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Thalassemia is an inherited blood disorder that prevents the body from producing normal hemoglobin, causing anemia and red blood cell destruction. It is caused by genetic mutations that affect hemoglobin production in red blood cells, leading to abnormal or insufficient oxygen-carrying capacity. The Iron, Serum test is the most important test for monitoring thalassemia complications because it detects dangerous iron level fluctuations from red blood cell breakdown.
Thalassemia is caused by inherited genetic mutations that affect the production of alpha or beta globin chains in hemoglobin. These mutations are passed from parents to children through autosomal recessive inheritance, meaning both parents must carry the gene for a child to develop the severe form. The defective genes prevent red blood cells from producing adequate amounts of normal hemoglobin, leading to chronic anemia, enlarged spleen, and bone deformities as the body tries to compensate by producing more red blood cells.
The Iron, Serum test is the most important test for monitoring thalassemia because it detects dangerous fluctuations in iron levels caused by rapid red blood cell destruction. As abnormal red blood cells break down faster than normal, they release iron into your bloodstream, which can lead to iron overload that damages your heart, liver, and endocrine glands. This test helps your doctor determine if you need iron chelation therapy to remove excess iron or if you are developing iron deficiency, allowing for timely treatment adjustments to prevent serious complications.
You should get tested if you experience persistent fatigue, weakness, pale skin, or slow growth in children, especially if you have Mediterranean, Middle Eastern, Asian, or African ancestry. Testing is also essential if you have a family history of thalassemia, are planning pregnancy with a partner who carries the trait, or if routine blood work shows unexplained low hemoglobin or abnormal red blood cell size. Early detection through blood testing helps prevent complications from iron overload and allows for proper disease management.
What this means
Your iron levels are below the optimal range, which may explain feelings of fatigue, weakness, or difficulty concentrating. Low iron reduces your body's ability to transport oxygen efficiently, impacting your energy and physical performance. Addressing this through diet or supplementation can help restore your vitality.
Recommended actions
Increase iron-rich foods like red meat, chicken, fish, beans, lentils, and fortified cereals
Pair iron sources with vitamin C foods (citrus, tomatoes, peppers) to boost absorption
Avoid tea and coffee with meals as they inhibit iron absorption
Consider retesting in 2-3 months after dietary changes or supplementation
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