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Total iron-binding capacity

How much iron all the transferrin in blood could bind. Rises in iron deficiency, falls in inflammation and iron overload.

Other names: Total iron-binding capacity, TIBC Section: Iron status
In shortTIBC is a functional measure of transferrin: the maximum amount of iron the blood's transport proteins could bind. A typical adult guide is about 45–77 µmol/L (250–430 µg/dL). Together with serum iron it yields transferrin saturation.

Reference ranges

GroupReference range
Adults — typical range (international reference, not a national standard)about 45–77 µmol/L (250–430 µg/dL); the report's reference applies
Typical guide from international references (not a national standard); MedlinePlus describes TIBC within the iron panel qualitatively. The report's own interval applies. Reference ranges vary between laboratories and assays — use the range printed on your own lab report.

Check your value

Enter your result — we will show how it compares with a typical range. Match the units of the selected row.

Approximate comparison with a typical range, not a diagnosis. Reference intervals vary by laboratory and method — check your report; result interpretation is done by a doctor.

What this marker is

In iron deficiency, empty transferrin molecules accumulate and TIBC rises; in inflammation and iron overload it falls. This makes TIBC a useful counterweight to serum iron.

The pair serum iron + TIBC gives transferrin saturation — a key figure for telling iron-deficiency anemia apart from anemia of chronic disease.

When it is high

Iron-deficiency anemiaMore empty transferrin — higher binding capacity.
PregnancyA physiological rise in the second half of pregnancy.

When it is low

Anemia of chronic diseaseInflammation suppresses transferrin synthesis — TIBC falls despite normal iron stores.
Iron overloadIn hemochromatosis transferrin is saturated and spare binding capacity is small.

What can skew the result

These factors can shift the value without any disease — worth considering before a retest:

InflammationPregnancyIron supplements beforehand

How to prepare

Morning fasting sample, 8–12 hours; drawn together with serum iron and ferritin.

When a retest makes sense

An abnormal result is rechecked with serum iron and ferritin after 4–6 weeks.

Who usually reviews this result

A result outside the reference range is usually reviewed by: your GP or primary care doctor; a hematologist for abnormal results. Bring your lab report and any previous results to the appointment.

Names used on lab reports

Your report may use any of these names:
TIBCTotal iron-binding capacityUIBC (related)

Units and conversion

Measured in: µmol/L

µmol/L = µg/dL
µg/dL = µmol/L × 5.585. Results are rounded to 2 decimal places.

Several markers on your report?

See how MedProtect explains results in the app: the whole report, a check of the recognized values, and a clear breakdown.

Frequently asked questions

Why TIBC when ferritin exists?
Ferritin rises in inflammation and can mask deficiency; the iron + TIBC + saturation triad is more robust to this confusion.
What is UIBC?
Unsaturated iron-binding capacity — the difference between TIBC and serum iron.
Does high TIBC always mean deficiency?
Most often yes, but it is read with iron and ferritin; in pregnancy the rise is physiological.

Sources

  1. Iron tests: MedlinePlus Medical Test — MedlinePlus. Accessed: August 31, 2026.

See also