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Vitamins & Nutrients

Serum Iron

Vitamins & Nutrients

Serum Iron

Measures circulating iron. Used alongside ferritin for complete iron status assessment.

17 SEK

VAT-exempt medical service

  • Results in 5 working days
  • 116 sampling locations
  • No doctor's referral needed
  • Sample: Blood (venous)
Find a sampling location →

What does this test measure?

Iron is an essential nutrient required for healthy red blood cell production and oxygen transport. A serum iron test measures the concentration of iron currently circulating in your bloodstream and is used alongside ferritin, transferrin and transferrin saturation to build a complete picture of your iron status. Both iron deficiency and iron excess can cause significant health problems, making this test a key part of preventive health screening.

A serum iron test is recommended if your diet is low in iron, meat or seafood, if you have symptoms such as fatigue, dizziness, rapid heart rate or insomnia, or if you have a personal or family history of anaemia or haemochromatosis. Heavy menstrual periods, pregnancy and athletic activity increase the risk of iron imbalance. Certain medications, including corticosteroids and antacids, can also affect iron levels.

What a high value can mean

The most common cause of high serum iron is hereditary haemochromatosis. Other causes include excessive iron supplementation, multiple blood transfusions, viral infections, liver disease and kidney disease. Symptoms may include fatigue, joint pain, abdominal pain, irregular heart rhythm, skin colour changes and, in severe cases, organ damage.

What a low value can mean

Low serum iron is most commonly caused by iron deficiency anaemia, especially when paired with high transferrin and low transferrin saturation. Underlying causes include low dietary intake, low stomach acid, malabsorption, microscopic gastrointestinal bleeding and chronic disease. Symptoms include fatigue, pallor, dizziness and shortness of breath.

Read more about this marker →

Associated symptoms

  • Fatigue and low energy
  • Rapid heart rate
  • Dizziness and lightheadedness
  • Pale skin
  • Shortness of breath
  • Insomnia
  • Joint pain (in iron overload)

Who should consider this test

  • People with diets low in iron, meat or seafood
  • Women with heavy menstrual periods
  • Pregnant women
  • Athletes, especially endurance athletes
  • Those with a personal or family history of anaemia or haemochromatosis
  • People taking medications that affect iron absorption

Before your appointment

Avoid iron supplements for 24 hours before the test. Take the test before 10 am, as iron levels fluctuate throughout the day. Note the day of your menstrual cycle if applicable. Bring valid ID.

  • Bring photo ID to the sampling location.
  • You do not need a doctor's referral — your referral is issued when you order.
  • Tell the staff which test you have ordered if they ask.

How it works

  1. 1

    Order your test

    Choose your test and pay online. Your lab referral is created straight away.

  2. 2

    Give your sample

    Visit any of our partner sampling locations. No appointment needed at most of them.

  3. 3

    The lab analyses it

    Your sample is analysed at an accredited Swedish laboratory.

  4. 4

    Get your results

    Your values appear in your account with reference ranges and an explanation of each marker.

Good to know

Why should I test before 10 am?

Iron levels in the blood follow a circadian rhythm and are highest in the morning. Testing before 10 am provides the most consistent and comparable results.

What is the difference between serum iron and ferritin?

Serum iron measures iron currently circulating in the blood, while ferritin measures your body's stored iron reserves. Both are needed for a complete assessment of iron status.

Can serum iron be interpreted alone?

No. Serum iron should always be evaluated alongside ferritin, transferrin and transferrin saturation for an accurate clinical picture.