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
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 CBC Test (Complete Blood Count) Health Queries

View all

I have been suffering from hand tremors and muscle weakness, which affect my ability to perform daily tasks. My hands shake a lot, causing me embarrassment, and this has been happening since I was around 14 to 15 years old. A doctor advised hormonal tests, and my report shows the following: S.Free T4 is 1.09 ng per dl (Reference range 0.8 to 2.0) S.TSH (Ultrasensitive) is 2.4 uIU per ml (Reference range 0.4 to 4.5) Active Vitamin B12 (HoloTc) is 36 pmol per L (Reference range 30 to 165) Are these test results normal? Is my report normal? Also, what could be the actual cause of my hand tremors and muscle weakness?

Answered by Apollo Doctors

Hi, my blood report says predominantly normocytic normochromic with macrocytes and ovalocytes. What does it mean and what could be the cause? What is its effect and how can it be rectified?

Answered by Apollo Doctors

Hi, my blood report shows predominantly normocytic normochromic with macrocytes and ovalocytes, anisocytosis. Could you please let me know what does this mean? Thank you in advance.

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.