I have had a WBC of 14,000 to 18,000 for the last 2 years taken every 3 months as my doctor says he's "watching it". 2 weeks ago my blood work came back with a slightly elevated (again, as usual) WBC of 14,000 , low granulocyte# (8.6 with the normal being 35-80 according to the blood work) elevated monocyte# of 1.20. What does that mean? Should I see a specialist? I take 12.5 attenolol for SVT and ,625 Premarin and a multi vitamin. That's it, Other than general fatigue and hot flashes- I don't feel sick really. Just tired.