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interesting article, venisecting lowers MCV, if MCV is too low it might be from over venisecting. I have polycythaemia Vera and venisected to control it for 7 years, MCV went down to 56 , not advisable. If venisecting a lot with  TRT it’s maybe a good idea to keep an eye on MCV, with polycythaemia Vera it’s possible to have high normal Hgb and Hct but very low MCV , just worth keeping an eye on As well as Ferritin., ditto applies ie venisecting can lower it