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A low RBC count indicates a decrease in oxygen-carrying cells in blood. The causes can be many, ranging from infections and deficiencies to malnutrition to malignancies, including: Anemia
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. This is what causes the RDW level to be low