MCV (Mean Corpuscular Volume)

Routine annual

also

What it isThe average size of a single red blood cell, measured in femtoliters.

DoesClassifies anemia by red cell size and points toward the underlying cause.

GoodA mid-range MCV indicates normally-sized cells and signals balanced iron and B vitamin status.

BadLow MCV (microcytic) flags iron deficiency or thalassemia. High MCV (macrocytic) flags B12 or folate deficiency, alcohol use, or hypothyroidism.

Standard
80–100 fL.
Optimal
86–92 fL (narrow target)
Modifiers
Rises with alcohol; rises in hypothyroidism.

How to optimize

Lifestyle
Cut alcohol; treat hypothyroidism.
Diet
Red meat, eggs, leafy greens, legumes for iron and B vitamins.
Supplements
Methylcobalamin (1000µg/day), methylfolate (400–800µg/day), iron (if deficient).
Peptides
Drugs
Treat underlying cause.