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Hematocrit Test

Hematocrit Test

January 21, 2026
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Do I need a Hematocrit test?

Feeling constantly exhausted, short of breath, or struggling with dizziness? Could your red blood cell levels be affecting how you feel, and might a hematocrit test reveal what's going on?

Hematocrit measures the percentage of red blood cells in your blood, showing how well oxygen is being delivered throughout your body. When this balance is off, it can leave you feeling drained and breathless.

Testing your hematocrit gives you a quick snapshot of your oxygen-carrying capacity, helping pinpoint whether low or high red blood cell levels are behind your fatigue and breathlessness. It's the essential first step to personalizing your health plan and reclaiming your energy.

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Get tested with Superpower

If you’ve been postponing blood testing for years or feel frustrated by doctor appointments and limited lab panels, you are not alone. Standard healthcare is often reactive, focusing on testing only after symptoms appear or leaving patients in the dark.

Superpower flips that approach. We give you full insight into your body with over 100 biomarkers, personalized action plans, long-term tracking, and answers to your questions, so you can stay ahead of any health issues.

With physician-reviewed results, CLIA-certified labs, and the option for at-home blood draws, Superpower is designed for people who want clarity, convenience, and real accountability - all in one place.

Key benefits of Hematocrit testing

  • Measures the percentage of red blood cells in your blood volume
  • Spots anemia early, explaining fatigue, weakness, or shortness of breath
  • Flags dehydration or blood volume changes that affect circulation and energy
  • Guides treatment decisions for chronic conditions like kidney disease or heart failure
  • Tracks response to iron therapy, vitamin supplementation, or anemia medications
  • Clarifies abnormal bleeding, heavy periods, or unexplained dizziness
  • Best interpreted with hemoglobin, red blood cell count, and your symptoms

What is Hematocrit?

Hematocrit is the percentage of your blood volume made up of red blood cells. When a sample of blood is spun in a centrifuge, the red cells pack down at the bottom, and hematocrit measures how much space they occupy compared to the liquid plasma above.

Red blood cells are your body's oxygen carriers. They contain hemoglobin, the protein that binds oxygen in your lungs and releases it to tissues throughout your body. Hematocrit reflects how much oxygen-carrying capacity your blood has at any given moment.

Your blood's oxygen delivery fleet

A normal hematocrit means you have enough red cells to meet your tissues' oxygen demands. It rises when your body needs more oxygen transport, such as at high altitude, or falls when red cell production drops or blood is lost.

A window into blood volume and hydration

Because hematocrit is a ratio, it changes not only with red cell numbers but also with plasma volume. Dehydration concentrates red cells and raises hematocrit, while overhydration dilutes them and lowers it.

Why is Hematocrit important?

Hematocrit measures the percentage of your blood volume occupied by red blood cells - the oxygen-carrying fleet that fuels every tissue in your body. It reflects how well your blood can deliver oxygen to muscles, organs, and brain, and whether your bone marrow, kidneys, and nutritional status are functioning in harmony.

Your body's oxygen delivery system

Normal hematocrit ranges from roughly 38–50% in men and 34–45% in women, with optimal values typically sitting in the middle to upper-middle range. These differences arise because testosterone stimulates red cell production, while menstruation lowers baseline levels in women.

When hematocrit runs low

Values below range signal anemia, meaning your blood carries less oxygen per heartbeat. You may feel fatigued, short of breath, dizzy, or notice pale skin and rapid heartbeat as your cardiovascular system works harder to compensate. Low hematocrit can stem from iron deficiency, chronic disease, kidney dysfunction, or blood loss.

When hematocrit climbs too high

Elevated hematocrit thickens the blood, increasing stroke and clot risk as circulation slows. It may reflect dehydration, chronic lung disease, sleep apnea, or polycythemia. Symptoms include headache, blurred vision, and flushed skin.

The bigger picture

Hematocrit connects bone marrow health, kidney hormone signaling, nutritional reserves, and cardiovascular efficiency. Persistent abnormalities can signal underlying disease or elevate long-term risk for heart attack, stroke, and organ damage, making it a vital window into systemic vitality.

What do my Hematocrit results mean?

Low hematocrit values

Low values usually reflect fewer red blood cells or less hemoglobin per cell, which reduces oxygen-carrying capacity. This is most often due to iron deficiency, blood loss (menstrual, gastrointestinal, or surgical), or chronic disease that suppresses red cell production. In pregnancy, hematocrit naturally drops as plasma volume expands faster than red cell mass. Low hematocrit can cause fatigue, pale skin, shortness of breath, and reduced exercise tolerance as tissues receive less oxygen.

