Hi doctor, My mother, who is 60 years old, is currently under treatment for hypothyroidism, hypertension and stage 2 osteoarthritis of knee joints. She is currently on the following medicines: Eltroxin 50 mcg, Olmezest 20 mg, Gemcal D3 and E-cod Plus. I have attached a copy of her recent kidney, thyroid, lipid and hemogram reports. Her Hb is reported as 10.8 with the blood smear report mentioning RBCs mild anisopoikilocytosis. Predominantly macrocytic normochromic with macroovalocytes. Platelets appear mildly reduced in smear. Macroplatelets are seen. Following this, our doctor advised to test ferritin, B12 and folic acid. It came as normal, although the samples were provided after mild breakfast. Another thing I wanted to mention is that last year also, she was diagnosed with mild anemia with Hb 10.6 and ferritin 39. However, following Orofer XT for three months her Hb was improved to 12.4. After that due to gastritis issues, the doctor had advised her to take Orofer XT once a week and it was stopped three months back. At that time, her Hb was 12.0.
Hi. Based on your query, my opinion is as follows: Hypothyroidism or nutritional deficiencies. Reticulocyte count. Revert back with the reports to a hematologist online.--->