My neutrophils absolute is 9.4 and my WBC is 13.7... Both are high, but what could that be caused from? My ANA direct l is positive. Thank you!

Need to see your doc. This is a very complicated question - either an infectious or inflammatory process can be considered but really need more information in terms of your specific symptoms, other test results such as esr, crp, liver profile among other things. Ana is a very non-specific test and needs to be interpreted in relation to other test results as well as your specific symptoms.