A member asked:

58+ f hb 10.8, rbc "predominantly macrocytic normochromic with macroovalocytes". ferritin 100 ng/ml, b12 894 pg/ml, folic acid 12.3 ng/ml.why anemia ?

A doctor has provided 1 answer

Dr. Rebecca Gliksman answered

Specializes in Internal Medicine

Hg 10.8 macrocytic: Tested methylmalonic acid? Homocystine,? they are usually elevated before B12 goes down, though your B12 is pretty normal. Are you on any medications? metformin? HIV? alcohol? Hypothyroidism, liver disease , COPD, G6PD, hemolysis, malabsorption ( usually have low B12 as well) can cause it as well. http://www.aafp.org/afp/2009/0201/p203.html f/u/ w/ hematology

Dr Wang agreed

Answered 8/14/2020

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A member asked:

58+ f hb 10.8, rbc "predominantly macrocytic normochromic with macroovalocytes". ferritin 100 ng/ml, b12 894 pg/ml, folic acid 12.3 ng/ml.why anemia ?

A doctor has provided 1 answer

Dr. Rebecca Gliksman answered

Dr Wang agreed

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