Kindly have a look at my blood test and explain the reason for my multiple infections.

Hello doctor,

Age: 41, height 5 feet 4 inches, weight 110 lbs, Prozac 30, Wellbutrin, Eletriptan, Vitamin D, Gabapentin, Dexidrine ER and IR, Synthroid, Cytomel.

Had second or last child eight years ago. Afterwards, had multiple infections (mastitis) and was on antibiotics almost the whole time I was breastfeeding. When I stopped breastfeeding, I started getting bad, daily headaches, lost a lot of weight quickly, post-partum depression. Diagnosed with Hashimoto's and chronic migraines, depression. Started anti-depressants, preventative and rescue migraine medicine, and Synthroid. Even after getting my depression managed, and thyroid fixed (at least the TSH was where they wanted to see it) I continued to have fatigue, daily headaches and low level anxiety and depression. I also developed symptoms of feeling like I was going to faint when standing up and racing heartrate, was diagnosed with POTS, working memory was non-existent and felt like I could not focus on anything, never knowing what to do first, I was like deer in headlights diagnosed with ADD and put on stimulants. I also have irregular periods and PMS is pretty bad. I feel like there is a hormone imbalance. All of these medical treatments have worked to a certain extent but there has been no discovery of the root cause and symptoms are just a bit better. They never go away.

Last week I had a blood test still trying to get to the bottom of my chronic symptoms. My thyroid came back a bit skewed. I am always tweaking this as it is very sensitive to medication change and my cholesterol a bit high, also normal.

My query is: There are blood markers that do not point to disease and I am not concerned that I have a scary illness lurking, but, I believe an imbalance that could be contributing to my overall health and symptoms. I am interested in looking more deeply into red blood cell information and how my liver, kidneys, blood is processing and fixing an imbalance. Some blood test results I would like you to look at and try to piece together: MCV and MCH run high. Hemoglobin and hematocrit run a bit low. Platelet count and RBC, C02 and bilirubin run low. Some Vitamins came up high which I found strange because I take a very standard multivitamin but only have for a few months. B6, B12, folate, folate RBC all were high. My appetite is not great so I worry I am not getting enough nutrients. I guess that is why I found it strange.

And finally, I am curious about my iron numbers. The most recent ones were not out of range but iron higher end and ferritin lower end. I have probably had four blood tests in the last few showing either iron or ferritin out of range changing between high and low or normal. Because I do not take Iron supplements and do not get that much iron through my diet, my doctor ran a hereditary hemochromatosis test a year ago- that was negative. He could not explain the fluctuations but said I should look into it. I would be so grateful if you could analyze and let me know if you notice a pattern to my blood work that makes sense. Could it be some type of anemia or liver function issue? Anyway, I hope I can at least get closer to the source of my symptoms.

Hi doctor,

Thank you.

Fever: A lot of times at the end of the day, I will feel cold and shivery and achy like I have a fever - even if it is warm I will need lots of blankets and sweatshirt. I say I feel feverish but I just feel kind of run down so I do not check my temperature.

Weight: My weight does not fluctuate a lot. Regardless if my TSH is high or low, I kind of stay between 110 and 115.

Therapy: I have recently but I did not feel like the therapist was a good fit. I have scheduled an appointment with one for next week that specifically deals with chronic illness.

Other symptoms. I rarely get colds or coughs. No chest pain. I do get water retention in my legs sometimes. It is probably not noticeable to others but is to me and puffy face and swollen tongue. I do not think my lymphatic system works all that well but I do self-massage and dry brushing. I bruise easily, heart palpatations come and go.