The presence of immature white cell precursors(Myelocytes and meta myelocytes) is not entirely normal unless there is serious infection which is causing high white cell count(WBC). So I would recommend that you obtain a complete blood count(CBC) and differential count which will give us a better assessment of your health and to rule out any chronic infectious or inflammatory condition.
Answered 10/24/2021
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Elevated RF with symptoms suggests an autoimmune disease such as rheumatoid arthritis. Your primary care physician or a rheumatology specialist can provide more definitive answer.
Answered 11/16/2021
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