largely made in the liver and regulates your body’s iron absorption into the blood. While the two tests (TIBC and transferrin) are different, they measure essentially the same thing and most laboratories only measure one or the other. A few laboratories are now measuring the number of sites on transferrin that are not already carrying iron; this is referred to as unsaturated iron binding capacity (UIBC). This number can be added to the serum iron to calculate the TIBC.See MoreSee Less

Preparation for the Test

You may be instructed to fast for 12 hours before the test; in this case, only water is allowed.

Sample Requirements

A blood sample taken from a vein in your arm

Additional Notes

Taking the oral contraceptive pill can result in a higher TIBC result.Taking chloramphenicol can decrease TIBC levels. Some laboratories routinely only use studies of the red cells (FBC) and ferritin to investigate anaemia and monitor treatment.