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Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for high MVC and MCH with folic acid deficiency

I am 56, 64 inches and 110 pounds. Blood test consistently show elevated MVC and MCH 99.6 and 34.1 respectively. Mchc is normal at 10.5.Ruled out hypothyroidism, B12 and folic acid deficiency. WBC is 3.9 and RBC is 3.75. Would you recommend a bone marrow biopsy? Thank you,
Fri, 25 Jul 2014
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Geriatrics Specialist 's  Response
Thanks for asking.
Looking at the hematological report and clinical features, I am of the following opinion.:
1. 99.6 is normal MCV (80-100) and MCH, MCHC are also near normal limits.
2. Good to know that you have no other deficiency.
3. WBC count is mildly reduced. Platelet count if reduced also, might suggest bone marrow problems secondary to malnutrition.
4. Your weight appears to low. You need to improve your diet to improve over all values.

Bone marrow biopsy not necessary now. Improve nutrition and followup tests after 1 month.
Any further queries, happy to help again.
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