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What causes low MCH and MCV and high vitamin B12 levels?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

What causes low MCH and MCV and high B12? Can medication and liquid vitamins cause it? I am currently on Plaquenil as a precautionary measure and have a positive ANA and high titer.

Kindly help.

Answered by Dr. Arpit Varshney

Education:

MBBS

Professional Bio:

Dr. Arpit Varshney is an MD Medicine Doctor and a Physician with six years of clinical experience. He completed his MBBS from Guru Teg Bahadur Hospital, University of Delhi, and MD Medicine from Dayanand Medical College and Hospital, Ludhiana. He is qualified to treat acute and chronic illnesses and provides preventive care and health education to patients. Currently, he is working in Ghaziabad, Uttar Pradesh.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

Thank you for your query.

Your MCV and MCH are hidden indicators of deficiencies in the body. Low MCH and MCV are commonly seen in iron deficiency anemia, hypothyroidism, and SLE (positive ANA). Low MCV and MCH have been seen in vitamin B12 deficiency. Since your hemoglobin is okay, low MCH and MCV are not affecting your body. You need to take a sufficient iron-rich diet and not worry much about it, as ANA positivity also impacts the same. As seen in your reports, taking excess B12 supplements leads to excess B12, irrespective of oral or liquid form. So stop B12 for some time as of now. Thirdly none of the reports point toward leukemia. Leukemia symptoms are different. So do not worry. Increase iron-rich diet and stop B12 as of now.

I hope this has helped you. Thank you.

Patient's Query

Hello doctor,

Thank you for your reply.

Answered by Dr. Arpit Varshney

Education:

MBBS

Professional Bio:

Dr. Arpit Varshney is an MD Medicine Doctor and a Physician with six years of clinical experience. He completed his MBBS from Guru Teg Bahadur Hospital, University of Delhi, and MD Medicine from Dayanand Medical College and Hospital, Ludhiana. He is qualified to treat acute and chronic illnesses and provides preventive care and health education to patients. Currently, he is working in Ghaziabad, Uttar Pradesh.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome back to icliniq.com.

You are welcome.

Thank you.

Medically reviewed by iCliniq medical review team
Published At March 8, 2023
Reviewed At June 23, 2024

Education:

MBBS

Professional Bio:

Dr. Arpit Varshney is an MD Medicine Doctor and a Physician with six years of clinical experience. He completed his MBBS from Guru Teg Bahadur Hospital, University of Delhi, and MD Medicine from Dayanand Medical College and Hospital, Ludhiana. He is qualified to treat acute and chronic illnesses and provides preventive care and health education to patients. Currently, he is working in Ghaziabad, Uttar Pradesh.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Arpit Varshney is an MD Medicine Doctor and a Physician with six years of clinical experience. He completed his MBBS from Guru Teg Bahadur Hospital, University of Delhi, and MD Medicine from Dayanand Medical College and Hospital, Ludhiana. He is qualified to treat acute and chronic illnesses and provides preventive care and health education to patients. Currently, he is working in Ghaziabad, Uttar Pradesh.

This doctor is not available for online consultations on the platform anymore.

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