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@edwardh

Latest blood work revealed that i have developed macrocytic anemia (high MCH). Probably explains the fatigue and muscle weakness that has come on as I continue to taper. I've started taking a B12, folate, and B6 supplement in case that is the cause, though I've read that prednisone can also cause the condition. Anyone else develop this condition while on this immunosuppressant?

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Replies to "Latest blood work revealed that i have developed macrocytic anemia (high MCH). Probably explains the fatigue..."

Now that is interesting!! I need to check into this more. My MCH was high for years except I was never sure what MCH was. I thought it was one of those lab values that nobody cared about. I took prednisone for years so maybe this explains why my MCH was always high.

Sometimes I was mildly anemic but I didn't worry about that either. My doctor said it was likely the result of chronic systemic inflammation.

I have been off prednisone for 2 years. My CBC labs are mostly all normal now. My MCH is still slightly high sometimes but to me it seems like my "normal" high MCH.