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Cheryl,
Your GP can do testing for the major hitters regarding nutrients. You should ask for Vitamin D, B12, Folate, B6, iron, copper and zinc. Ask him to include MMA and homocysteine. These nutrients are needed for blood production and bone marrow health. B12 needs to be in the mid to high normal. Get copies of lab results. You would be surprised at how often they'll tell you they are normal when they are not. Stop your supplements, if you are taking any, about four days before testing.
I would also suggest to check your hormone levels: estrogen, progesterone, testosterone, thyroid (TSH, T3 & T4). Did your period just cease or did you go into early menopause.
Regarding vitamin D testing. If you use Quest Diagnosis, you will have to adjust the result to get a more accurate reading. They use a testing method which has in the past, reported D levels to be higher than they actually are. There's factor you can apply to get the corrected number.
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Marlene, wife to John DX w/SAA April 2002, Stable partial remission; Treated with High Dose Cytoxan, Johns Hopkins, June 2002. Final phlebotomy 11/2016. As of July 2021 HGB 12.0, WBC 4.70/ANC 3.85, Plts 110K.
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