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I'm Concerned About A Complete Recent Blood Panel. I Have

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Posted on Fri, 4 Dec 2020
Question: I'm concerned about a complete recent blood panel. I have no symptoms of liver disease and aside from my bulging discs and sciatica there is nothing apparently wrong with me. I went for my annual. My cholesterol has come down (still slightly above 200, but way better and trending downwards). But the CBC is what has my doctor concerned. I take no medication, drink no alcohol, don't take tylenol. I weight 138 and am 5'6.5". I've recently incurred a huge stressor - I am a caregiver for an 80 year old man who came to me incontinent and unable to get himself into a wheelchair. Now he has a commode and can get himself into it, but things were pretty stressful for a while. My doctor didn't ask me anything about that . I have taken no vitamins for a year, but have been on a plant based diet. I only took turmeric and neem as supplements daily. Now I am back on taking a multivitamin since being vegan I might be missing something.

Here it is:
White Blood Cell Count     3.6 K/MM3     4.2 to 10.8 K/MM34.2 - 10.8 K/MM3     L
Red Blood Cell Count     4.23 M/MM3     3.80 to 5.10 M/MM33.80 - 5.10 M/MM3     
Hemoglobin     14.1 g/dL     12.0 to 16.0 g/dL12.0 - 16.0 g/dL     
Hematocrit     41.9 %     36.0 to 48.0 %36.0 - 48.0 %     
MCV     99.1 fL     82.0 to 97.0 fL82.0 - 97.0 fL     H
MCH     33.3 pg     27.0 to 34.0 pg27.0 - 34.0 pg     
MCHC g/dL     33.7 g/dL      33.0 to 37.0 g/dL 33.0 - 37.0 g/dL      
RDW     14.0 %     11.5 to 14.5 %11.5 - 14.5 %     
MPV     12.5 fL      9.4 to 12.4 fL 9.4 - 12.4 fL      H
Platelet Count     189 K/MM3     151 to 365 K/MM3151 - 365 K/MM3     
Neutrophils % Auto     44.9 %     45.0 to 75.0 %45.0 - 75.0 %     L
Lymphocytes % Auto     36.0 %     5.0 to 41.0 %5.0 - 41.0 %     
Monocytes % Auto     13.0 %     0.0 to 10.0 %0.0 - 10.0 %     H
Eosinophils % Auto     5.3 %     0.0 to 4.0 %0.0 - 4.0 %     H
Basophils % Auto     0.8 %     0.0 to 1.0 %0.0 - 1.0 %     
Immature Granulocytes % Auto     0.00 %     0.00 to 0.50 %0.00 - 0.50 %     
Neutrophils Abs Auto     1.62 K/MM3     2.20 to 4.80 K/MM32.20 - 4.80 K/MM3     L
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Answered by Dr. Shailja Puri (1 hour later)
Brief Answer:
CBC within range except slightly low WBC count

Detailed Answer:
Hello,
Thanks for posting your query on Ask A Doctor forum.
The complete blood count (CBC) shows all parameters within normal range except slightly low white blood counts.
The is no apparent cause of low white blood counts since all other parameters are within range.
For sciatica and nerve disc bulge you need to consult your orthopedician for management which includes rest, pain killers and back exercises.
Ideally cholesterol should be below 200 mg/ do which can be achieved by life style modifications.

Thanks and take care
Dr Shailja Puri
Note: Do you have more questions on diagnosis or treatment of blood disorders? Ask An Expert/ Specialist Now

Above answer was peer-reviewed by : Dr. Nagamani Ng
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Answered by
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Dr. Shailja Puri

Pathologist and Microbiologist

Practicing since :2006

Answered : 9705 Questions

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I'm Concerned About A Complete Recent Blood Panel. I Have

Brief Answer: CBC within range except slightly low WBC count Detailed Answer: Hello, Thanks for posting your query on Ask A Doctor forum. The complete blood count (CBC) shows all parameters within normal range except slightly low white blood counts. The is no apparent cause of low white blood counts since all other parameters are within range. For sciatica and nerve disc bulge you need to consult your orthopedician for management which includes rest, pain killers and back exercises. Ideally cholesterol should be below 200 mg/ do which can be achieved by life style modifications. Thanks and take care Dr Shailja Puri