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Hemochromatosis gene test (HFE)

Also called: HFE mutation test, C282Y test

The HFE gene test checks for the most common genetic cause of iron overload (hereditary hemochromatosis).

SampleBlood or cheek swab
Fasting?Usually not needed
Results1 to 2 weeks
Good to knowOne result rarely tells the whole story. Your provider looks at your results together with your symptoms, exam, and other tests.

What the test is

Two copies of the C282Y change is the most common pattern. Not everyone with the genes develops iron overload.

Why it's done

  • High transferrin saturation or ferritin
  • A close relative with hemochromatosis

Getting ready and what happens

  • No special preparation is needed.

How the test is done

  • A health worker cleans the skin, puts a band around your arm, and draws blood from a vein with a small needle. It takes a few minutes.
  • Sometimes a cheek swab is used.

What the results mean

Two copies

You're at risk of iron overload. Treatment is regular blood removal (phlebotomy) if iron is high.

Questions to ask your provider

  • What do my results mean for me?
  • Do I need to repeat this test or have other tests?

Risks

A blood draw is very safe. You may have slight pain or a small bruise where the needle went in.

Related conditions

Related tests

Sources

Last updated 2026-11-13.