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Anemia - Nutritional - Suspect Macrocytic

The evaluation for suspected macrocytic anemia includes a comprehensive set of tests, namely, a Complete Blood Count (CBC), Ferritin, Folate, Lactate Dehydrogenase (LDH), Liver Function Tests (LFT), and Vitamin B12 tests.


  • Test NameAnemia - Nutritional - Suspect Macrocytic (Hemogram (CBC + Retic + PS); Ferritin; Folate (Folic Acid), LDH-Serum, Liver Function Tests (LFT), Vitamin B12)
  • Sample TypeBlood
  • Preparations RequiredAs this panel involves various tests, your healthcare provider might instruct you to fast for a certain period.
  • Report Time4 hours

What is this test panel for?

This panel of tests is used to evaluate a specific type of anemia known as macrocytic anemia. This condition is characterized by larger-than-normal red blood cells (RBCs), also known as macrocytes, and is often due to deficiencies in Vitamin B12 or Folate.

What do these tests measure?
  • The Complete Blood Count (CBC) measures the count and size of different cells in your blood, including red blood cells, white blood cells, and platelets.
  • The Reticulocyte Count measures the count of young red blood cells, indicating the rate of production and release by the bone marrow.
  • Ferritin is a protein that stores iron. Its level in blood indicates the total iron storage in the body.
  • Folate (Folic Acid) test measures the amount of this type of Vitamin B in your blood, which is crucial for red blood cell development.
  • Lactate Dehydrogenase (LDH) is an enzyme found throughout the body. Its levels can increase due to cell damage or destruction, which could be a consequence of anemia.
  • Liver Function Tests (LFT) evaluate how well your liver is working. Some liver conditions can affect the size of your red blood cells.
  • The Vitamin B12 test measures the amount of this vitamin in your blood. Like folate, B12 is important for red blood cell development and a deficiency can lead to macrocytic anemia.

Home Sample Collection Process

1
Book your convenient slot
Book your convenient slot
2
Sample Collection by Phlebotomist
Sample Collection by Phlebotomist
3
Reporting of the sample at lab
Reporting of the sample at lab
4
Download Reports
Download Reports
Frequently Asked Questions

These tests are conducted to diagnose macrocytic anemia, understand its severity, and identify its cause, especially if a deficiency in Vitamin B12 or Folate is suspected. They might be ordered if you show symptoms of anemia, such as fatigue, weakness, pale skin, or shortness of breath.

This panel of tests requires a blood sample, which is typically drawn from a vein in your arm. The sample is then sent to a lab for analysis.

The results of these tests need to be interpreted by your healthcare provider in the context of your overall health and symptoms:

  • Low hemoglobin and hematocrit levels, along with larger than normal red blood cells in the CBC, could indicate macrocytic anemia.
  • Low folate or vitamin B12 levels would suggest these deficiencies as the cause of your macrocytic anemia.
  • Elevated LDH might indicate cell destruction in your body, a common occurrence in anemia.
  • Abnormal LFT results could suggest a liver condition that's affecting your red blood cell size.

Follow any specific instructions provided by your healthcare provider. This might include fasting or refraining from certain medications.

After the blood draw, you can resume your normal activities. Your healthcare provider will review the results with you and discuss potential treatment options if macrocytic anemia is diagnosed.

The main risks associated with these tests are those related to blood draws, which can cause slight pain, bruising, or bleeding at the puncture site. In rare cases, infection or fainting can occur.

Treatment of macrocytic anemia often involves addressing the underlying cause, such as supplementing deficient vitamins. Eating a diet rich in B vitamins, like whole grains, meat, eggs, and leafy greens, can help prevent these deficiencies.

This information provided is for educational purposes and should not replace advice from a healthcare provider. Always consult with your healthcare provider for any questions or concerns about your health.

Anemia - Nutritional - Suspect Macrocytic (Hemogram (CBC + Retic + PS); Ferritin; Folate (Folic Acid), LDH-Serum, Liver Function Tests (LFT), Vitamin B12 )
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