instruction: hi doctor I just received my blood test abc is 200 neutrophils are 8700 high absolute immature granulocytes and low lymphocytes I have noticed that for three years my blood tests have been on the high levels for abc should I be concerned I have been in and out and they never call me for a follow up maybe I should change the doctor also can phentermine be the cause of this I only took it for two days before the blood test I am a 39 year old female I have bone pain neck pain dizziness and hair loss
output: hello following is my opinion for your asked question your total abc count and neutrophils are high mild increase of immature granulocytes and high count with neutrophilia could be due to infection or inflammation in the body your detailed physical examination and investigation should be done to find the underlying cause for your complaint you can investigate further with ana antinuclear antibody estimation us ultrasound abdomen vitamin estimation serum calcium estimation blood pressure measurement and blood sugar estimation your ear examination also should be done antibiotic courses can be prescribed as per the provided report however before that physical examination and above investigation can be done you need to follow up your abc complete blood count with peripheral smear examination report after a few days to check values once again you can consult a good internal medicine specialist for your examination and investigation accordingly