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Iron · low result

What does a low Iron mean?

Short answer

Low serum iron usually means iron deficiency (with a low ferritin) or inflammation and chronic disease (with a normal or high ferritin), because inflammation locks iron away. A morning fasting sample matters — iron is lower in the afternoon and after menstruation. Ferritin, TIBC and transferrin saturation together tell the two apart.

Medically reviewed by Youmna DiStefano, MD · Last reviewed September 2026

What is the normal range for Iron?

  • Male, age 18+: 65.0 – 175 mcg/dL
  • Female, age 18+: 50.0 – 170 mcg/dL

Full reference table, citations and testing options: Iron biomarker page.

What are the common causes of low Iron?

  1. Iron deficiency from blood loss, low intake or malabsorption
  2. Inflammation, infection or chronic disease (functional iron deficiency)
  3. Afternoon draw or recent menstruation
  4. Pregnancy

What symptoms go with low Iron?

  • Fatigue, poor exercise tolerance, hair shedding, restless legs if deficient

What do clinicians usually check next?

  • Ferritin and transferrin saturation
  • CBC and CRP
  • Identify the source of loss if truly deficient

Follow-up tests available at TestWell: CBC (Complete Blood Count) ($21.99), C-Reactive Protein (CRP) ($26.99).

How do you recheck Iron?

Prices are cash-pay; every order adds one $6 lab processing fee. Physician authorization is included; no insurance or referral needed.

Test or panelTypePriceFastingResults
Baseline Anemia PanelPanel · 5 tests$74.99Yes2–4 business days
Women's Health PanelPanel · 8 tests$129.99Yes2–5 business days
Comprehensive Anemia WorkupPanel · 8 tests$169.99Yes3–5 business days
Iron & TIBCTest · 3 biomarkers$25.99Yes1–3 business days

Common questions

Low iron but normal ferritin — am I iron deficient?

Not usually. That pattern points to inflammation or chronic disease holding iron in storage, or to sample timing. Ferritin is the stores marker.

Educational content, not a diagnosis. Lab results are one input; a clinician interprets them with your history and exam.