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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 stands for mean corpuscular hemoglobin. It estimates the average amount of hemoglobin in each red blood cell, measured in picograms (a trillionth of a gram). Automated cell counters calculate the MCH, which is reported as part of a complete blood count (CBC) test. MCH may be low in iron-deficiency anemia, and may be high in anemia due to vitamin B12 or folate deficiency. Other forms of anemia can also cause MCH to be abnormal. Doctors only use the MCH as supporting information, not to make a diagnosis.