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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is It A Matter Of Concern To Have Constant Fatigue And High Monocyte Levels?

I have been feeling very fatigued and just not right for a little over a month now. My doctor did lab work and my TSH is normal. She said my monocytes were a little high, she goes by anything above 9 as high. Mine were 11.1. She said to watch and see, should I be concerned?
Tue, 7 Jan 2014
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Internal Medicine Specialist,  's  Response
Hi there,

Thanks for your query. More information is needed.

However, there is nothing to worry if you suffered from Infectious Mononucleosis (IM) recently. Monocyte counts will return to normal in a weeks' time.

However, in case of no history of IM in the recent past and Monocyte counts remain high, you would need to undergo further evaluation for conditions causing persistent fatigue + high monocyte count, such as, underlying fungal/viral infections, abnormalities of Hemoglobin, bone marrow, blood formation and blood cancers.

Consult your doctor and apprise him of my opinion. I am certain that he will agree with me, order required tests, and- based on the reports- will prescribe suitable/modified treatment as advised.

If you find my response helpful and informative, do not forget an “excellent” (5-star rating) to my answer, to ENCOURAGE ALL doctors- engaged in social service- to render sound advice to the FREE queries.

Take care

Dr. Rakesh Karanwal
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Is It A Matter Of Concern To Have Constant Fatigue And High Monocyte Levels?

Hi there, Thanks for your query. More information is needed. However, there is nothing to worry if you suffered from Infectious Mononucleosis (IM) recently. Monocyte counts will return to normal in a weeks time. However, in case of no history of IM in the recent past and Monocyte counts remain high, you would need to undergo further evaluation for conditions causing persistent fatigue + high monocyte count, such as, underlying fungal/viral infections, abnormalities of Hemoglobin, bone marrow, blood formation and blood cancers. Consult your doctor and apprise him of my opinion. I am certain that he will agree with me, order required tests, and- based on the reports- will prescribe suitable/modified treatment as advised. If you find my response helpful and informative, do not forget an “excellent” (5-star rating) to my answer, to ENCOURAGE ALL doctors- engaged in social service- to render sound advice to the FREE queries. Take care Dr. Rakesh Karanwal