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Could I improve elevated MCV and mild red cell deficiency results without giving up alcohol completely?

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Posted on Wed, 7 Apr 2021
Question: I had a blood test result (June 2018) of RBC 3.96 mill/cumm , MCV 101.4 fl, MCH 34.2pg and a blood test result of RBC 4.00, MCV 101, MCH 33 (February 2018).

I eat a healthy low carb diet (plenty of protein/fat). I am in normal weight limits. I do drink daily 2-5 units. If I reduce alcohol 50% (with 3-4 days without alcohol) would that possibly help? Could I improve these results without giving up alcohol completely? I am a healthy weight 49 year old active female. Are these values a concern? And what else can I do to correct these results? How long should they take to improve?
doctor
Answered by Dr. Deepak Sundriyal (1 hour later)
Brief Answer:
Hello. Moderate your alcohol

Detailed Answer:
Hello dear. I have gone through the reports. So you have a mild degree of red cell deficiency and marginally elevated MCV. This could be due to your alcohol intake.
Alcoholism leads to mild degree of vitamin b12 deficiency also and this an cause high mcv.
I will suggest you to moderate your alcohol to no more than 20 ml daily.
More over, get iron studies and serum ferritin done so that i can add more supplements depending upon the results.
Thanks and regards
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Deepak Sundriyal (39 minutes later)
Thank you. Would B12 injections help at all?
doctor
Answered by Dr. Deepak Sundriyal (9 hours later)
Brief Answer:
Hello dear. If you have b12 deficiency

Detailed Answer:
Hello dear. B12 will work only if you have deficiency of it. You can check your b 12 levels.
Thanks and regards
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Deepak Sundriyal (47 hours later)
I have uploaded 2 reports. Ferric acid on low normal but B12 well placed. Any thoughts?
doctor
Answered by Dr. Deepak Sundriyal (25 minutes later)
Brief Answer:
Hello. It is borderline normal.

Detailed Answer:
Hello dear. So folic acid levels are borderline normal. You can take folic acid supplement tablets. These are essentially harmless even if taken in excess.
Thanks and regards
Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
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Dr. Deepak Sundriyal

Oncologist

Practicing since :2005

Answered : 1546 Questions

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Could I improve elevated MCV and mild red cell deficiency results without giving up alcohol completely?

Brief Answer: Hello. Moderate your alcohol Detailed Answer: Hello dear. I have gone through the reports. So you have a mild degree of red cell deficiency and marginally elevated MCV. This could be due to your alcohol intake. Alcoholism leads to mild degree of vitamin b12 deficiency also and this an cause high mcv. I will suggest you to moderate your alcohol to no more than 20 ml daily. More over, get iron studies and serum ferritin done so that i can add more supplements depending upon the results. Thanks and regards