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MCV is "mean corpuscular volume". That is the average size of red blood cells. When it is low, it means the person has microcytic anemia. Micro -- meaning small, and cytic, meaning cells.

MCH is the "mean corpuscular hemoglobin". This is the average hemoglobin content per red blood cell. When it is low, it means the person has hypochromic anemia. Hypo meaning "little" and chromic meaning "color". This makes sense because cells low in hemoglobin are not as red as healthy cells.

The nurse is mistaken. Your daughter is showing early signs of anemia, and this should be treated. The things which should be tested to confirm this are:

- TIBC (total iron binding capacity)
- transferrin


- serum iron

I wish you and your daughter the best of luck. Too many girls go without having their iron deficiency treated. They perform poorly at work and school and suffer greatly for it. It's totally unnecessary.

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