I am healthy and hae not had a cold or flu for decades. I'm 58 years old, female. From 1992 to 2016, my wbc ranged from 3.3 to 5.7. I was diagnosed with Sjogren's Syndrome in 2014. Now my wbc has dropped to 2.5 with MCV 97 and platelet count 187. I'm worried. (PS, I don't eat red meat but salmon, seafood and eggs.)
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replied June 30th, 2019
Thank you for asking at Ehealth forum!

I read your question and I understand your concern.
Vitamin B12 deficiency and bone marrow disorder need to be looked for. I would suggest you retic count, B12 assay and special smear for segmented neutrophils.
I hope it helps. Stay in touch with your healthcare provider for further guidance as our answers are just for education and counselling purposes and cannot be an alternative to actual visit to a doctor.
Take care
Khan


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replied July 2nd, 2019
Thank you. Initial testing indicated a B-12 deficiency and I was getting a shot each week for 8 weeks then monthly for two months. It was restored to within the normal limits but my wbc remained low. I'm terrified of having to deal with a bone marrow disorder; I strongly oppose the idea of immunosupression. Is there any other less drastic alternative to the bone marrow aspiration test?
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replied July 2nd, 2019
Also, my rbc, hbc and hct are all within the normal ranges. It's just the white blood count and the low neut.
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