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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.
If the RDW is normal, but the MCV is high, the patient could have something more serious, such as chronic liver disease. If both are high, it could indicate any number of things, including low vitamin b12, liver problems or diseases such as myelodysplastic syndrome. Learn more about Medical Ranges & Levels.