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Hi all,

I thought I'd talk to people who might know more about this than I do! I am really, really confused about my results/what's going on!

So, I was just diagnosed with macrocytic anemia at my university's health center. These are my results from [B]1/18[/B]:

[B]WBC: [/B] 5.1
[B]RBC:[/B] 3.8
[B]HGB:[/B] 13.1
[B]HCT:[/B] 38.6
[B]MCV:[/B] 102
[B]MCH:[/B] 34.4

And all that other stuff on the list is normal.

They did more blood work on [B]1/26[/B]:

[B]WBC:[/B] 4.0
[B]RBC:[/B] 3.97
[B]HGB: [/B] 13.7
[B]HCT:[/B] 40.5
[B]MCV:[/B] 102
[B]MCH:[/B] 34.6

On this date, they also did something called a manual differential (WBC count, blood smear, microscopic examination with count)
Everything was normal on here except for:

[B]Monocytes:[/B] 2

So, based on these results, the nurse practitioner said that I have macrocytic anemia.

A few days later, [B]1/28[/B]. I got a few other tests in order to see what was causing it:

[B]Hepatic function panel:[/B]
Everything seems normal, except [B]ALKPH[/B] (?) is low at 34.

[B]Folate levels[/B]: >20 ng/mL...which is excessive.

[B]B12: [/B] 572....so that's normal...

[B]Blood count; reticulocyte, manual:[/B]

[B]RBC:[/B] 4.0
[B]Total Retics[/B]: 19.4 (it says this is low)

I originally went to my health center to have a rash looked at (apparently, it's pityriasis rosea...very annoying), and I get diagnosed with anemia! I've always had symptoms that seemed to relate to anemia...but didn't really do anything about it, since I haven't had health insurance for 10 years.

What's confusing me is my latest results, the one in which they checked my folate and B12 levels. When I took these tests I had eaten a large breakfast 2 hours before getting my blood drawn. I read that you should fast 8-10 hours before (after the fact). They knew I ate a large breakfast, and seemed to think it didn't matter, nor would it affect the results.

Yesterday, the nurse practitioner called me with my results. She told me everything seemed fine, concerning my thyroid and B12, but that my folate levels were really high. She said to stop taking my multi-vitamin and cut down on green leafy vegetables. I asked if a high level of folate could cause macrocytic anemia, and she said it could. From what I've researched, however, I've found no correlation. Except that high level can mask a B12 deficiency, or that my results were affected by the food I ate. I was skeptical by what she said, and got copies of all my results today.

If anyone can give me some insight on this, that'd be great, and I'd really appreciate it!
I was told I had Moderate Microcytic Anemia


Can anyone share their stories with be about Low Iron symptoms.... here are my numbers from Late august 2011 CBC:
RBC 4.68 (3.80-5.10)normal ranges
WBC 6.5 (4.0-10.5)normal ranges
Hemoglobin 9.3Low ((11.5 -15.0)normal ranges
Hematocrit 32.9Low (34 -44) normal ranges
MCV 70Low (80-98)normal ranges
MCH 19.9Low (27.0-34.0)normal ranges
MCHC 28.3Low (32.0-36.0)normal ranges
RDW 19.5High (11.7-15.0)normal ranges

Symptoms: Lightheadedness, weak/fatigue,easy excertion, dizziness, arm&hand tingling and slight numbness on and off in arms and hands. My thought process is foggy, sometimes i can not concentrate or think clearly, mild chest pain or palpitations. Doctors tell me im slightly anemic...but ive been told being slightly anemic is not the same as low iron. I would have to go to a hemotalogist to get the numbers on my iron count.
Doctors tell me I have vertigo because i am dizzy. Others say I have anxiety and panic disorder thats why im having all these symptoms. I dont think so! yes Im having anxiety and panic attacks, because I am stressed out and worrying about these symptoms! Im tired of feeling this way, and these regular doctors dont listen and I cant afford to go to a Hematologist until november! Can anyone shed some light please. Does low Iron stores cause all my symtoms. Also I have very heavy periods each month, Gushing blood on the first 36 -48 hours of my period, because of my fibroid. It was 5cm last March 2010. My entire cylce last 6-7days. No bleeding in between periods.
I took iron 325mg for late august and all of september 2011, once a day.
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