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I Got My Bloodwork Today And My MCV Was 105high

Posted on Wed, 16 Oct 2019

Question: I got my bloodwork today and my MCV was 105high ref 75-100 and my MCH was 30low ref 31-38 my hemoglobin was 15.2 good ref 11.5-16.5 white blood count good 5.7 and red blood count 4.9. my B12 was good 430 ref 323-1245. sugar good insulin 9.73 ref2.60-24.90. hgbA1c was normal 5.5 ref range 4.0-5.6. but my Alkaline Phosphatase was 38Low ref range 40-130. Triglycerides 250high range 0-150 Cholesterol 157 ref 0-200. UHDL 28Low ref 35-55. VLDL 50.High ref 5.0-40.0 Cholesterol/HDL ratio 5.61 high ref 0.00-5.00 my doctor is out of town for the week. I feel fine and was doing vegan diet with supplementing b12 I take Sotalol, Aspirin 81mg, potassium 25 meq, and prilosec ever day. just wondering if I should be concerned about the MCV 105 high and MCV 30 Low and Alkaline Phosphatase 38Low even though my other #s look good HGB B12 etc thank you in advance

Answered by Dr. Michelle Gibson James (1 hour later)

Brief Answer:
MCV and MCH are not interpreted on their own

Detailed Answer:
HI, thanks for using healthcare magic

I can understand concern re values not in the normal range.

MCV , however, is not interpreted by itself. It is used along with the HB to determine the type of anemia present (if a persons is anemic). For instance if your Hb was low (you were anemic), the high MCV would mean that the anemia would be classified as macrocytic anemia

MCV is used along with Hb, not by itself so the fact that the Hb is good means that there is no need to worry with the MCV
MCH is also not interpreted on its own, it again is used along with the Hb

The alkaline phosphatase, though below the norm, is only slightly so and this change is not considered significant.
Very low alk phos levels can occur in low blood phosphate levels.

Diet changes and activity are needed to help lower the triglycerides

I hope this helps, feel free to ask any other questions

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Michelle Gibson James (4 minutes later)

So there should be no concerns of anemia or anything else based on those numbers correct? What can influence those numbers to be high or low if HB is good Thank you again

Answered by Dr. Michelle Gibson James (19 minutes later)

Brief Answer:
no anemia present-Hb is normal

Detailed Answer:
HI

Hb determines if a person has anemia, so with your normal Hb, this is definitely ruled out.
they are only used along with the HB, not used for interpretation unless there is an problem with the Hb

The difference between the normal range should be considered, MCH is only 1 below the normal and MCV 5- with a normal Hb, there is no significance.
Your doctor did not mention these because not associated with any issues
Mild changes are sometimes related to variations in lab technique

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar