Total Iron Binding Capacity (TIBC) is a calculated measure used to assess how much iron your blood can carry. Ironrelated blood tests are essential for investigating anaemia, iron deficiency, or iron overload. TIBC is part of the broader assessment of iron status, helping to interpret whether iron levels are low—as seen in iron deficiency—or high, as with conditions like haemochromatosis.
Total Iron Binding Capacity (Calculated)
Total Iron Binding Capacity (Calculated)
High TIBC
A high TIBC level typically indicates that the body has low iron stores, as seen in iron deficiency anaemia.
Iron deficiency occurs when iron levels fall due to blood loss, pregnancy or inadequate intake, leading to symptoms such as fatigue and low haemoglobin. TIBC increases because the body produces more transferrin to try to capture and transport more iron.
Low TIBC
A low TIBC suggests reduced capacity to bind iron, often due to iron overload or chronic disease.
High iron levels can occur in conditions such as haemochromatosis, liver disease, or excessive iron intake, and blood tests are used to check iron overload by measuring transferrin saturation and ferritin. In this context, TIBC tends to be low because transferrin is already saturated with iron.
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Venous Serum minimum volume is 5ml
Result Values
Quantitative results for Total Iron Binding Capacity (Calculated)are reported in numeric value in µmol/L. Please contact us for more information on the reference ranges used at Enfer Medical.
Patient
Request Form
For clients using the Enfer Medical Client Portal, the Enfer Medical Patient Request Form (PRF) will be generated when you have completed your “Test Request” within the portal linked below.
Please note that samples suspected of containing high risk pathogens such as Mycobacterium tuberculosis should be clearly identified on the form and packed separately from other samples.
Results are available next working day.
This assay is available seven days a week.
Packaging
The packaging/preparation of samples for delivery to the laboratory are required to be in adherence to all national regulations for the safe transport of biological materials. HSE guidance can be reviewed HERE.
There are specific packaging instructions and labelling requirements requiring triple packaging including:
- Primary leak-proof container – tube or vial containing the sample.
- Secondary watertight container, with absorbent material, intended to protect the primary container.
- Outer container protects the secondary container.
- Patient Request forms must be placed between the secondary container and the outer shipping container.
Further information on the packaging/preparation of samples for delivery to the laboratory is contained within the Enfer Medical Laboratory User Manual which clients are provided with.
Storage & Stability
Specimens must be tested within 7 days of collection and stored at 2-8°C.
Samples
In addition to the packaging of samples, the transport/delivery of clinical samples to the laboratory is required to be in adherence to all national regulations for the safe transport of biological materials. Enfer Medical provides a fully compliant logistics service, aligned with clients’ testing requirements.
Prompt transport of specimens:
To ensure prompt testing of samples and release of results within the published test turnaround times, samples should arrive to the laboratory by 18:00. Test turnaround time is measured from receipt of the sample at the laboratory until the time the authorised results are reported to users.
of Samples
In rare cases specimens may not be suitable for testing on arrival to the laboratory. In that case the sample will be rejected at the receipt stage and the service user will be notified immediately and an explanation as to why the sample could not be processed will be provided. Reasons why samples cannot be processed include but are not limited to:
- Samples received beyond the stability limits and/or not at the correct temperature indicated for each test.
- Incorrect sample type received.
- Leaking samples, sample not received or sample insufficient for analysis as stated below within sample requirements.
- Non-compliant samples or request forms i.e. those missing sample date information, missing sample test request and/or missing sample site/type information.
- Samples received without the necessary patient identifiers.
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Accessing
Your Results
Following receipt at the Laboratory, results should be available on the next working day and will be reported to the referring clinician via the Enfer Medical Client Portal or in a format agreed with clients.
Established clients can login to the portal using the link above.