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Q. What do my blood test values indicate, iron deficiency or over absorption?

Answered by
Dr. Prakash H Muddegowda
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Oct 19, 2016 and last reviewed on: Sep 23, 2020

Hi doctor,

My TIBC 508, transferrin 363, transferrin saturation 17%, iron 85 and total LDH 109. Do these values indicate iron deficiency or over absorption? I am on regular Synthyroid, Singulair, Prilosec, Vitamin C and oral contraceptive. Thank you.

Dr. Prakash H Muddegowda

Geriatrics Hematology Pathology


Welcome to

Based on your query and attached reports (attachment removed to protect patient identity), my opinion is as follows:

  • It appears to be an early iron deficiency. Serum ferritin would have been more helpful in gauging the iron stores.
  • Interaction between vitamin C and oral contraceptives has caused an abnormality in values of LDH (lactate dehydrogenase). The variations are really mild to be thought of anything abnormal.
  • Over absorption of iron never occur unless there is a hereditary condition like hemosiderosis (iron overload disorder) or other chronic conditions.
  • At present, there is nothing to worry. Continue the same medications as this mild variation is not to be worried about.
  • After 6 months, repeat the serum ferritin. It is one of the better indicators of deficiency or excess storage. At present, only mild variation due to interactions between various medications.
  • Continue with iron and protein-rich diet. Also, no additional supplements necessary for these.

Revert back after six months to a hematologist online -->

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