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What Causes An Increase In Lymphocyte Count And A Decrease In Endophil Count?

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Posted on 5 days ago
Question: I took cbc with differ test, and noticed my wbc and platelet count increased from the past test i took before.a year ago, all totals still in normal ranges. i ate before the test, did that affect my wbc numbers to go up, they are still in normal range. i read that they did a study that if one eats a light meal before a cbc blood cell test, it causes the lymphocytes to go up and the endorphils to go down. just wanna make sure i didnt mess up by eating before the test, so i could get reliable results. thank you. im 49 and a male
doctor
Answered by Dr. Ivo Ditah (2 hours later)
Brief Answer:
No need to worry!

Detailed Answer:
Hi and thanks so much for this query.

As long as the numbers are within the normal range, there is no reason to worry. A number of different factors can cause minor changes in the measured values but they would never be able to take you off the normal range. If you were off the normal rage, for sure we would want to probe further starting with a test to make sure that your numbers are true elevations and not mere transient changes.

You messed nothing. There is nothing to worry about. All is well. Let me know if there is something else you want us to discuss about.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ivo Ditah (9 minutes later)
thank you doctor. but just wanted to know if eating before a test can have an effect on the wbc numbers especially the platelets and neutrophils. reading on that study they did in 2010 got me thinking.

I was mostly concerned cause I saw a decrease from last year to this year of wbc, platelets, and neutrophils (still falling above normal range) so I decided to retest once again this year, and I did see an increase again, but was worried that eating before this last test did not give me reliable numbers.

thank you Doctor, I appreciate your assistance.
doctor
Answered by Dr. Ivo Ditah (14 minutes later)
Brief Answer:
According to this report, YES!

Detailed Answer:
Hi,

I have reviewed the article published by Giuseppe Lippi et al. in Blood transfusion.

The report suggests meal timing before tests can affect hematological parameters. Remember, all tests can be affected by one factor or the other and that is why standardized practices are recommended. Fasting before getting tests done is always best as most standard scales against which tests are interpreted are obtained in fasting individuals.

However, do not freak out about your report at this time. You are doing just fine.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ivo Ditah (12 minutes later)
thank you doctor. I just sent you another message. I'm a little worried. thinking about retesting, fasting of course. my platelets in 2017 were 240, wbc 6.2, and neutrophils 3627. when I tested in April 2018,, my wbc was 4.7,, platelets 195, and neutrophils 2750. when I retested in May 2018 (and did not fast) my results were Wbc 6.0, neutrophils 3660, and platelets 220.
doctor
Answered by Dr. Ivo Ditah (14 minutes later)
Brief Answer:
No need for retesting at this time!

Detailed Answer:
Hi,

I will not recommend enough further testing at this time. There is no need to do so.

You are putting irrelevant pressure on yourself and this is quite unhealthy.

I wish you well and feel free to let me know if you have any further lingering worries.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ivo Ditah (5 minutes later)
thank you doctor. so the numbers look normal to you,, even that decline from 2017 to April 2018? sorry for the questions.
doctor
Answered by Dr. Ivo Ditah (2 minutes later)
Brief Answer:
Yes, these number are good!

Detailed Answer:
Hi,

Your numbers are good and there is no reason getting worried. Please, don't put unnecessary pressure on yourself.

I wish you well.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Ivo Ditah

Internal Medicine Specialist

Practicing since :2002

Answered : 3993 Questions

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What Causes An Increase In Lymphocyte Count And A Decrease In Endophil Count?

Brief Answer: No need to worry! Detailed Answer: Hi and thanks so much for this query. As long as the numbers are within the normal range, there is no reason to worry. A number of different factors can cause minor changes in the measured values but they would never be able to take you off the normal range. If you were off the normal rage, for sure we would want to probe further starting with a test to make sure that your numbers are true elevations and not mere transient changes. You messed nothing. There is nothing to worry about. All is well. Let me know if there is something else you want us to discuss about.