Brief Answer:
Listed the probable causes; but suspecting medications to be the cause

Detailed Answer:
Hello sir and welcome.

Thank you for writing to us.

I have gone through your query with diligence and would like you to know that I am here to help. I understand your cause for concern, and would like to comment on each raised parameter:

+GRAN % 49.1: The possible causes for elevation this are the following:

-Infections: The most common cause; but one which is either developing or soon ending
-Inflammation (acute)
-Some medications (especially steroids)

+LYMPH 40.0: It is mildly raised but still close to the higher level of normal; so this could be associated with medications

+MONO % 9.4: Raised, but still within normal limit; so this could be associated with medications

In my opinion, the medications you are taking could be the most likely cause and discontinuation (temporary) of the medications should help return the levels to normal. But as the medications you are on are required, you will have to keep a close eye on your blood parameters.

I would also like to inquire about your WBC and ESR levels though, if you do not mind. Just to make sure infection and inflammation are ruled out. I look forward to hearing from you in order to confirm the cause.

I hope you find my response both helpful and informative. Please feel free to write back to me for any further clarifications, I would be ore than happy to help.

Best wishes.

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Brief Answer:
There we go; the steroids are the most likely cause

Detailed Answer:
Hello once again sir.

WBC is normal too, and I am sure your ESR will be insignificant as well.

There you go sir, the palmacort is most probably the cause for your elevated parameters sir. As it is a steroid, it is the most likely cause. :)

I hope this helps clear your doubts sir. Please feel free to write back to me for any further clarifications, I am always here to help.

Best wishes.

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