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Hi Kris,

I tend to agree with your PCP. An elevated MCV usually means a B12 deficiency anaemia (pernicious anaemia) or folic acid anaemia which could have been caused by your surgeries. A decreased MCV is indicative of an Iron deficiency. Normal reference values for MCV are 80 - 100. Crohns Disease and colitis often lead to pernicious anaemia. Also hypothyroidism can co-exist with pernicious anaemia...both are autoimmune diseases.


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