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Have a low MCV (78) and MCH (26) in my latest blood count.

 

Customer Question

Have a low MCV (78) and MCH (26) in my latest blood count. I feel tired during the day, could this be why??

 

Optional Information:
Gender: Male
Age: 47

Already Tried:
nothing tried so far

Submitted: 559 days and 6 hours ago.
Category: Medical
Value: $55
Status: CLOSED
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Expert:  Doctor Chip replied 559 days and 6 hours ago.

What about your hemoglobin and hematocrit levels? How long have you been tired, and has your doctor discussed this with you?

Customer replied 559 days and 6 hours ago.

Red cell count is normal (5.74), Haemoglobin normal (15.1), PCV is normal (45)

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Expert:  Doctor Chip replied 559 days and 6 hours ago.

Sorry--I forgot to ask--were your iron levels and ferritin levels and iron saturation checked? Were you screened for other reasons for the fatigue?

Customer replied 559 days and 6 hours ago.

No iron levels and ferritin levels not checked

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Expert:  Doctor Chip replied 559 days and 6 hours ago.

The rest of the blood work was normal? Have you discussed any of this with your doctor?

Customer replied 559 days and 6 hours ago.

The rest of the blood work was normal. The tiredness is extreme towards the close of every day, I have not seen my doctor yet..

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Expert:  Doctor Chip replied 559 days and 6 hours ago.

OK. You may have an iron deficiency which would explain the values you first mentioned. It doesn't, however, seem to be to the point where your actual red blood cell count is low and so you don't have an anemia that would explain your fatigue. Other possibilities include low thyroid, low cortisol levels, vitamin deficiencies, liver or kidney disorders, chronic fatigue syndrome, autoimmune disorders, sleep apnea, and cardiac problems. Sorry to give you a grocery list here, but I can't tell you exactly what your problem is and I don't know which if any of these has been screened by your doctor.

Customer replied 559 days and 6 hours ago.

I did a kidney test as well to rule out any kidney malfunctions. The kidney results all returned normal. Pending when i see my doctor on monday, meanwhile, what foods/ diet do you reccommend and vitamins?

Accepted Answer

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Expert:  Doctor Chip replied 559 days and 6 hours ago.

I suggest you read "Eat to Live" by Joel Fuhrman, M.D. to learn about a nutrient rich diet and supplements--that is the best source I know for the information you need.

Expert TypeBoard Certified Physician
Category: Medical
Pos. Feedback: 98.4 %
Accepts: 10759
Answered: 9/24/2011

Experience: 20 yrs practice, surgery, general medicine, addiction medicine, pain

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