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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.
According to Medscape, the RDW results from a blood test can help determine the cause of the anemia and, therefore, how to treat it. This is what RDW blood test results along with MCV results can tell about your health: 4 . Normal RDW and normal MCV. Normal levels of both the RDW and MCV parameters could mean that you have anemia due to chronic blood loss or because of a chronic disease. Normal RDW and low MCV.