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Dr. Shah
Dr. Shah, Doctor
Category: Health
Satisfied Customers: 3898
Experience:  Years of experience in patients' management.
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high mcv and mch but b-12 and folic acid normal

Resolved Question:

high mcv and mch but b-12 and folic acid normal
Submitted: 8 years ago.
Category: Health
Expert:  Dr. Shah replied 8 years ago.
Do you have any symptoms? Are you drinking alcohol? Any chronic illness? Can you tell me what's your MCV level?
Customer: replied 8 years ago.
Have less energy but nothing else, I am a diabeticII, allegeries, Gout
Expert:  Dr. Shah replied 8 years ago.
There are many causes of high MCV but most common are Vit b12 and folic acid deficiency or alcohol use. There are many other conditions that cause high MCV, or macrocytosis, including: liver disease or obstructive; jaundice; cancer chemotherapy or immunosuppressive therapy; bone marrow suppression, infiltration or aplasia; myelodysplasia; hypothyroidism; absence of spleen; erythropoietin therapy; Down syndrome; selenium deficiency; rare inborn errors of metabolism of folate or B12. You don't have to go through all the tests to exclude all the conditions cited above, unless the history and physical examination suggest any of them.
Looking at your history of alcohol, it's quite possible to have high MCV, it will take few months to come back to normal range after stopping the drinking. Moreover, you are already on folic acid and B12, certainly, it will speed up your recovery.
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