Transferrin saturation (TSAT): calculator and norm
Transferrin saturation (TSAT) = serum iron ÷ TIBC × 100%. Enter iron and TIBC — the calculator computes TSAT and compares it with the norm. Don’t have TIBC? Enter transferrin and we’ll convert it. Iron is accepted in µmol/L or µg/dL. Low saturation points to iron deficiency, high to iron overload.
Calculate transferrin saturation
Enter iron and TIBC (or transferrin) — the result appears instantly.
Transferrin saturation norm
Guidance for adults; in women the lower bound is lower (around 15%). Assess it together with ferritin and TIBC, not in isolation.
| Transferrin saturation | Assessment |
|---|---|
| below 20% | Low — likely iron deficiency |
| 20–45% | Normal |
| 45–50% | Borderline high |
| above 50% | High — possible iron overload |
What transferrin saturation is and how it’s computed
Transferrin is the protein that carries iron in the blood. Transferrin saturation (TSAT) shows how much of it is actually occupied by iron: TSAT = iron ÷ total iron-binding capacity (TIBC) × 100%.
If TIBC isn’t in the report, it can be estimated from transferrin: TIBC (µmol/L) ≈ transferrin (g/L) × 25.1. The calculator does this automatically and accepts iron in both µmol/L and µg/dL.
Low saturation: iron deficiency
TSAT below 20% is a typical sign of iron deficiency: there isn’t enough iron to fill transferrin. Together with low ferritin it confirms iron deficiency even before anemia.
Causes include blood loss (including heavy periods), low dietary iron, malabsorption and pregnancy. A doctor should investigate and prescribe iron based on the whole panel, not TSAT alone.
High saturation: iron overload
TSAT above 45–50% may indicate iron overload. Persistently high saturation (especially above 50% with high ferritin) is a reason to rule out hereditary hemochromatosis and other causes of iron excess.
A one-off high TSAT can follow iron supplements or an iron-rich meal. A doctor assesses it from repeat fasting tests and ferritin.
Decode your iron panel
Upload your blood test — AI cross-checks iron, ferritin, TIBC and transferrin and explains clearly whether there’s a deficiency or overload.
This calculator is for reference and information only and is not a diagnosis. Iron deficiency or overload is determined by a doctor from the full panel of markers.