apollo
  • female
  • 40 Years
  • 29/01/2025

I've been dealing with a vitamin B12 deficiency for a couple of months and started getting B12 injections weekly for six weeks. I just got my levels checked again, and now they're over 2000. Is this normal, or should I be worried? Also, I have some other blood work results like hemoglobin at 15, platelets at 346, and WBC at 7800. I'm curious if these are all interconnected somehow. What's going on with my blood tests?

Doctor 1

Answered by 1 Apollo Doctors

consult physician

Dr. Dr Khaleel Suggests...

Consult a Haematologist

Answered 25/07/2025

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I'm really worried about this lump I've got between my neck and jaw. It's been there for a while, and I've noticed that my weight has dropped to 67 kg. My recent blood test showed my WBC count is at 14,000, with low lymphocytes but high polymorphs. My hemoglobin's normal, though. I also feel like my body's really warm, and my pulse seems fast. Should I be concerned? Is there anything specific I should watch out for or ask my local doctor about?

"Based on your symptoms of weight loss, high WBC count, low lymphocyte count, high polymorph count, lump in between neck and jaw, warm body, and fast pulse rate, it sounds like you may be experiencing an infection or inflammation in your body. I would recommend taking antibiotics like Amoxicillin 500mg twice a day for 7-10 days to treat the infection. Additionally, you can take Ibuprofen 400mg three times a day for pain and inflammation. Make sure to stay hydrated and get plenty of rest. If your symptoms persist or worsen, please follow up with your healthcare provider for further evaluation and management."

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Doctor 1Doctor 2

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I'm trying to understand my lab report and I've got some questions. It's mentioned as "Remarks ALERT," and says something about "Predominantly normocytic normochromic with macrocytes and ovalocytes." Can you help me make sense of that? My Hemoglobin is at 12.8, MCV is 109.9 fL, MCH is 33.2 pg, MCHC is 30.3 gdL, RDW-SD is 59.3 fL, and RDW-CV is 14.4. Is there something I should be concerned about? What do these terms mean in terms of my health?

The report indicates that your red blood cells are mostly normal in size and color (normocytic, normochromic), but there are also some abnormally large (macrocytes) and oval-shaped cells present. This could suggest a possible vitamin deficiency or other underlying condition. Your hemoglobin level is normal, but the high MCV (mean corpuscular volume) may point to macrocytosis. Its a good idea to follow up with your doctor to understand the cause.

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Doctor 1Doctor 2

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I'm looking at my blood work results and I have a few concerns. It mentions predominantly normocytic normochromic with ovalocytes, and the platelets seem adequate on the smear. There's a bunch of numbers too: WBC is 8.74, Neutrophils are 59.7, Lymphocytes 34.9, Monocytes 2.5, Eosinophils 2.4, and Basophils 0.2. Then it lists the absolute counts like Neutrophil absolute count at 5.22 and Lymphocyte absolute count at 3.05. My RBC is 5.24 and Haemoglobin is 15.5. Platelet count is 155, with some measurements called PDW at 18.2, MPV at 12.8, and PLCR at 46.1. Is there something here to be cautious about? Do I need any treatment or should I be focusing on anything specific regarding these results? I'm not on any medications at the moment.

Low HB (9.8) and RBC (3.89) indicate anemia. High ESR (88) suggests inflammation or infection. Possible causes: - Chronic infection (e.g., TB, osteomyelitis) - Autoimmune disorders (e.g., rheumatoid arthritis, lupus) - Chronic inflammatory diseases (e.g., Crohn's, ulcerative colitis) - Malignancies (e.g., lymphoma, multiple myeloma) Consult a hematologist or a general physician to: - Investigate underlying causes - Conduct further tests (e.g., iron studies, vitamin B12, folic acid) - Develop a treatment plan

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Doctor 1Doctor 2

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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.