<s>[INST] Hello...my husband had a blood test performed and the results came back with low red blood cells, but the hemoglobin was normal. Hematocrit was 42%. The PA called and told him he was severely anemic. What does it indicate when RBCs are low but HGB is normal (15.6g/dl)? Thank you for your input. [/INST] Hi,Thanks for asking.Based on your query, my opinion is as follows.1. It may be possible macrocytic anemia. The RBC are large, hence low count with increased hemoglobin may be being seen.2. Not to worry, check vit B12 and folic acid serum levels. If they are normal, then not to worry.3. If the count is above 4 millions/cmm, not to worry. Hope it helps.Any further queries, happy to help again. </s>