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Haptoglobin, bilirubin, and liver function tests. When red blood cells break down, they release hemoglobin into the bloodstream. The hemoglobin combines with a chemical called haptoglobin. A low level of haptoglobin in the bloodstream is a sign of hemolytic anemia.
A complete blood count includes an MCH and MCHC. Photo Credit Keith Brofsky/Photodisc/Getty Images. Nutritional deficiencies can cause anemia; if you are anemic, your lab tests show a low MCH, or mean corpuscular hemoglobin, and low MCHC, or mean corpuscular hemoglobin concentration. MCH and MCHC are used to diagnose anemia and can help determine what kind of anemia you have. Although a well-balanced diet helps prevent anemia and low MCH or MCHC, some medical conditions can cause anemia even if you eat a good diet.