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Bloodwork: High RDW, Low MCH

Commented on September 18, 2013
Created September 16, 2013 at 10:52 PM

What does this mean?

I just looked at the last 3 times I've had bloodwork done and all 3 times showed low MCH, high RDW.

In addition to those two showing up on every set of bloodwork, these were flagged:

Oldest Bloodwork (2 years ago): Low WBC, Low MCV,

Second (1.5 years ago): Low WBC, Low MCV, Low neutrophils.

Newest (2 weeks ago): High RBC, Low MCHC

None of this was far outside of the range, but it was flagged.

But, what causes this?

Details:

I've been a varying version of paleo for over 3 years. Everything that was flagged on the tests I have listed, except for some cholesterol numbers (my LDL tends to be a bit high).

Specific Numbers: MCH: 25.6, 25.9, 25.2. RDW: 15.3, 15.6, 16.1

F02990386b12528111740ad6279ba29d

(1363)

on September 18, 2013
at 12:13 AM

thank you!

F02990386b12528111740ad6279ba29d

(1363)

on September 17, 2013
at 08:39 PM

Got some testing done for iron. Got ferritin, serum iron, and TIBC. Interested to see the results.

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1 Answers

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26b0463ecdf4a47d3b404ed525c824ba

(50)

on September 17, 2013
at 10:50 PM

RDW (Red cell Distribution Width or something, it comes from a graph) just means there are two different sizes of red blood cells, usually normal and either macro or microcytic. Yours are probably normal and micro since you had a low MCV (Mean Cell Volume) previously, but really, RDW doesn't mean much until you get to 20+. It's nothing to be concerned about on it's own.

MCHC (Mean Cell Hbg Concentration) is the amount of hemoglobin in your RBC, usually. There are external factors(lipemic blood, cold agglutigens, or a certain cell shape) that can skew the MCHC, but those cause false increases, not decreases.

MCH doesn't mean much. We don't pay attention to it, no matter how it flags.

I wouldn't be concerned with any of these results. Maybe, you might have a bit of an anemia (low MCHC=lower hgb, low MCV= smaller cells), but don't lose sleep over it.

F02990386b12528111740ad6279ba29d

(1363)

on September 18, 2013
at 12:13 AM

thank you!

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