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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.
Often, you get your RDW blood test high due to vitamin B-12 shortage in your body. Your body needs these necessary vitamins to perform certain chemical procedures and bodily functions. High RDW and Low MCV. In many cases, you might see RDW blood test high with lower levels of MCV.