Optimal hematocrit values

Being in range suggests your blood has adequate oxygen-carrying capacity to support tissue metabolism and energy production. Optimal values tend to sit in the mid to upper portion of the reference range, though this varies by sex and altitude. Men typically run higher than women due to testosterone's stimulating effect on red cell production.

High hematocrit values

High values usually reflect an increased proportion of red cells relative to plasma. This may be due to dehydration, chronic hypoxia (from lung disease, sleep apnea, or high altitude), smoking, or polycythemia vera (a bone marrow disorder). Elevated hematocrit thickens the blood, increasing risk of clotting and cardiovascular strain.

Factors that influence hematocrit

Hematocrit varies with hydration status, altitude, smoking, and pregnancy. It also shifts with age and differs between men and women. Interpretation should always consider hemoglobin and red cell indices together for a complete picture.

Method: FDA-cleared clinical laboratory assay performed in CLIA-certified, CAP-accredited laboratories. Used to aid clinician-directed evaluation and monitoring. Not a stand-alone diagnosis.

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Similar biomarker tests from Superpower

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Frequently Asked Questions

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How it works
What should I expect during a blood draw?
  • A trained phlebotomist will guide you through the process.
  • A tourniquet is placed on your arm, the site is cleaned, and a small needle is used to collect blood into one or more tubes.
  • Results are usually ready in about a week.
  • Most people feel only a quick pinch.
  • The needle is removed, gentle pressure is applied, and a bandage is placed.
How do I prepare for a blood draw?
  • Drink plenty of water beforehand — hydration makes veins easier to find.
  • Wear loose sleeves so your arm is easy to access.
  • Follow any fasting instructions you’ve been given.
  • Let us know if you’re on medications, have fainted before, or have needle anxiety.
What should I do after my blood draw?
  • Press gently on the site for a few minutes.
  • Keep the bandage on for 4-6 hours.
  • Skip heavy lifting or strenuous exercise for the rest of the day.
  • Drink extra water to rehydrate.
  • Monitor the site for redness, swelling, or pain.
How do I book a blood draw with Superpower?

Your membership includes:

  • An annual full body test and report across 100+ biomarkers
  • A personalized action plan to optimize your biomarkers and reach your health goals
  • A dashboard to centralize your health data and track changes across a lifetime
  • Access to a health concierge for questions on your plan and help scheduling
  • Plus a marketplace of curated health products and services cheaper than amazon

Many concierge clinics charge $10k – $100k for their services, we’ve built technology to make the world’s best healthcare as accessible as possible via an all-in-one membership.

Where can I take my blood test?

Superpower is currently available in the following US states:

  • Alabama
  • Arizona
  • California
  • Colorado
  • Connecticut
  • Delaware
  • District of Columbia
  • Florida
  • Georgia
  • Idaho
  • Illinois
  • Indiana
  • Kansas
  • Maine
  • Maryland
  • Massachusetts
  • Michigan
  • Minnesota
  • Missouri
  • Montana
  • Nebraska
  • Nevada
  • New Hampshire
  • New Jersey
  • New Mexico
  • New York
  • North Carolina
  • Ohio
  • Oklahoma
  • Oregon
  • Pennsylvania
  • South Carolina
  • Tennessee
  • Texas
  • Utah
  • Vermont
  • Virginia
  • Washington
  • West Virginia
  • Wisconsin
Our testing
Does Superpower replace my primary care provider?

Superpower specializes in prevention-based testing and treatments and is not intended for emergency or immediate health issues.

While you will have a Superpower care team, your annual membership is designed to complement a primary care doctor if you have one, not replace them.

We are happy to help you share any test results with an outside provider to ensure you receive well-rounded medical care.

How fast are blood test results and how do I read them?

Your annual lab test panel takes about a week to process. We will text you as soon as they become available in your dashboard. Other types of tests may have different testing windows. The Superpower concierge is your own health assistant who helps answer your questions on your results, ensure smooth scheduling, coordination of any office-based tests, specialist referrals as needed, and navigating you to interface with your care team.

Does Superpower accept health insurance?

Superpower membership and products are all eligible for HSA/FSA funding.

We see Superpower like a gym membership for those committed to prevention and performance. Superpower is a bridge between wellness and healthcare. Health insurance traditionally focuses on reactive care whereas, at Superpower, we believe it’s never too early to start looking out for your long-term health.

What if I want more than 1 blood test per year?

Absolutely — you're not limited to just one. Your membership includes one comprehensive 100+ biomarker blood test each year, but if you'd like to track your progress more closely, you can add extra tests at any time. Each additional full-panel test costs $179. You can order as many as you'd like throughout the year.

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Frequently Asked Questions about Hematocrit Test

What is hematocrit in a blood test and what does it measure?

