A member asked:

Rbc lo. hgb, hct ok. mch & mcv hi. ferritin ok. b12 & folic acid hi. d lo. thyroid ok. rf hi. repeatable. tired, weak and unfocused. cause?

3 doctors weighed in across 2 answers
Dr. James Davie answered

Specializes in Pathology

Additional info: What are the actual number values associated with the rbc, hgb, hct, mch, and mcv? This will help establish significance of these high or low values. Do you have relatives with RA or other autoimmune disease? Do you have any history of hepatitis or liver disease (can cause simultaneous high rf and high mcv)? Are there other lab test results for autoimmune disease (ana)?

Answered 12/21/2014

4.4k views

Thank
Dr. Jovita Anyanwu answered

Specializes in Internal Medicine

Fatigue: It seems your work is normal except nin specufic elevation in rf. Other causes of fatigue including physical deconditioning, mental health issues and poor eating habits can contribute to tiredness.

Answered 2/21/2014

4.4k views

Thank

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