Question: Long story short, I’ve completely. deteriorated the past year. Went from 125lbs to 98 in 8 months.
I am exhausted. I do not have an eating disorder (though malabsorption has been mentioned) and I started somehow either losing blood or my body isn’t making it. I’ve had 13 transfusions this year & just spent 17 days in the hospital. They cannot
find a source Of bleeding. My HCT in admission was 5.8.

I have 3 drs and I am in their care so I’m not trying to diagnose myself on the ‘net . Just wondering what anyone else thinks. If I were your patient, would anything in these labs stick out to you that warranted further investigation?

By the way, my B-12 levels worry me because I hasn’t eaten for 5 days when they were drawn because I was NPO and I had nothing in my Fluids aside from potassium.
I do not take B supplements and everything I’ve read On it it is not good. Thanks for any input.
Asterisks by the abnormal values. Thanks

B12 Level

1538 pg/mL (High)****
Date: Mar 19, 2019 04:38 a.m. EDT
Reference Range:193 pg/mL - 986 pg/mL

1514 pg/mL (High)^***
Date: Mar 18, 2019 09:03 a.m. EDT
Reference Range:193 pg/mL - 986 pg/mL

1398 pg/mL (High)*****
Date: Mar 17, 2019 04:09 a.m. EDT
Reference Range:193 pg/mL - 986 pg/mL

CBC/Diff/lytes


WBC
4.6 th/uL WBC
Date: Mar 19, 2019 04:38 a.m. EDT
Reference Range:4.2 th/uL - 10.8 th/uL

RBC
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3.17 mil/uL (Low) RBC*****
Date: Mar 19, 2019 04:38 a.m. EDT
Reference Range:3.70 mil/uL - 4.90 mil/u

HGB
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8.7 gm/dL (Low) HGB*****
Date: Mar 19, 2019 04:38 a.m. EDT
Reference Range:12.0 gm/dL - 16.0 gm

HCT
28.3 % (Low) HCT*****
Date: Mar 19, 2019 04:38 a.m. EDT
Reference Range:37.0 % - 47.0 %

MCV
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89 fL MCV
Date: Mar 19, 2019 04:38 a.m. EDT
Reference Range:80 fL - 100 fL

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MCH
27.4 pg MCH
Date: Mar 19, 2019 04:38 a.m. EDT
Reference Range:25.4 pg - 34.6 pG

MCHC*****
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30.7 gm/dL (Low) MCHC
Date: Mar 19, 2019 04:38 a.m. EDT
Reference Range:31.0 gm/dL - 37.0 gm/dL

RDW******
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17.1 % (High) RDW
Date: Mar 19, 2019 04:38 a.m. EDT
Reference Range:11.5 % - 14.5 %

Platelets
344 th/uL Platelets
Date: Mar 19, 2019 04:38 a.m. EDT
Reference Range:130 th/uL - 450 th/uL

MPV
11.0 fL MPV
Date: Mar 19, 2019 04:38 a.m. EDT
Reference Range:7.0 fL - 14.0 fL

Differential

GRAN%
62.3 % GRAN%
Date: Mar 19, 2019 04:38 a.m. EDT
Reference Range:41.0 % - 77.0 %

NEUTROPHILS ******
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69 % (High) NEUTROPHILS
Date: Mar 18, 2019 09:03 a.m. EDT
Reference Range:36 % - 66 %

LYMPHOCYTES

23.0 % (Low) LYMPHOCYTES *****
Date: Mar 19, 2019 04:38 a.m. EDT
Reference Range:24.0 % - 44.0 %

LYMPH ATYP
2 % LYMPH ATYP
Date: Mar 18, 2019 09:03 a.m. EDT
Reference Range:0 % - 4 %

MONOCYTES
12.2 % MONOCYTES
Date: Mar 19, 2019 04:38 a.m. EDT
Reference Range:0.0 % - 15.0 %

EOSINOPHILS
0.9 % EOSINOPHILS
Date: Mar 19, 2019 04:38 a.m. EDT
Reference Range:0.0 % - 5.0 %

BASOPHILS
0.9 % BASOPHILS
Date: Mar 19, 2019 04:38 a.m. EDT
Reference Range:0.0 % - 3.0 %

