Hi, my blood report includes the remark ALERT, Predominantly normocytic normochromic with macrocytes and ovalocytes. I would like to understand what this means. My report shows, Hemoglobin is 12.8 g/dL, MCV is 109.9 fL, MCH is 33.2 pg, MCHC is 30.3 g/dL, RDWSD is 59.3 fL, RDWCV is 14.4 percent. Could you please explain the significance of these findings?

Answered by 1 Apollo Doctors

Dr Hema Pratima

General Practitioner

MBBS
Fellowship in Diabetes Mellitus
9+ Yrs

Consult Now

Your report suggests mild anemia with enlarged red cells (macrocytes) and oval shaped cells. This pattern is often seen in B12 or folate deficiency. It is not alarming but needs further evaluation and correction. Please consult your doctor.

Dr. Hema Suggests...

Take a VITAMIN B12 AND FOLATE Test or Take a CBC Test (Complete Blood Count) Test

Book VITAMIN B12 AND FOLATE Test Book CBC Test (Complete Blood Count) Test

Answered 04/09/2025

More COMPLETE BLOOD COUNT (CBC) Health Queries

View all

My father has been a chain smoker for many years. Recently, I have noticed that he has become very lethargic, has lost interest in daily activities, and is also showing signs of forgetfulness. Although he has reduced his smoking, he has not quit completely. I am concerned whether these symptoms could be a result of long-term smoking. Kindly advise.

Answered by Apollo Doctors

I have had full body pain for the last six months and now it continues throughout the day especially in the heel and bottom. I have taken two blood reports but the doctor only gives painkillers. Please suggest?

Answered by Apollo Doctors

I have had tingling sensations in my hands and legs for the last 3 years, but I have not checked my vitamin B12. Yesterday, I took my first tablet of vitamin B12, 1500 mcg. I am planning to go for the test tomorrow. My concern is, will the tablet I took affect my test report or show any false results since I have taken it only once?

Answered by Apollo Doctors

Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.