Blood Work - Out of range RBC, MCH, MCHC, RDW

[thelazygent]

Hey all,

Here is my blood work for CBC.

Summary.

When I took this blood test, I was off TRT for about 7 weeks.

I donated a double red blood cell donation on 09/16/2023.

I am on Trazodone (37.5 mg at night) and Lexapro (1.25 mg a day - which is very low).

I take a multi (without iron) and fish oil.

I smoke weed maybe 4 times a week, but i only take a couple puffs from my weed pen. On a 1 - 20, I prob get to a 7 on the high scale.

I want to get this looked at professionally because I have seen these values out of range before.

Does anyone know if I am at risk for heart attack or complications?

Do I need to take a supplement to put these within range?

[Daveleeander]

I’d say you’re anemic, what with your MCH and MCHC both being low. Donating can do this to some people, especially if their diet isn’t on point. I’m not a dr. By any means, but I did sleep in a holiday inn last week. My recommendation would be first to start eating some high in iron liver, meat, chicken and seafood. Perhaps supplement for a bit too. I didn’t see a ferritin test which would verify the anemic diagnosis. Retest the CBC in a month to see how the results are. I’m not sure how long it takes for your RBC to go down (if it ever does) from the TRT. Mine stays above 6 all the time.

[almostgone]

Do you self-phlebotomize in between donations? It wouldn't hurt to pull an iron panel and a ferritin panel, IMHO.

[kelkel]

Definitely get an Iron Panel with TIBC and Ferritin.
By chance do you take Prilosec or similar regularly?

[Lemonada8]

I’d say you’re anemic, what with your MCH and MCHC both being low. Donating can do this to some people, especially if their diet isn’t on point. I’m not a dr. By any means, but I did sleep in a holiday inn last week. My recommendation would be first to start eating some high in iron liver, meat, chicken and seafood. Perhaps supplement for a bit too. I didn’t see a ferritin test which would verify the anemic diagnosis. Retest the CBC in a month to see how the results are. I’m not sure how long it takes for your RBC to go down (if it ever does) from the TRT. Mine stays above 6 all the time.

on point - ish, but no where near anemic.

Iron def tho, thats the big one... eat more steak

[Honkey_Kong]

I wonder if the OP had any follow up bloodwork done.