What is the interpretation of the following laboratory results: low iron (Iron) level, low ferritin level, low iron saturation (Iron Sat), elevated transferrin (Transferrin) level, and elevated total iron-binding capacity (TIBC)?

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From the Guidelines

These lab results indicate iron deficiency anemia, as evidenced by low serum iron (20), low iron saturation (6%), and borderline low ferritin (30 ng/mL) 1. The patient's lab results show a serum iron level of 20, which is below the normal range, and an iron saturation of 6%, which is also below the normal range of 20-50% 1. The ferritin level is 30 ng/mL, which is considered borderline low, as optimal levels are typically above 50 ng/mL, but a level below 30 μg/L is generally indicative of low body iron stores 1.

Key Findings:

  • Low serum iron (20)
  • Low iron saturation (6%)
  • Borderline low ferritin (30 ng/mL)
  • Transferrin and TIBC values are within normal limits (219 and 322, respectively)

Treatment Recommendations:

Oral iron supplementation, typically ferrous sulfate 325 mg taken 1-2 times daily between meals with vitamin C to enhance absorption, is recommended to treat iron deficiency anemia 1. Patients should avoid taking iron with calcium, dairy, coffee, tea, or antacids, which can reduce absorption 1. Treatment should continue for 3-6 months to replenish iron stores, even after hemoglobin normalizes 1. Common side effects include constipation, nausea, and black stools. If oral iron is not tolerated or ineffective, intravenous iron may be necessary. It's also important to identify and address the underlying cause of iron deficiency, which could include blood loss (menstruation, gastrointestinal bleeding), malabsorption, or dietary insufficiency. Follow-up labs should be checked after 4-8 weeks of therapy to ensure improvement.

From the Research

Lab Results Interpretation

The provided lab results are:

  • Iron: 20
  • Ferritin: 30
  • Iron saturation: 6
  • Transferrin: 219
  • TIBC: 322

Iron Deficiency Indicators

Based on the lab results, the following indicators suggest iron deficiency:

  • Low ferritin level (30) indicates depleted iron stores 2, 3
  • Low iron saturation (6) indicates insufficient iron available for erythropoiesis 4, 5
  • Elevated TIBC (322) indicates increased transferrin levels, which can be a sign of iron deficiency 4, 5

Comparison with Normal Values

Normal values for these tests vary, but generally:

  • Iron: 50-170 μg/dL
  • Ferritin: 30-400 ng/mL (but <30 indicates iron deficiency)
  • Iron saturation: 20-50%
  • Transferrin: 200-400 mg/dL
  • TIBC: 240-450 μg/dL

Clinical Implications

The lab results suggest iron deficiency, which can be caused by various factors, including gastrointestinal bleeding, inflammatory bowel disease, or poor iron absorption 2, 4, 6. Treatment options include oral or intravenous iron supplementation, depending on the severity and underlying cause of the iron deficiency 4, 3, 5.

Treatment Considerations

Oral iron supplementation is often recommended as first-line treatment, but intravenous iron may be necessary in cases of severe iron deficiency or intolerance to oral iron 3, 5. The choice of treatment should be based on individual patient needs and underlying medical conditions 4, 6.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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