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A 35-year-old female asked:

Low rbc, low hgb, high mcv, normal iron & b12 levels. what is the cause of anemia?

2 doctor answers • 3 doctors weighed in
Dr. Jerome Zacks
Dr. Jerome Zacksanswered
Cardiology 53 years experience
Multiple possible.: If a patient has had recent surgery, that might be the cause. B12 and Folic Acid deficiencies can cause a high MCV (ie, it can represent a nutritional cause). Other possibilites include hemolysis (breaking of red blood cells), kidney disease and other chronic diseases.
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Dr. Yash Khanna
Dr. Yash Khanna agrees1 doctor agrees
Dr. Scott Diede
A Verified Doctoranswered
31 years experience
Macrocytic anemia: The most common causes of macrocytic anemia are B12 (ruled out for you) and folate (folic acid) deficiencies. Folate (folic acid) deficiency can be caused by diet (very rare - folate (folic acid) is everywhere), celiac disease, alcoholism, or hemolysis (autoimmune process, for example). Rarer causes include aplastic anemia and myelodysplastic syndrome (mds). If not clear to your doc, may need to see hematologist.
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Related questions

A 40-year-old female asked:
Is this mild anemia or moderate? Low hemoglobin,hematocrit,mcv,mch,mchc. High rdw,esr,platelets.iron 3(11-27umol/L).saturation 0.03 (0.20-0.50). B12 162(198-615).
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A 59-year-old female asked:
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Hb(11.1), PCV(35.4), RBC(3.75), MCV(94.4), MCH(29.6), MCHC(31.4), WBC(5.2K), Pt(1.5L), ESR(29), Ferritin(39) & B12(498). What caused the anemia ?
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A 36-year-old female asked:
What might cause high B12 levels? I also had low iron (long-standing anemia) and low vitamin D. CBC was normal except mildly low hemoglobin.
1 doctor answer • 2 doctors weighed in
A 44-year-old male asked:
Symptoms of anemia but blood tests normal (iron, B12, folate, (folic acid) RBC, etc). What other common conditions would a doctor look for?
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Last updated Jun 25, 2014

Found in:

Iron›Anemia›Vitamin b12

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