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Internist, Board Certified Physician
Category: Medical
Satisfied Customers: 4766
Experience:  Int. Med., Gastroenterology. Fellow American College of Physicians. Trained, located in the U.S.
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I would like your analysis of the following results: MCV=104 up from 97 Macrocytes=2+ up

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I would like your analysis of the following results:
MCV=104 up from 97
Macrocytes=2+ up from None
Lymphs=46 up from44
Neutrophils=41 down from 47
GFR=54 up from 43
MCH=36.4 up from 34.2
HCT=37.6 up from 33.8
RBC =3.6 up from 3.48
WBC=3.8 up from 3.4
Hgb=13.1 up from 11.9
AST(SGOT)=86 up from 64
ALT(SGPT)=95 up from 77
Have you been tested for hepatitis C?
Customer: replied 4 years ago.

I believe I was but was neg. Note I also have cirrhosis and fibrosis of the liver.

What is cause of cirrhosis?
Customer: replied 4 years ago.

Alcohol abuse

OK. The lab results are typically seen with cirrhosis, especially increased MCV which may likely be due to folate deficiency . This is easy corrected with folate pill. AST and ALT go along with cirrhosis. Blood count is improving but there may be evidence of kidney disease with decreased GFR. Elevated lymphs and lower white count may indicate a viral infection or may go along with underlying liver disease.

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Internist and 5 other Medical Specialists are ready to help you
Anything else?
Customer: replied 4 years ago.

Not really, I basically knew all of this just wanted confirmation.

OK. Good luck.

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