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An Increased MCV with an increased RDW could mean a B12 and or Folate Deficiency.

Both would explain the brain fog. You may need prescription folic acid and B12 shots. You should ask to have your B12 and Folic Acid levels checked. They just changed the standards. Used to be 180 B12 or less was ok, now they regocnize that some folks require higher levels to be healthy. My B12 level was 254, and I was experiencing heart palpatations, brain fog, exhausted, pallor and muscle twitching. After I started getting the shots, I felt so much better.

Hope this helps. Please have it checked out, and at the least you should be taking a B-complex vitamin.

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