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HomeAnswersHematologylymphocytosisWhat causes lymphocytosis and high homocysteine levels?

Please evaluate my blood test report for random tiredness.

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Vinodhini J.

Published At February 6, 2020
Reviewed AtJuly 27, 2023

Patient's Query

Hello doctor,

Recently I did my blood test and few areas of the result are bothering me. I have attached my entire report. Please do let me know the medication. I do not have any health issues except for random tiredness.


Welcome to icliniq.com.

I have gone through all your attached reports. (attachment removed to protect patient identity).

In your report, four main abnormal values are present such as lymphocytosis, vitamin D deficiency, vitamin B12 deficiency, and homocysteine borderline high. Lymphocytosis can be from temporary viral infection. As no other symptoms related I do not think further workup for lymphocytosis needed just now.

For vitamin D deficiency, Cholecalciferol sachet (50000 or 60000 IU) can be prescribed which is taken once a week with milk for six weeks.

For low vitamin B12, Cyanocobalamine injections can be prescribed 1000 mcg intramuscular per week for six weeks. Folic acid level also should be checked. If needed folic acid tablet is also prescribed. Repeat CBC (complete blood count) after one week. With the correction of vitamin B12 and vitamin D deficiency, your tiredness will be resolved. Consult a physician for examination and discuss all these with him.

Patient's Query

Thank you doctor,

Should I be worried about all these results? And what do you mean by CBC?


Welcome back to the icliniq.com.

CBC means complete blood count. It includes mainly hemoglobin, total WBC (white blood cells) count, differential WBC count and platelet count. So together we can say it as CBC report. You do not have to worry about these results. Repeat the CBC after a week. Consult a physician for examination (within two to three days) and get treatment for vitamin B12 deficiency and vitamin D deficiency as mentioned above.

I hope this helps.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Goswami Parth Rajendragiri
Dr. Goswami Parth Rajendragiri


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