<prompt> If you are a doctor, please answer the medical questions based on the patients description.I recently had a MBP and 3 areas were slightly abnormal. cholesterol209 Albumin3.4 MPV12.9 I am 47 and recently 1 month ago went back on BC Sprintec which caused my BP to raise significantly. I then started on 12.5 mg Hydrochlorothiazide. My BC was recently changed to one that does not have estrogen but my BP remains high. I eat mostly non-processed foods and exercise 1-3 times a week used to be 4-7. I read that BC and diuretics can affect cholesterol levels, also the Albumin level is very close to normal so I m not to concerned about those. The MPV is my biggest concern. Has my elevated BP affected this? What level of concern should I have and what lifestyle changes could I make to reduce my number?  <response>: Hello, High MPV is not concerning. I dont think that this lab finding is related to the high blood pressure values. Anyway, I recommend checking also PCR and sedimentation rate in order to investigate for possible inflammation. Regarding the high cholesterol levels, some diet modifications low sugar and fat intake, high fibers, a lot of food riches in omega three fatty acids will help improve your cholesterol levels. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. 