BANDS *****
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4 % (Low) BANDS
Date: Mar 18, 2019 09:03 a.m. EDT
Reference Range:5 % - 11 %

Imm Gran % *****
0.7 % (High) Imm Gran %
Date: Mar 19, 2019 04:38 a.m. EDT
Reference Range:0.0 % - 0.4 %

NEUTRO ABS
2.870 th/uL NEUTRO ABS
Date: Mar 19, 2019 04:38 a.m. EDT
Reference Range:1.800 th/uL - 7.000 th/uL

ANISO *****
1+ (Abnormal) ANISO
Date: Mar 18, 2019 09:03 a.m. EDT

POIK*****
1+ (Abnormal) POIK
Date: Mar 18, 2019 09:03 a.m. EDT


ELLIPTO****
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1+ (Abnormal) ELLIPTO
Date: Mar 18, 2019 09:03 a.m. EDT
Electrolytes

NA

138 mmol/L NA
Date: Mar 19, 2019 04:38 a.m. EDT
Reference Range:136 mmol/L - 145 mmol

K
3.8 mmol/L K
Date: Mar 19, 2019 04:38 a.m. EDT
Reference Range:3.5 mmol/L - 5.1 mmol/L

CL

105 mmol/L CL
Date: Mar 19, 2019 04:38 a.m. EDT
Reference Range:98 mmol/L - 107 mmol/L

CO2
29 mmol/L CO2
Date: Mar 19, 2019 04:38 a.m. EDT
Reference Range:21 mmol/L - 32 mmol/L

Anion Gap ******
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4 mmol/L (Low) Anion Gap
Date: Mar 19, 2019 04:38 a.m. EDT
Reference Range:5 mmol/L - 15 mmol/L

Chemistry

Glucose Level ****
112 mg/dL (High) Glucose Level
Date: Mar 19, 2019 04:38 a.m. EDT
Reference Range:70 mg/dL - 99 mg

BUN

8 mg/dL BUN
Date: Mar 19, 2019 04:38 a.m. EDT
Reference Range:7 mg/dL - 18 mg/dL

Creatinine
0.6 mg/dL Creatinine
Date: Mar 19, 2019 04:38 a.m. EDT
Reference Range:0.6 mg/dL - 1.3 mg/dL

Estim Creatinine Clearance
97.34 Estim Creatinine Clearance
Date: Mar 19, 2019 04:38 a.m. EDT

GFR Calculation
126 GFR Calculation
Date: Mar 19, 2019 04:38 a.m. EDT


ALT (SGPT)

25 IU/L ALT (SGPT)
Date: Mar 16, 2019 04:36 p.m. EDT
Reference Range:12 IU/L - 78 IU/L

AST (SGOT)
15 IU/L AST (SGOT)
Date: Mar 16, 2019 04:36 p.m. EDT
Reference Range:15 IU/L - 37 IU/L

ALK P
151 IU/L (High) ALK P *****
Date: Mar 16, 2019 04:36 p.m. EDT
Reference Range:50 IU/L - 136 IU/

Lipase*****
432 IU/L (High) lipase
Date: Mar 16, 2019 04:36 p.m. EDT
Reference Range:73 IU/L - 393 IU/L

Total Protein
8.0 gm/dL Total Protein
Date: Mar 16, 2019 04:36 p.m. EDT
Reference Range:6.4 gm/dL - 8.2 gm/dL

Albumin
3.6 gm/dL Albumin
Date: Mar 16, 2019 04:36 p.m. EDT
Reference Range:3.4 gm/dL - 5.0 gm/dL

CA
8.5 mg/dL CA
Date: Mar 19, 2019 04:38 a.m. EDT
Reference Range:8.5 mg/dL - 10.1 mg/dL

T BILI
0.41 mg/dL T BILI
Date: Mar 16, 2019 04:36 p.m. EDT
Reference Range:0.20 mg/dL - 1.00 mg/dL

MG

1.9 mg/dL MG
Date: Mar 16, 2019 04:36 p.m. EDT
Reference Range:1.8 mg/dL - 2.4 mg/d/l