Q. Does obesity and plantar fasciitis cause elevated immature granulocyte count?

Hello doctor,

I am a 55-year-old female who is currently overweight, though I have successfully lost 60 pounds and aim to lose an additional 100 pounds. I recently received my CBC results, and I noticed that my immature granulocyte levels are higher than the normal range. Specifically, my immature granulocyte count is 0.6, exceeding the upper limit of 0.3 and my immature granulocyte absolute count is 0.04, surpassing the upper limit of 0.03. All my other white blood cell counts are within the normal ranges. My previous blood tests did not indicate any presence of immature granulocytes. In terms of medication, I am taking Lisinopril, NAC, Tudca, and Berberine. While I am not experiencing any symptoms, I am currently dealing with plantar fasciitis. Please help.

Thank you.

Hi doctor,

I appreciate your response.

My father was diagnosed with a form of blood cancer before he passed away due to uncontrolled diabetes. He used to self-administer stomach injections to manage it. Unfortunately, I am not aware of the specific type of blood cancer he had. He was 56 years old at the time of his passing. On the other hand, my mother does not have any history of blood disorders.

As for my medical history, I have not undergone any ultrasounds to assess the condition of my spleen or liver. But, I have been informed that I have gallstones, and I believe I recently passed one about a month ago. My liver function test results have remained consistent over time. If it would be beneficial, I am willing to share those specific test results with you.

Thank you for your attention and guidance.

Hello doctor,

Thank you for your reply.

I do not possess any recent ultrasound results as it has been more than a decade since my last ultrasound. I will provide you with my recent liver bloodwork results. Notably, my ALP level is slightly elevated and this specific value has remained relatively consistent over the course of approximately five years.

Thank you.

Hello doctor,

Thank you for your reply.

I do not smoke, and my alcohol consumption is infrequent. I have struggled with obesity for the past 30 years. But, in the last year, I have actively embraced exercise and managed to shed 60 pounds thus far. My A1C level stands at 5.1, marking a decrease from its previous value of 5.6. With this progress, I am hopeful that my weight will continue to decrease in a positive trajectory.

Thank you.