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Dr. Andrew Rynne

Family Physician

Exp 50 years

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I started on testosterone pellets March 2018. I sleep better

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Dr. Aaron Branch

General & Family Physician

Practicing since :2011

Answered : 379 Questions

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Posted on Mon, 21 Jan 2019 in Medicines and Side Effects
Question: I started on testosterone pellets March 2018.
I sleep better feel better. However my white blood cells dropped to 3.6 and use to be about 7.
What can I do to get white blood cells back in healthy normal range ?
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Answered by Dr. Aaron Branch 51 minutes later
Brief Answer:
See below

Detailed Answer:
Hello, I'm Dr. Branch, thanks for using Ask a Doctor. Testosterone does not typically cause a decrease in your white blood cell count, so I do not think it is related to that. Your white blood cell count will continuously fluctuate, and a level of 3.6 one time would not necessarily be concerning if you did not have any other signs or symptoms such as fever, weight loss, or abnormal blood cells with a blood smear examination (which is when they take a closer look with a microscope at the cells in your blood).

A few common causes that can contribute to the white blood cell count to lower temporarily are nutritional deficiencies (such as vitamin B12, folate, or copper), viral infection (sometimes will very mild symptoms that you may not notice), other medications, and alcohol can also lower the blood count.

I would suggest taking a multivitamin, abstain from alcohol and recheck in about a month. Likely the white blood cell count will be back to normal at that time. If not, then normally I would do a blood smear to look for any abnormal cells and look for any autoimmune diseases such as lupus.

I hope that helps. If you can let me know what percentage of your white blood cells were neutrophils and lymphocytes, I may be able to comment on that as well.
Above answer was peer-reviewed by : Dr. Remy Koshy
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Follow up: Dr. Aaron Branch 7 hours later
I have been taking garden of life vitamin code for months. Which is a multivitamin and also been taking
B-12 which is 1000 mcg sublingual under tongue for many years daily. I don’t drink or smoke! Also I get a fair amount of exercise walking or riding bikes.
At the moment about 203 pounds, so I could stand to lose some weight 5’ 11” height.
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Follow up: Dr. Aaron Branch 15 minutes later
Neutrophils 1596 cells/ ul 45.6 percent
Lymphocytes 1397 cells/ul 39.9 percent
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Answered by Dr. Aaron Branch 2 hours later
Brief Answer:
See below

Detailed Answer:
Great, then it sounds like you have those causes taken care of. Those number for the neutrophils and lymphocytes are not dangerously low, so I would just recommend rechecking in a month or so.

Let me know if you have any other questions, I'd be glad to discuss anything further with you that you'd like.
Above answer was peer-reviewed by : Dr. Prasad
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