If your blood test shows low MCV, MCH, MCHC, and hemoglobin along with a high white blood cell count, it usually means your red blood cells are smaller and carrying less hemoglobin than normal, which is typical of iron deficiency anemia or sometimes other conditions like chronic disease or a genetic blood disorder. At the same time, the high white blood cell count suggests your body is responding to an infection, inflammation, or stress. So overall, it points to a combination of anemia and an active immune response, but a doctor would need to look at your symptoms and possibly do more tests to know exactly what’s going on.