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Transferrin Saturation Calculator

Transferrin saturation calculator determines the percentage of transferrin bound to iron using the TSAT formula. Normal TSAT is 20% to 50%, with values below 20% suggesting iron deficiency and above 45% suggesting iron overload or hemochromatosis.

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Formula

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Core Formula
TSAT=Serum IronTIBC×100\text{TSAT} = \frac{\text{Serum Iron}}{\text{TIBC}} \times 100

How it works: Measured iron divided by the Total Iron Binding Capacity. Reflects iron availability for erythropoiesis.

Worked Example

Iron 60, TIBC 300 -> TSAT 20%.

Understanding Transferrin Saturation (TSAT)

Transferrin saturation measures the percentage of iron-binding sites on transferrin that are occupied by iron. It is a key test in evaluating iron status, used alongside ferritin to differentiate types of anemia and screen for iron overload.

  • Formula: TSAT = (Serum Iron / TIBC) x 100, expressed as a percentage
  • Normal TSAT: 20% to 50%; normal serum iron: 60 to 170 mcg/dL; normal TIBC: 250 to 370 mcg/dL
  • Below 20%: suggests iron deficiency, where insufficient iron is available for red blood cell production
  • Above 45%: suggests iron overload, used as a screening threshold for hereditary hemochromatosis
  • Used with ferritin for complete picture: low TSAT + low ferritin = iron deficiency; high TSAT + high ferritin = iron overload

This calculator is for educational purposes only. Iron studies should be interpreted by a healthcare professional in the context of complete blood count, clinical symptoms, and patient history.

You can also calculate changes using our eGFR Calculator (MDRD) or Corrected Calcium Calculator.

Frequently Asked Questions

What is a normal TSAT?

Normal transferrin saturation is typically 20% to 50%. Values can vary slightly between laboratories. Normal serum iron is 60 to 170 mcg/dL and normal TIBC is 250 to 370 mcg/dL.

What does a low TSAT mean?

A TSAT below 20% usually indicates iron deficiency, where there is not enough iron to fill the available transferrin. This is commonly seen in iron deficiency anemia, chronic blood loss, and inadequate dietary iron intake.

What does a high TSAT mean?

A TSAT above 45% suggests iron overload and is used as a screening threshold for hereditary hemochromatosis. Persistent elevation above 45% warrants genetic testing for HFE mutations.

What is the difference between TSAT and ferritin?

TSAT measures iron currently in transit in the blood (on transferrin), while ferritin measures stored iron in tissues. Together they provide a complete picture: low TSAT + low ferritin = true iron deficiency; low TSAT + normal/high ferritin = anemia of chronic disease.

Can TSAT be falsely elevated?

Yes. TSAT can be falsely elevated by recent iron supplementation, blood transfusions, or taking the blood sample in a non-fasting state. Serum iron has significant diurnal variation and is best measured in the morning while fasting.

Is this calculator a substitute for medical advice?

No. This tool is for educational purposes only. Iron studies should be interpreted by a healthcare professional alongside complete blood count and clinical context.

Can I embed this Transferrin Saturation Calculator on my website?

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Medical Disclaimer

This calculator is provided for informational and educational purposes only. It is not intended as a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider before making any decisions based on these results. Do not disregard or delay seeking medical advice because of information obtained from this tool.

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