hi..if my serum iron is 2.0 and my hb is 9.0..what does it means???
With TIBC you measure transferrin saturation. Total iron binding capacity (TIBC) is an indirect measure of transferrin.I prefer the transferrin test (direct test). Because transferrin is made in the liver, TIBC and transferrin will also be low with liver disease. Lower-than-normal TIBC may mean:
Cirrhosis; Hemolytic anemia; Hypoproteinemia ;Pernicious anemia ;Sickle cell anemia ;Inflammation ;Malnutrition ;Liver disease ; hyperthyroidism.
In iron overload states TIBC usually is high, in your case with low iron in serum and low ferritin you should also have high TIBC and you don't have, so something is not working correctly.....But with your values you have low iron in your blood.......I would repeat everything.
I am hypoT and taking T4 hormone now.
WBC 5.9 (4.0-10.0)
platelets counts 143 (100-300)
the tranferrin = TRF=TIBCĂ—0.70, so I don't think it is necessary to have it tested
For pernicious anaemia, the TIBC would be high, so I don't think it is apply to me.
for other indicator, I don't know the details about it
I think you need a more study of your blood, looks like you don't absorb much iron may be because of low Vit B12 (242 is normal but you can have higher), I would test for antibodies that cause pernicious anaemia too. Don't forget the tranferrin (it gives information about how your liver is working), retyculocites, blood film and hemoglobin electrophoreses. You should also test white blood cells and platelets counts.Your folic acid is high, no problem isn't toxic (so it isn't the reason).
Are you taking any medication?
The following is what I had tested one month ago
MCV 93.1 (82.0-92.0)
MCH 31.4 (27.0-31.0)
MPV 8.2 (8.5-11.8)
RBC 4.05 (3.50-5.50),
PCV is 37.70(35.00-50.00)
Hgb is 127( 110-150)
folic acid (folate) >24 ng/l (3.2-6.4)
It looks like you have low iron intake,your ferritin could be much higher, but you can't evaluate an anemia with only those values. should test also:
Full blood count (FBC)
Haemoglobin (MCH)
Hematocrit
Retyculocites (%)
Blood film (morphology of cells)
folic acid
Hemoglobin electrophoreses
You should test also for transferrin instead of TIBC, it's more accurate for anaemia evaluation. But a low TIBC or transferrin may occur if you have hemochromatosis (you don't because your iron in serum is low), certain types of anemia in which iron accumulates, malnutrition, inflammation, liver disease, or nephrotic syndrome (a kidney disease that causes loss of protein in urine).