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Abnormal Labs

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mike43412
mike43412

I recently had labs completed as a general physical due to feeling decreased strength in legs and frequent body chills. The labs showed mild macrocytosis MCV of 107 and a low RBC of 4.1. It also showed low neutrophils 1.82. my hemoglobin was normal. I also had a low anion gap of 3, and elevated BUN and BUN creatnine ratio. My doctor then ordered a B12 and folate level which were both normal.

Because my hemoglobin was normawl my dr did not feel I require additional work up. I felt a little blown off and he was relatively unconcerned. I have had an extensive work up for abdominal problems including CT enterography that were unremarkable. I had an EGD that showed eosinophilic esophagitis. My eosinophil count has also been markedly elevated in the past but is now normal. Several people have commented that I have jaundice, but I have no yellowing of eyes and it appears very mild. My bilirubin and liver enzymes are normal.

I have have noticed increased urinary frequency and have been having problems sleeping. No fever. Not sure if all this is my anxiety, but im having a hard time with my dr not investigating the elevated MCV further with a reticulcyte count / blood smear? Thoughts?

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