Answered by Dr. Elina Angelova Beleva

Answered by Dr. Elina Angelova Beleva

What can be the cause for high B12 level in a person with MTHFR mutation?

Hello doctor,

I have genetic mutation MTHFR. I am on thyroid for hypothyroidism. My B12 level is 1476, the normal range is between 138 to 652 pmol/L. How can I lower my B12 level? Is this level a cause for concern? All the other blood levels are normal other than WBC which is at 3.4 and neutrophils which are at 1.2.

19 Feb 2024 - 1 min read

My WBC counts are falling down. What is the reason?

Hi doctor,

I am concerned about my low and falling WBC count recently. I do not have any chronic diseases. My doctor says, it is vitamin B12 deficiency and the doctor has prescribed vitamin B12 to take 1000 mg per day. My mother had MDS, diagnosed two years back and expired from it. My WBC counts recently in the past three months were 3.23 K/mcL, 3.13 K/mcL, 4.50-11.00 K/mcL, respectively.

18 Jan 2024 - 1 min read

I did a blood test and my WBC count is a bit low. Why?

Hi doctor,

I hope you are well and safe.

I did a blood test, but my white blood cells are always a bit low.

I feel good as I train and eat healthily, but it has been four years that I have this low cell count between 3.2 and 3.6.

Is it anything serious?

Thank you in advance.

05 Jan 2024 - 1 min read

Does a low monocyte count indicate a serious underlying medical condition?

Hello doctor,

I had a blood test about 7 months ago as part of a regular checkup. The only abnormality was an absence of monocytes. Around 2 days ago, I again did a complete blood count at the same laboratory, and my WBC results were like this :

WBC- 5.8 K/uL (normal).

Neutrophil- 50 %.

Lymphocyte- 49 %.

Monocyte- 0 %.

Eosinophil- 1 %.

Again my monocyte is zero percent. I would like to know if this is serious. Is it related to some immune system deficiency? I had no symptoms and no urinary, gastrointestinal, or pulmonary infection. I had a canker sore in my mouth twice.

26 Dec 2023 - 1 min read

Why is my WBC count persistently borderline high?

Hello doctor,

My main concerns are persistent borderline high blood values for the last two years. WBC count 14.5 *10^9/L, neutrophil count 8*10^9 and lymphocytes count 5.3*10^9/L (laboratory normal for lymphocyte between 1 to 4.8). Other parameters are mostly normal. Main symptoms are currently upper abdominal pain with frequent indigestion when fatty, oily, or fried food is consumed. Particularly, issues with nuts and dairy products. I previously had IBS like symptoms and was also diagnosed with H. Pylori and stones in the gallbladder a couple of years back, although it was told that the stones were small in size. Please check the attached image for detailed symptoms by period and results of blood tests. I have also been requested for an ultrasound of the abdomen. What bothers me is the referral to a hematologist. Can you please suggest?

Thank you.

21 Dec 2023 - 1 min read

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