Hi, I am a 45 yo white female who for a year now has had issues with my CBC (elevated white count, lymphocytes, platelets, and low RBC). I ve had recurrent pneumonia that clears with long courses of antibiotics but white count still never goes into normal range. I have what I am calling sores in my throat that are almost ulcer like, that I m getting ready to see an ENT for. I have been seeing oncology recently who has checked some lab values before doing a bone marrow biopsy and the latest showed an elevated Cd4/Cd8 ratio. I am married with no history whatsoever of drug use and no history of blood transfusion, so HIV is out of the question. What could be the issue and where should I go from here? I feel like I m spinning my wheels trying to get an answer. Energy level and immune system have been extremely low for almost a year now.