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Anemia Message Board

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Autoimmune disease can cause low RBCs, WBCs, and platelets. Usually when RBC is low, retic count is high, so your bone marrow production appears sluggish. Sometimes this can be a result of drug therapy (aplastic anemia as a side effect). I would check any meds you are taking for possible aplastic anemia. The bone marrow biopsy will rule out any worrisome cause for low production. You mentioned your rheumatologist. What do you see a rheum for? Lupus can cause all of these blood symptoms. Have you been tested for that? A high MCV usually means B12 or folate deficiency, but since yours have been measured and are ok, I wouldn't worry about the MCV. I would supplement the B12 if below 500.

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