Question 1

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?

Question 2

My wife, age 34, underwent pituitary tumor surgery 3 years ago. Her recent blood report shows Vitamin B12 is 927 pg/mL, hemoglobin is 10 g/dL, and PCV is 31 percent. She has been experiencing heavy gastric issues that do not subside even with medications like PPIs. Additionally, she has an enlarging fibroid. Her weight is 67 kg and blood pressure is 90/70 mmHg. Could you please advise how to reduce the heavy gas and manage her gastric discomfort effectively?

Question 3

Hi, I recently received my ANC profile which shows low MCHC but elevated RDW CV and RDW SD values, while my hemoglobin is 12.7. I maintain a very healthy lifestyle with regular strength training and cardio, and I avoid fried and junk food. I am worried about the cause, some articles suggest deficiencies in folate, iron, or vitamin B12, but I have been taking folvite for the last 10 days. Since folic acid is crucial for the baby CNS development, I am quite anxious and want to know how to correct these values. Given my age and my father history of bypass surgery, my doctor has also prescribed daily heparin injections, which I have been taking for the last 4 days. Please advise on what I can do to bring these values back to normal. I have attached my report

If uric acid is normal and pain persists, a neurological cause or plantar fasciitis should be ruled out. Ortho and neuro follow up needed.

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