Hematocrit is the percentage of your total blood volume made up of red blood cells. It’s commonly measured as part of a complete blood count (CBC). Because red blood cells contain hemoglobin, hematocrit helps estimate your blood’s oxygen-carrying capacity. It also hints at blood thickness (viscosity): higher hematocrit can mean thicker blood, while lower hematocrit can mean fewer circulating red cells and reduced oxygen delivery.

How is hematocrit measured (and what does a centrifuge have to do with it)?

Hematocrit can be measured directly by spinning a blood sample in a centrifuge so red blood cells settle at the bottom and plasma rises to the top. The hematocrit is the fraction of the tube occupied by red cells. In routine lab testing, hematocrit may also be calculated from red blood cell indices on a CBC. Either way, it represents the proportion of blood volume that is red cells.

What are normal hematocrit ranges for men vs women, and why do they differ?

Normal hematocrit ranges are roughly 38–50% for men and 34–45% for women. Men typically run higher because testosterone stimulates red blood cell production. Children and teens often have slightly lower values that rise with age. “Optimal” levels often sit in the middle to upper-middle of the reference range, but interpretation should consider symptoms, hydration status, and related labs like hemoglobin and red blood cell indices.

What does low hematocrit mean and how does it relate to anemia symptoms like fatigue?

Low hematocrit commonly signals anemia or dilution from increased plasma volume, meaning tissues may get less oxygen. This can cause fatigue, weakness, shortness of breath, dizziness, pale skin, and poor exercise tolerance. Causes include iron deficiency, chronic blood loss, low B12 or folate, chronic inflammation, kidney disease, bone marrow suppression, or hemolysis (red cells breaking down early). It’s best interpreted alongside hemoglobin and red blood cell indices.

Why can hematocrit be low during pregnancy, and how is hematocrit testing used in prenatal care?

During pregnancy, blood plasma volume expands, which can dilute red blood cells and lower hematocrit even if red cell production is normal. Hematocrit testing helps detect pregnancy-related anemia that may affect maternal energy and fetal oxygen support. It’s especially important when symptoms like fatigue or shortness of breath appear. Clinicians often interpret hematocrit with hemoglobin and red blood cell indices and may use results to guide iron or vitamin supplementation.

What does high hematocrit mean, and why can it increase the risk of clots or stroke?

High hematocrit means a higher proportion of red blood cells, which can thicken the blood and slow circulation. Increased viscosity can raise the risk of clotting, stroke, heart attack, and other cardiovascular complications. High hematocrit may result from dehydration (concentrating the blood), chronic low-oxygen states (lung disease, sleep apnea, high altitude), smoking, or bone marrow overproduction such as polycythemia vera. Symptoms can include headache, flushed skin, or blurred vision.

Can dehydration cause a high hematocrit, and how quickly can hydration change results?

Yes. Dehydration can reduce plasma volume and concentrate red blood cells, causing a temporarily high hematocrit without a true increase in red blood cell mass. Hydration status can shift hematocrit relatively quickly, especially during acute illness, heavy sweating, vomiting, or diarrhea. Because of this, a single elevated result may need repeat testing after rehydration. Interpreting hematocrit alongside symptoms and other CBC markers can help distinguish dehydration from true polycythemia.

How do altitude, smoking, sleep apnea, or lung disease affect hematocrit levels?

These factors can lower oxygen levels in the blood, prompting the body to compensate by making more red blood cells in the bone marrow, which raises hematocrit. Living at high altitude can increase hematocrit as an adaptation to thinner air. Chronic lung disease and sleep apnea can also drive higher hematocrit due to repeated low-oxygen episodes. Smoking may contribute similarly. Elevated hematocrit from low oxygen can increase blood viscosity and clot risk.

How is hematocrit used to guide treatment for kidney disease or heart failure?

Hematocrit helps clinicians assess oxygen delivery and anemia risk in chronic conditions like kidney disease or heart failure. Kidney function matters because kidneys signal red blood cell production; impaired signaling can contribute to anemia and low hematocrit. Tracking hematocrit over time can guide treatment decisions, such as addressing nutritional deficiencies, adjusting anemia medications, or monitoring response to therapy. Results are most useful when paired with hemoglobin, red blood cell indices, and symptoms.

How do I know if my hematocrit result is “good” if it’s within range, and what tests should be checked with it?

A hematocrit “in range” often suggests adequate red blood cell production and stable blood volume, supporting steady oxygen transport. However, it’s not a standalone measure of health. Hematocrit is best interpreted with hemoglobin, red blood cell indices (often from a CBC), and your symptoms. Hydration, pregnancy, altitude, smoking, medications, and acute illness can shift results. If you feel fatigued or short of breath despite normal hematocrit, related labs may reveal why.

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