Clinical Protocol

7-Day MCHC Balancing Plan

Diet for Mean Corpuscular Hemoglobin Concentration. Measures density of hemoglobin. Low = Iron Deficiency; High = Spherocytosis/B12.

Protocol Objectives
Low MCHC

Classic Iron Deficiency. Cells are pale. Aggressive iron + Vitamin C protocol.

High MCHC

Often genetic (Spherocytosis) or severe B12 deficiency. Focus on Folate/B12.

Hydration

Impacts concentration.

Protein

Globin source.

Day 1 Iron (Low)
Breakfast
Steak
Iron.
Lunch
Chili
Iron.
Dinner
Liver
Iron.
Day 2 B12 (High)
Breakfast
Eggs
B12.
Lunch
Clams
B12.
Dinner
Salmon
B12.
Day 3 Vitamin C
Breakfast
Orange
C.
Lunch
Peppers
C.
Dinner
Broccoli
C.
Day 4 Folate
Breakfast
Spinach
B9.
Lunch
Lentils
B9.
Dinner
Asparagus
B9.
Day 5 Protein
Breakfast
Yogurt
Pro.
Lunch
Chicken
Pro.
Dinner
Beef
Pro.
Day 6 Copper
Breakfast
Cashews
Cu.
Lunch
Chocolate
Cu.
Dinner
Shellfish
Cu.
Day 7 Maintenance
Breakfast
Oatmeal
Base.
Lunch
Salad
Greens.
Dinner
Fish
Protein.

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Protocol Guidelines & Science
Diagnosis

MCHC is a calculation. Always look at MCV and Hemoglobin first for context.

Scientific References:
1. Bain, B. J. (1996). 'Diagnosis from the blood smear.' NEJM.