21 y/o F with elevated Hg/hct & elevated iron/TIBC - differential?

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Medic_90x

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21 y/o Female, caucasian, otherwise healthy. Not on any meds. No supplements.

Iron - 162
TIBC - 455
Hg - 15.8, RBC 5.5, Hct 49 (basically all a bit above normal range)

Transferrin 318, Iron sat 36%, Ferritin 59. TSAT is like 35%.

This was only checked because she's been told in the past that she has elevated iron (no records available).

Liver panel was normal, albumin at 5.2. BMP normal (Cr 1.1). She is also asymptomatic.


Planning on HFE testing for hemochromatosis. Anything else to consider? I tend to look at this iron panel as underinflated for a 21 y/o female.

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