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

Answered by
Dr. Elina Angelova Beleva
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Mar 14, 2021

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.



Welcome to

I have reviewed your test results. Other than neutrophil count and folate levels, there is nothing worrisome. Given the fact that you have no symptoms (more specifically fatigue, night sweats, appetite, and weight loss), the low neutrophil count might be either constitutional or might be attributed to low folate, or if you take certain medications such as Paracetamol, might be due to its bone marrow suppressive effect. I would suggest a short trial with folate supplement and another CBC after a month. Do you take any medications or supplements that you missed mentioning? There is also a rare case of cyclic neutropenia in which your neutrophils tend to fluctuate over time. Are you aware of familial members with low neutrophils? If you can send me older results, I will be able to diagnose deeper into your case.


The Probable causes:

Folate deficiency.

Probable diagnosis:


Treatment plan:

Folate 400 mg daily over a month.

Preventive measures:

No Paracetamol intake.

Regarding follow up:

After a month with control CBC.

Hi doctor,

Thank you so much for your answer.

So I will tell you what I eat every day.

I start in the morning with oats, rice milk, flaxseed, omega, and hemp seeds.

I have a change in meals every day like chicken, red meat, pork, and pulses like lentils and beans. Every day I eat fruits like avocado and vegetables like broccoli, spinach, etc.

I go to the gym four days a week, including running. And I am intolerant to yeast, lactose, nuts.

It is very strange that my folate is low because I eat healthily.

As a supplement, I only take BCAA, an amino acid, a bit of beta-alanine, another amino acid.

Thank you so much.



Welcome back to

Thank you for this information. Your diet is diverse and healthy. However, the flaxseed might contain cyanide, which is a poison and can have a bone marrow suppressive effect. This is the case if you are consuming raw seeds, which is probably not the case. As I mentioned earlier, a short trial with folate might be helpful.


Was this answer helpful?


Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Related Questions:
Is it something serious to have Hb and hematocrit at low level with high RDW-CV?

A high RDW-CV favors iron deficiency anemia ... But it can be seen in B12 and folate deficiency also ...   Read full

My little child has fever and low WBC count. Can it be dengue fever?

.. happen in a viral fever also. But it is always better to repeat the test after 48 hours to make sure about the WBC (white blood cell) count and the platelet count status. There are other dengue-like viruses where dengue test comes n...   Read full

We are not sure about my friend's diagnosis. Kindly help.

One thing for sure is that he is having periodic hemolysis with adequate bone marrow response and he has a severe vitamin B12 deficiency ...   The broad differenti...   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read

Coronavirus Variant Arcturus: | Omicron XBB.1.16 Variant
Arcturus is an emerging variant of the Omicron virus that causes various symptoms and spreads rapidly across the world. ...  Read more»
Adrenaline Rush - Symptoms, Causes, Effects, and How to Control
Adrenaline is a hormone responsible for fight or flight response. It is also a neurotransmitter and medicine. It is also...  Read more»
Fatty Liver - Types, Symptoms, Stages, and Treatment
The liver is the largest gland in the body. Its primary function is to process the food and drinks we consume. and filte...  Read more»

Ask your health query to a doctor online?

Ask a Hematologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.