Haemochromatosis — Genes & Biomarkers Bad scores · Free actions · Non-free actions Biomarker / GeneBad ScoreFree ActionsNon-free Actions GENES HFEHJVHAMPTFR2SLC40A1 C282Y/C282Y homozygous Biallelic mutations Biallelic mutations Biallelic mutations Heterozygous mutation Low-iron diet; no iron suppl. Iron-restricted diet; no alcohol Iron-restricted diet Low-iron diet; no alcohol Low-iron diet; dietary advice Genetic testing; phlebotomy Genetic testing; iron chelation Genetic testing; deferoxamine Genetic testing; phlebotomy Genetic testing; phlebotomy BIOMARKERS Transferrin Sat.Serum FerritinSerum IronHepcidin >45% (F) / >50% (M) >200 µg/L (F) / >300 (M) >30 µmol/L Inappropriately low Reduce red meat; no iron suppl. Low-iron diet; reduce alcohol Dietary changes; less red meat Anti-inflammatory diet; exercise Phlebotomy; specialist referral Phlebotomy; liver biopsy if high Chelation therapy; referral Hepcidin assay; specialist care