Cystectomy and Bl2 deficiency

14 years 6 months ago #27677 by Patricia
Replied by Patricia on topic Cystectomy and Bl2 deficiency
Well miracles of miracles...she picked it up from a CBC
For those that don't know
MCV......The normal reference range is typically 80-100 fL[1].


High
In presence of hemolytic anaemia, presence of reticulocytes can increase MCV. In pernicious anemia (macrocytic), MCV can range up to 150 femtolitres. An elevated MCV is also associated with alcoholism[2] (as are an elevated GGT and a ratio of AST:ALT of 2:1). Vitamin B12 and/or Folic Acid deficiency has also been associated with macrocytic anemia (high MCV numbers
and i'm positive its not due to your Margarittas!!
And MCH.......
MCH (Mean Corpuscular Hemoglobin)
Hemoglobin x 10
R.B.C.

Mean Corpuscular Hemoglobin (MCH) gives the average weight of hemoglobin in the red blood cell. Due to its use of red blood cells in its calculation, MCH is not as accurate as MCHC in its diagnosis of severe anemia's. Decreased MCH is associated with microcytic anemia and increased MCH is associated with macrocytic anemia.

Normal Adult Range: 27 - 33 pg
Optimal Adult Reading: 30
All a definate clue to check for Bl2 deficiency.
xxoo Pat

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14 years 6 months ago #27676 by Webs
Replied by Webs on topic Cystectomy and Bl2 deficiency
Pat she meant my MCV and MCH levels. Funny since that was what I was pointing out to her.

Char

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14 years 6 months ago #27674 by Patricia
Replied by Patricia on topic Cystectomy and Bl2 deficiency
Char..what part was seriously "out of range"? Get a copy of your blood work.
Pat

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14 years 6 months ago #27665 by Webs
Replied by Webs on topic Cystectomy and Bl2 deficiency
Miracle of miracles my GP just called and said my blood levels were "seriously out of range and she wanted me to have a B12 test" Geeze now why didn't I think of that? :laugh:

Went had the blood test will know in 2 days.

Webs

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14 years 6 months ago #27664 by Webs
Replied by Webs on topic Cystectomy and Bl2 deficiency
Not to mention most of the local doctors are so busy telling you why you can't possibly be low that they refuse to listen to you. I finally got one to make an appointment with me because I said I have been dizzy and light headed the last couple of days. Now all I have to do on Thursday is to convince her to prove to me that she is right and I am crazy.
:P

Good luck with that doc cause I know that I am right.

Webs

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14 years 6 months ago #27661 by Patricia
Replied by Patricia on topic Cystectomy and Bl2 deficiency
well the serum B12 is the SMMMA...and the urine is the uMMA
but often a separate blood test to determine homocystene levels will indicate a lack of the B vitamins...folic B9, B6 and B12.....so that just is sort of a warning to do the further testing. But the catch here is most doctors order a CBC which does not include a homocystene level...i just always ask for it as it does not require an extra blood draw but it just hasn't been on their list of "to do" lists. You would have better luck getting that level checked if you told your doctor you were a vegetarian and then he would probably include it!!
Many major universities and places like Mayo order the uMMA..and i think if you have a script for it you can then bill your insurance company for it. Not sure how that works.
Its important to read the directions on how to take the sample...interesting that they want the second draw (so to speak) of the day and mid-stream.
I think if you're being treated at a major center with a multidisiplinary team the follow up is much better than having a local Uro, a local Onco, a local Internist who don't speak to each other and in my case since i had my surgery 4 l/2 hrs away no understanding of what the heck i have or what parts it is made of! Its kind of frustrating..and why we have to do our own homework.
Pat

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