Hello and welcome to HCM,
In health the red blood cells are described as normocytic and normochromic.
This is on the basis of size and hemoglobinization of the red blood cells.
A variation in size and shape of red blood cells is described as anisopoikilocytosis.
This variation is seen in anemias.
Anemia causes fall in hemoglobin levels.
The fall in hemoglobin can be due to many reasons.
Dietary deficiency is the commonest cause of anemia.
Deficiency of iron and vitamin B 12-folic acid can cause this deficiency.
Presence of oval shaped cells is called ovalocytes which have been mentioned in your report.
You need to consult your doctor to find out whether the ovalocytosis is due to vitamin B 12-
folic acid deficiency.
In case vitamin B 12-folic acid deficiency is present, supplements need to be taken.
Thanks and take care
Dr Shailja P Wahal