Blood work question

[highpsi]

Read the hemochromatosis post so I looked thru a few past bw I have on hand. I noticed a few things that are causing me concern. Hgb (hemoglobin) is high in the 3 examples, 2008 17.0 range 11-18. 2011 16.6, 2012 15.9. Dropping so might be no worry. Iron was in range when tested last, but since my father has this I should look into it further.

My b-12 was 384, range 180-914. I then saw my MCV and RDW are on the high range, "Folate and vitamin B12 deficiency anemia: usually presents with high RDW and high MCV"

2008 MCV 87.9 range 80-99.9 RDW 13.8 range 11.6-13.7 2011 MCV 89.8, RDW 13.2 2012 MCV 90.1 RDW 13.8. I started taking my folate and b12 sublingual tablets after I saw my Vit d and b12 were in the lower end of the range 4 weeks ago.

MPV=mean platelet volume, this one caused me the most concern I guess.

Low MPV may suggest major health issues such as leukemia, HIV or bone marrow cancers. Extremely low MPV levels create a great risk that a patient will have clotting issues in the event of a trauma.

2008 mpv 6.9, range 7.8-11. 2011 7.2 2012 7.0

I've never noticed a issue with clotting really. Any suggestions or input at this point? EDIT....just read mpv can be caused by low b-12/folate. So I might be fixing the issue as we speak lol.

I did 3 weeks of TRT then stopped since the proper bw was not done(2 weeks since last injection). Kinda passing time till I get in a little better shape and get a complete bw done. Might need to see if they can run all this bw or see a Hematologist and Endo instead of the family doctor.

The good feeling I had on that short run of trt is fading/faded. Thank god I found this forum!

[HRTstudent]

Well, it really sounds like you have some questions that you need to go over with a physician who has full info about you and your heredity.

What we can tell you is that your B12 is really low. Some people have a harder time absorbing enough and do best on shots. So get follow up to make sure the sublingual b12 is getting in. I know someone who could take excessive sublingual b12 but it wouldn't bring their levels up. The shots are really inexpensive too.

But definitely raise your concern to your doctor and see what they have to say. Get bloods done and be proactive. Oftentimes doctors don't care if things are borderline normal unless YOU are concerned as well.

I've seen some good TRT doctors who have patients take a B complex. It's probably not a bad idea if you've been found lacking in numerous B vitamins. They are relatively safe and hard to overdose on.

Regarding your TRT, 3 weeks is pretty short and you should be back to normal in short order. If you decide to pursue TRT in the future, I would recommend avoiding the endo (they deal mainly/almost exclusively with diabetes and thyroid) and try to find a doc who really knows the HRT field.