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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] 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!

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