OpenHealth Q&A

Your recent blood test results indicate several things that may warrant attention, especially considering your underlying health conditions and medication regimen. Here are the key points and steps you should consider:

Main Points

1. Elevated Levels: Some of your blood test results, such as WBC (white blood cell count), seem elevated, which could indicate a response to stress, inflammation, or other underlying conditions.
2. Additional Testing: Elements like RDW (Red Cell Distribution Width) and MCV (Mean Corpuscular Volume) patterns can provide insight into your overall health, potentially pointing towards types of anemia or other hematological issues.
3. Monitor Your Health: Given your complex medical history and current medications, it's essential to monitor how you feel physically and emotionally.

Explanation

• WBC Count: Your white blood cell count is slightly elevated at 13.0 x10E3/uL (normal range is typically up to 11.0). This may suggest an infection or inflammation, but it can also occur due to stress or other factors.
• RDW and MCV: Elevated RDW and low-normal MCV may hint at possible anemia or variability in red blood cells. Anemia can cause fatigue, which might affect your daily activities, especially given your active job as a waitress.
• Your Medications: Adderall, Cymbalta, and Lamotrigine have various effects. For instance, Lamotrigine can take time to reach therapeutic levels and may require monitoring for side effects.

Next Steps

1. Monitor Symptoms: Keep track of any new or worsening symptoms. Pay attention to physical signs like fatigue, paleness, or increased heart rate, and emotional changes.
2. Hydration & Nutrition: Ensure you're staying hydrated and eating a balanced diet rich in iron (found in lean meats, spinach, and beans) and vitamins (especially B12 and folate) to support your blood health.
3. Follow Up: Make a note to discuss your blood test results with your healthcare provider. They may suggest further evaluation or tests, particularly to understand your elevated WBC count and RDW/MVC results.
4. Lifestyle Adjustments: Continue managing your blood pressure with a healthy lifestyle, and consider reducing stress with techniques that may help with your anxiety and bipolar disorder.

If you notice anything unusual in your health or experience increased anxiety over these results, consider reaching out for support. It’s important to stay informed and proactive about your health. Let me know if you have further questions or need additional information!