How Can Mild Anemia Due To Folate Deficiency Be Managed?

Posted on Tue, 5 Sep 2023

Question: High MCV and RDW with low MCHC and PLCR.

# Lymphocyte percentage :40.8
(lab reference : 20-40)
# Monocytes absolute count : 0.07
(lab reference : 0.2 - 1.0)
# Basophils absolute count : 0.01
(lab reference : 0.02 - 0.1)
# MCV : 106.1
(lab reference : 83 - 101)
# MCHC : 26.7
(lab reference : 31.5 - 34.5)
# RDW - SD : 59.3
(lab reference : 39 - 46)
# RDW - CV : 15.2
(lab reference : 11.6 - 14)
# PDW : 9.6
(lab reference : 9.6 - 15.2)
# PLCR : 18.4
(lab reference : 19.7 - 42.4)
# Folate : 3.9
(lab reference : >5.38)

Rest are within lab range. Few for reference :
hemoglobin : 12.1
Iron : 122.5
Iron binding capacity : 344
‰Transferrin saturation : 35.61
Ferritin : 39.8
Vitamin B12 : 741
25 OH Vitamin D : 20.22

Please guide regarding the abnormal values

Answered by Dr. Dr. (18 minutes later)

Brief Answer:
Mild anemia due to Folate deficiency

Detailed Answer:

Hi,

All values are indicating mild anemia due to folate (vitamin B9) deficiency. I would suggest you take Tab. Folacin 400 micro gms once daily for 2 months. Have lots of green leafy vegetables, oranges, bananas, beans, peas, and nut.

I hope this answers your query.

Regards,
Dr. Kampana
General & Family Physician

Above answer was peer-reviewed by : Dr. Kampana