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My Mcv Was Slightly High, 100 And All Other Blood

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Posted on Tue, 25 Aug 2020
Question: My mcv was slightly high, 100 and all other blood tests excellent. My doctor said cut back on alcohol but stressed he wasn't worried as not doing more lab work til next year. Is there any additional supplement i can take to help the mcv levels to lower quicker or keep in normal range. I don't want to stop drinking wine altogether.
Thanks XXXXXXX
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Answered by Dr. Heang Chan Raksmey (2 hours later)
Brief Answer:
Decrease alcohol consumption, taking folate acid and vitamin B12 supplement and eat healthy food may help some for your high MCV.

Detailed Answer:
Hello and thank you for your question Erfoud. Hope I can be of help for you today.

Through reading your query I would like to help you with this question. MCV (mean corpuscular volume) is high when it is above the upper limit of normal, which is typically >96 to 100 fl in adults. In adults common causes of high MCV without anemia include alcohol use. Acutely, alcohol lowers the serum folate level even in who are not truly folate deficient. The result requires a normal vitamin B12 level for accurate interpretation, RBC folate levels may be suppressed by concurrent vitamin B12 deficiency. So the measurement of the serum vitamin B12 level and folate assessment (with testing appropriate to acute or chronic alcohol use) will usually establish the appropriate diagnosis. Chronically alcoholism will damage your liver and your hematology. So you should try to decrease drinking alcohol step by step until you can quit it. In the meantime during decrease alcohol consumption, taking folate acid and vitamin B12 supplement and eat healthy food may help some for your high MCV.

I hope that can help you, and please let me know if you have any clarification or question about that, and I would be welcome to discuss it with you further. I Hope you have good health.

Best regards,
Dr. Heang Chan Raksmey, General and Family Physician
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Yogesh D
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Dr. Heang Chan Raksmey

General & Family Physician

Practicing since :2015

Answered : 588 Questions

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My Mcv Was Slightly High, 100 And All Other Blood

Brief Answer: Decrease alcohol consumption, taking folate acid and vitamin B12 supplement and eat healthy food may help some for your high MCV. Detailed Answer: Hello and thank you for your question Erfoud. Hope I can be of help for you today. Through reading your query I would like to help you with this question. MCV (mean corpuscular volume) is high when it is above the upper limit of normal, which is typically >96 to 100 fl in adults. In adults common causes of high MCV without anemia include alcohol use. Acutely, alcohol lowers the serum folate level even in who are not truly folate deficient. The result requires a normal vitamin B12 level for accurate interpretation, RBC folate levels may be suppressed by concurrent vitamin B12 deficiency. So the measurement of the serum vitamin B12 level and folate assessment (with testing appropriate to acute or chronic alcohol use) will usually establish the appropriate diagnosis. Chronically alcoholism will damage your liver and your hematology. So you should try to decrease drinking alcohol step by step until you can quit it. In the meantime during decrease alcohol consumption, taking folate acid and vitamin B12 supplement and eat healthy food may help some for your high MCV. I hope that can help you, and please let me know if you have any clarification or question about that, and I would be welcome to discuss it with you further. I Hope you have good health. Best regards, Dr. Heang Chan Raksmey, General and Family Physician