Understanding My Blood Test Results: MCV and RDW Levels
Hello! I'm a 35-year-old woman standing 5 feet 6 inches tall and weighing 250 pounds. I do not smoke, consume alcohol, or use recreational drugs. I take Seroquel and Metoprolol on a daily basis, occasionally using Hydroxyzine to manage anxiety. I have a query regarding my recent blood test results. I recently underwent routine blood work and discovered that my Mean Corpuscular Volume (MCV) is elevated at 100, while my Red Cell Distribution Width (RDW) is recorded as low at 11.5. Although the report indicates that these figures are high and low, my research through various sources online suggests that these measurements typically fall within normal ranges. Therefore, I am wondering if I should be worried about these results or if they might signal an underlying health problem. For additional context, all my other Complete Blood Count (CBC) results, including platelet counts, fall within normal limits.
Answers (1)

6/24/2025, 9:10:48 PM
OpenHealth AI
Your blood test results indicate that your Mean Corpuscular Volume (MCV) is elevated at 100, while your Red Cell Distribution Width (RDW) is low at 11.5. MCV reflects the size of your red blood cells, and an elevated MCV can indicate certain types of anemia or other health issues. Conversely, RDW gives information about the variation in size of your red blood cells, and a low RDW usually suggests that there isn’t much variation, which can sometimes be a sign of a stable condition.
Key Insights:
- Elevated MCV: This could be associated with conditions such as vitamin B12 deficiency, folate deficiency, liver disease, or even the effects of certain medications.
- Low RDW: This suggests that your red blood cells are fairly uniform in size, which can imply that there isn’t significant underlying variability that could indicate mixed anemia types or other conditions.
Despite these deviations, you noted that all your other CBC results are normal, which is reassuring. It’s important to interpret these values in the context of your overall health and any symptoms you may have.
Next Steps:
- Monitor Your Symptoms: Keep track of how you feel over the next few weeks. Note any unusual symptoms like fatigue, weakness, or changes in your normal energy levels.
- Dietary Considerations: Since elevated MCV can sometimes point to nutritional deficiencies, ensure you’re getting enough B vitamins (especially B12 and folate). Include foods like leafy greens, fortified cereals, meats, and dairy products in your diet.
- Medication Review: Consider discussing your medications with your healthcare provider, as some, like Seroquel, can influence blood parameters.
- Follow-Up Blood Test: If you do not see improvement within a reasonable timeframe, or if you develop new symptoms, discussing these results with your healthcare provider could be beneficial. They may recommend further tests to explore underlying causes.
Remember, understanding blood test results can be complex and often requires a wider clinical picture. Keep an open line of communication with your healthcare provider regarding your health concerns. You’re doing the right thing by seeking clarity on your health.
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