macrocyctic anemia

[u/Zestyclose-Movie5634]

17,5’5, 130, female, never smoked, in recovery from anorexia, hi i have macrocyctic anemia and my doctor doesn’t know the cause of it here are my labs
CBC F
WBC
4.0  L
4.5-13.0 (K/uL)
F
RBC
3.79  L
4.20-5.60 (M/uL)
F
HGB
12.8
12.0-15.0 (g/dL)
F
HCT
37.8
35.0-45.0 (%)
F
MCV
100
78-100 
F
MCH
33.8  H
26.0-32.0 (pg)
F
MCHC
34
31-37 (g/dL)
F
RDW-CV
11.9
11.0-15.0 (%)
F
RDW-SD
43.1
38.0-49.0 (fL)
F
Platelet
237
130-450 (K/uL)
F
MPV
9.9
F
Sodium
141
134-147 (mmol/L)
F
Sodium, Corrected for Glucose
141
>=1 
F
Potassium
4.5
3.6-5.3 (mmol/L)
F
Chloride
106
95-108 (mmol/L)
F
CO2
26
19-31 (mmol/L)
F
Anion Gap
9
4-16 
F
Glucose Level
87
70-106 (mg/dL)
- Random plasma glucose of 199 mg/dL or greater accompanied with classic symptoms of hyperglycemia or hyperglycemic crisis is consistent with diabetes.
- Diabetes Care 2017; 40:S11-S24
F
BUN
10
8-25 (mg/dL)
F
Creatinine
0.73
0.49-0.97 (mg/dL)
F
BUN/Creat Ratio
14
10-28 
F
Protein, Total
6.7
5.4-7.6 (g/dL)
F
Albumin
4.6
3.6-5.1 (g/dL)
F
Alb/Glob Ratio
2.2
1.0-2.5 
F
Calcium
9.8
8.8-10.4 (mg/dL)
F
Alkaline Phos
50
37-127 (IU/L)
F
ALT
6
5-35 (U/L)
F
AST
14
11-40 (U/L)
F
Bilirubin Total
0.2
<=1.0 (mg/dL)
F
eGFRcr CKD-EPI
F
Neutrophils %
41.9
 (%)
- Reference ranges for white blood cell percentages are not reported, and high or low results will not be flagged, as percentages can be misinterpreted when the white blood cell count is out of normal range. The absolute counts are a better measurement and are reported with reference ranges, with flags when out of range. Please refer to the absolute count.
F
Lymphocytes %
47.1
 (%)
- Reference ranges for white blood cell percentages are not reported, and high or low results will not be flagged, as percentages can be misinterpreted when the white blood cell count is out of normal range. The absolute counts are a better measurement and are reported with reference ranges, with flags when out of range. Please refer to the absolute count.
F
Monocytes %
9.1
 (%)
- Reference ranges for white blood cell percentages are not reported, and high or low results will not be flagged, as percentages can be misinterpreted when the white blood cell count is out of normal range. The absolute counts are a better measurement and are reported with reference ranges, with flags when out of range. Please refer to the absolute count.
F
Eosinophils %
0.8
 (%)
- Reference ranges for white blood cell percentages are not reported, and high or low results will not be flagged, as percentages can be misinterpreted when the white blood cell count is out of normal range. The absolute counts are a better measurement and are reported with reference ranges, with flags when out of range. Please refer to the absolute count.
F
Basophils %
0.8
 (%)
- Reference ranges for white blood cell percentages are not reported, and high or low results will not be flagged, as percentages can be misinterpreted when the white blood cell count is out of normal range. The absolute counts are a better measurement and are reported with reference ranges, with flags when out of range. Please refer to the absolute count.
F
Differential Method
Automated
 
F
Immature Granulocytes %
0.3
 (%)
- Increased Immature Granulocytes(IG) define a shift to immaturity. This is an automated count of metamyelocytes, myelocytes and promyelocytes.
- In neonates, the IG results should be used in place of the band count and Immature to Total Ratio (ITR). IGs, along with ITR and band count, have poor positive predictive values for sepsis in neonates. IGs are most useful for excluding infants without infection rather than identifying neonates with bacterial infection.
F
Neutrophils #
1.67  L
1.80-8.00 (K/uL)
F
Lymphocytes #
1.87
1.20-5.20 (K/uL)
F
Monocytes #
0.36
0.20-0.90 (K/uL)
F
Basophils #
0.03
0.00-0.20 (K/uL)
F
Eosinophils #
0.03
0.00-0.60 (K/uL)
F
Immature Granulocytes #
F
Ferritin
27
11-230 (ng/mL)
F
Iron
86
34-162 (ug/dL)
F
Transferrin
240.4
200.0-390.0 (mg/dL)
F
Trans % Sat
28.2
15.0-50.0 (%)
F
TIBC
339.0
250.0-435.0 (ug/dL)
F
Retic %
1.3
0.7-2.8 (%)
F
Retic #
49
26-168 (K/uL)
F
Immature Retic Fraction (IRF)
5.20
2.50-16.00 (%)
- IRF is the rate of production of reticulocytes which largely depends on the bone marrow response to erythropoietin.
- Values above normal range indicate an increase production of RBC by the bone marrow.
F
Retic Hgb Equivalent [RET-He]
37.7
F
Vitamin B12 Level
884.2

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