Question 1

Dear Doctor, I had tonsillitis last week, and my WBC was 17x10000/L. After taking the prescribed medication and no longer experiencing a sore throat last Thursday, I repeated my blood test on Tuesday, and my WBC has decreased to 13x10000/L. Although it has come down, it is still above the normal range. Could you please advise if this rate of reduction is normal and whether I should be concerned?

Question 2

I was diagnosed with CML (chronic phase) in February and started Veenat 400 from March 6th, with my WBC counts remaining stable at around 5000 and my 6 month BCR ABL result being 0.953 percent. However, since July, I have been experiencing persistent mouth sores that have not improved with different remedies. My question is, what is the best way to manage this? Should I stop Veenat for a week and restart, switch to a second-generation drug, or temporarily move to a second generation drug and later return to the first generation one? My main concern is whether taking a break from Veenat will negatively affect my long term treatment goals and the possibility of achieving deep molecular remission at one year.

Question 3

What does a low lymphocyte blood test mean?

My blood report shows low RBC (3.86) and vitamin deficiencies: Vitamin D 8.8 and Vitamin B12 132. What does this indicate, and could you please guide me on the next steps or treatment?

Indicates anemia with vitamin deficiencies. Start B12 and D3 supplements after consulting doctor.

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What does a low lymphocyte blood test mean?