Iron / Transferrin Ratio

The ratio of iron to transferrin, a marker of iron availability.

Last reviewedJune 16, 2026
Calculated
sample type
Not applicable (calculated)
blood needed
~7 days
results in app
Same as its component tests
best timing
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In short

The iron to transferrin ratio is a calculated value, not a separate blood test. It compares serum iron, the iron in your blood, with transferrin, the protein that carries iron around the body.

The formula is: serum iron ÷ transferrin, using the units reported by the lab. A closely related and more standard measure is transferrin saturation.

Blood Health (CBC & Iron)
Reviewed against DGKL reference practice.
Why it matters

Why test this?

Transferrin transports iron, and how much of it is actually carrying iron tells you about iron supply. This ratio approximates that balance, similar in spirit to transferrin saturation, which clinicians use more commonly.

A high value suggests plenty of iron relative to carrying capacity, seen in iron overload. A low value suggests iron is scarce relative to capacity, seen in iron deficiency.

Reference ranges

What is a normal result?

Aniva reads your result against research-backed ranges, not just the lab's wide normal. The reference shown below is specific to this biomarker.

This ratio does not have a widely standardised reference range. The closely related transferrin saturation is more established, with roughly 20 to 45 percent regarded as typical in adults. Interpret the ratio as supporting context alongside transferrin saturation rather than against a fixed cutoff.

Ranges are guidance and vary by lab and assay, aligned with DGKL practice. Always read your result against your own lab's reference interval.
What you'll learn

What insights will this test give you?

  • A sense of iron supply relative to its transport capacity.
  • Context similar to transferrin saturation for iron deficiency or overload.
  • A pattern to read within a complete iron study with a clinician.
What affects your level

What can affect this result?

What can skew the result

Serum iron fluctuates through the day and rises after iron intake, so morning fasting sampling is preferred. Transferrin rises in iron deficiency and pregnancy and falls in inflammation and liver disease. These shifts can move the ratio independently of true iron status.

Best interpreted with

Read with its components, serum iron and transferrin, and alongside transferrin saturation, ferritin and total iron-binding capacity.

How testing works

How is this tested?

Sample
Calculated
Blood needed
Not applicable (calculated)
Method
Calculated ratio
Best timing
Same as its component tests
FAQ

Common questions

Related biomarkers

Markers usually read alongside this one

On this page
Why testReference rangesWhat you'll learnWhat affects itHow testing worksSourcesFAQ
✦ Privately insured? German PKV usually reimburses.

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