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Unfortunately, relapses do occur even after a long remission. With a high MVC, make sure they check your folate and B12 levels as well as homocysteine and MMA to further rule out a B12 deficiency. Your B12 needs to be at least in the mid-normal range around 500.
Also, if you have just gotten over a cold or flu, that could impact your blood count.
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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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