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A low RDW (below 10.2%) means that the red blood cells vary very little in size. One reason for a low RDW level is macrocytic anemia. Another cause of a low RDW level is microcytic anemia. In these two disorders the red blood cells do not vary much in size because they are either all small or all large.
Normal RDW and High MCV. This can be a bit more serious, depending upon the condition: You might have aplastic anemia or chronic liver disease. The use of antivirals, alcohol or chemotherapy can also prompt this result in your blood work.