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MCH blood test high indicates that there is a poor supply of oxygen to the blood where as MCH blood test low mean that hemoglobin is too little in the cells indicating a lack of iron. It is important that iron is maintained at a certain level as too much or too little iron can be dangerous to your body.
MCH measures the amount of hemoglobin in the average red blood cell. This number is XXXXX in iron deficiency, and high in macrocytic anemia (such as B12 and folate deficiency). Here are some links.