Thank you so much for the quick replies and informative input! It is very helpful to rule stuff in and out, and or consider other things than to continue on down the wrong path! Some thoughts/comments:
Since your RBCs are low, does your body do any counter-regulation? I thought that maybe the elevated mcv and mch were my body's way of trying to up the hemoglobin that circulates (due to lower RBC#). My bilirubin is lowish normal (.3 and .5, with .2-1.2 wnl), which I think means no increase in RBC destruction, and maybe is lowish because of the fewer number, no? All other kidney/liver function tests wnl (except the low alk phos-do you have low alk phos values?).
My Vit B 12, done last week, was 454 so wnl. Had troponin-I done at the ER on Sunday-neg. I learned that gamma globulins are made in both the liver and by lymphocytes&"plasma cells", so a total globulin level could be low if gamma globulins are selectively low. Anyone else have this? Since I've had low results in Mch and August, I wonder if it's worth getting the prtn electrophoresis done to quantify the globulin types. I do not restrict my protein intake-in fact, try to eat a lot of protein to offset the carb effect, so I shouldn't have low protein.
Still, your cryptic suggestions made me go searching again, and maybe lupus is fitting better and better as time goes by. I was diagnosed with "antiphospholipid syndrome" about 20 ys ago because I had some but not all criteria for lupus. But with my most recent ER trip suggesting inflammation in my lungs (causing the chest pain), and this other stuff....is that what you're thinking?
My doc wants me to increase my Vit D intake for several weeks and re-test (the Vit D was not low, at 38 (30-100 wnl))-she didn't say anything about the anemia, but I'm trying to eat healthier.....but what I'm hearing is that you do think that these results are worth following up with a specialist? I know bloodcell values are all borderline low/low, but it seems chronic and across the board
