Hi doctor, I just received my blood test WBC is 22000, neutrophils are 8700, high absolute immature granulocytes and low lymphocytes. I have noticed that for three years my blood tests have been on the high levels for WBC. Should I be concerned? I have been in and out and they never call me for a follow up. Maybe I should change the doctor? Also, can Phentermine be the cause of this? I only took it for two days before the blood test. I am a 39-year-old female. I have bone pain, neck pain, dizziness, and hair loss.
Hello. Following is my opinion for your asked question. Your total WBC count and neutrophils are high. Mild increase of immature granulocytes and high count with neutrophilia could be due to infection or inflammation in the body. Your detailed physical examination and investigation should be done to find the underlying cause. For your complaint you can investigate further with ANA (antinuclear antibody) estimation, USG (ultrasound) abdomen, Vitamin D estimation, serum calcium estimation, blood pressure measurement, and blood sugar estimation. Your ear examination also should be done. Antibiotic courses can be prescribed as per the provided report. However, before that physical examination and above investigation can be done. You need to follow up your CBC (complete blood count) with peripheral smear examination report after a few days to check values once again. You can consult a good internal medicine specialist for your examination and investigation accordingly.