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Naturespirit,

I agree that you need to go to a doctor and get a full workup. Your low MCV and MCH indicate iron deficiency anemia, but the high RBC is definitely confusing. A B12 anemia would cause the MCV to be larger, I believe.

The serum iron test is not a reliable indicator of iron deficiency anemia. Serum iron is the amount of iron circulating in your bloodstream at any given moment in time. It can be affected constantly by what you are eating throughout the day. So, in the morning it might be low, after lunch it might be high. Basically, it really doesn't give you a true picture of your iron status and most doctors familiar with anemias will not use it for diagnostic purposes.

What you need to have done is:

Another CBC (to check those RBCs again)
Ferritin
B12
Folate

These three tests together will determine what type of anemia you are dealing with. And believe it or not, you can have iron deficiency and B12 deficiency at the same time, which will then skew your CBC.

As for the CRP and elevated sed rate. Yep, you definitely have an inflammatory process going on and, personally I think you need a further workup to determine if you have an autoimmune disorder. This is one of things my doc discussed with me. He did a CRP and said if it was elevated, he would do further tests. Mine was not elevated. Autoimmune disorders can cause anemia by destroying red blood cells.

So, I would take your latest lab results and head over to a general practictioner that you have confidence in, or you could go to a hematologist. That might not be a bad idea since there seems to be a lot going on.

By the way, on your lab report, the thyroid blood tests will say "TSH, T4" or something along those lines.





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