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What Does This Blood Test Report Signify?
My total RBC is 4.43, MCV 108.8 mch 32.6 mchc29.9 rdw-sd 59 rdw-cv 14.5 hamogram alert predominantly normocytic normochromic with macrocytes and ovalocytes Vit d 26.61 b12 1520ng t3 114 t4 11.3 tsh 2.99 Iron 74.2 tibc 289 %saturation 25.67 Please advise what does report mean & what is treatment My email address is YYYY@YYYY
posted on
Sun, 20 Mar 2016
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Sun, 15 May 2016
Answered on
Mon, 16 May 2016
Last reviewed on
Welcome to HCM,
Well, you have some good news! Your thyroid panel looks normal and your iron level looks fine. I do see some vitamin D deficiency, not unusual but still needs repletion.
Your complete blood cell count is slightly abnormal, but to me, if I had run this test, I would be wondering about your tissue level of folate. Your Vitamin B12 is normal indicating that the macrocytic indicator is not related to a B12 deficiency but more probably a folic acid deficiency, which was not tested for. I don't see a hematocrit listed but the hemoglobin of 14.5 is in the normal range for both men and women.
The RDW-SD and the RDW-CV, both elevated with a high MCV is indicative of a folic acid deficiency with other medical possibilities.
Your red blood cells are on the low side. A normal hemoglobin for a male is 13.5-17.5 and for women 12.5-15.5. Low values of Hematocrit and Hemoglobin are indicators of anemia, but I don't see a hematocrit result.
My suggestion here, nutritionally speaking, is to run a homocysteine test which will be abnormal in folic acid deficiency but not B12 (your B12 is normal). A red blood cell folate test can also be run.
Some medical conditions may cause this profile as well, but I would check my folic acid levels first before considering a medical reason.
You may receive other answers from HCM with medical, rather than nutritional,implications.
Good luck to you! Kathryn Shattler, MS,RDN
Well, you have some good news! Your thyroid panel looks normal and your iron level looks fine. I do see some vitamin D deficiency, not unusual but still needs repletion.
Your complete blood cell count is slightly abnormal, but to me, if I had run this test, I would be wondering about your tissue level of folate. Your Vitamin B12 is normal indicating that the macrocytic indicator is not related to a B12 deficiency but more probably a folic acid deficiency, which was not tested for. I don't see a hematocrit listed but the hemoglobin of 14.5 is in the normal range for both men and women.
The RDW-SD and the RDW-CV, both elevated with a high MCV is indicative of a folic acid deficiency with other medical possibilities.
Your red blood cells are on the low side. A normal hemoglobin for a male is 13.5-17.5 and for women 12.5-15.5. Low values of Hematocrit and Hemoglobin are indicators of anemia, but I don't see a hematocrit result.
My suggestion here, nutritionally speaking, is to run a homocysteine test which will be abnormal in folic acid deficiency but not B12 (your B12 is normal). A red blood cell folate test can also be run.
Some medical conditions may cause this profile as well, but I would check my folic acid levels first before considering a medical reason.
You may receive other answers from HCM with medical, rather than nutritional,implications.
Good luck to you! Kathryn Shattler, MS,RDN
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