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Posted 8/18/2015 9:41 PM (GMT 0)
for all you smart people, i cannot understand this so please help me.

my last blood work showed high protein, albumin, hemoglobin, MCV, MCH, b-12, and hematocrit.

now, from reading online, i know the if the hemoglobin is high, the MCV, MCH, and hematocrit will be high because of this.

now, what i don't understand is the high protein and albumin. i read that these can be high due to inflammation and a ton of bad diseases. my inflammation markers (sed rate and crp) are low and my electrolytes are low, too.

i know a high protein diet does not cause high protein/albumin levels.

what does??
Posted 8/18/2015 11:20 PM (GMT 0)
From what I've read thus far elevated serum protein and albumin levels are rare. And dietary protein does affect albumin levels. I know you eat a lot of protein. Elevated levels are not so much to worry about unless they are completely off the chart and your BUN and other markers for kidney disease are also high. High albumin is common with dehydration. Low levels more worries.

Elevated MCV MCH indicate low B-12 and/or folic acid or alcohol abuse. High serum B-12 is generally meaningless because our bodies need B-12 at an intra-cellular level. You can have high serum B-12 and be deficient at a cellular level.

Elevated Hemocrit and Hemoglobin are often found in smokers. Still using a nicotine patch?

The fact your inflammatory markers are down is great! I would just go out and buy some B-12 (methlycobalamin form). Buy the sub-linguinal (under the tongue) kind. You obviously get a lot of dietary protein and B vitamins but perhaps you are one of the 40% of population that cannot metabolize them properly. That in and of itself could mean why you are neutropenic. Worth a shot!
Posted 8/18/2015 11:25 PM (GMT 0)
Oh and I forgot your ileum is non-functional according to your GI, so no matter how much meat/protein you eat you will not be absorbing B-12. This alone can account for your fatigue, elevated MCH MCV and neutropenia. I think the sub-linguinal B12 bypasses the digestive system. You can also buy a B-12 patch or get intra-muscular injections. Best.
Posted 8/19/2015 12:13 AM (GMT 0)
hey zen.

he did check my bilirubin and liver enzymes and those are within normal range. he actually didn't call me at all with any concerns about my blood work and i know he's busy lately so i haven't talked to him about my results. my nurse is leaving the hospital and he still hasn't hired anyone else.

i am still using the patch- been since jan 2014.

i did read the dehydration aspect and i wonder if that could be it. my sodium and chloride levels are low somehow.

thanks for the suggestions!
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