Exposure to toxic substances can lead to various hematological changes. Toxins can cause hemolysis of RBCs, leading to anemia, or they can stimulate the bone marrow to produce more RBCs as a compensatory mechanism. WBC levels may increase in response to inflammation or infection triggered by toxins. Conversely, some toxins may suppress the bone marrow, reducing WBC and platelet counts, increasing the risk of infections and bleeding.