Looking for a quick bloodwork intepretation

Patient

Q: Recently had some bloodwork done. 24 year old Caucasian male. This was part of my normal workup and I had the following results, including 19 out of range results, which is somewhat concerning, as I usually do not have so many out of range results. I had not eaten at the time of the blood test, so I was considered to be fasting.

I got the bloodwork performed at Quest Diagnostics. First are the out of range values (some of which are out of range by 0.1 or 1), then everything else.

A CBC, CMP, Morphological Review, and Valproic Acid test were performed.

H means it was marked as High
L means it was marked as Low

MCV: 105.6 H
Hemoglobin: 8.2 L
AST: 48 H
Hematocrit: 26.0 L
ALT: 64 H
MCH: 33.4 H
Sodium: 134 L
Neutrophils, Absolute: 531 L
Lymphocytes, Absolute: 27,524 H
Alkaline Phosphate: 140 H
MCHC: 31.6 L
Monocytes, Absolute: 1416 H
Potassium: 5.4 H
Bilirubin, Total: 1.5 H
RBC: 2.46 L
WBC: 29.5 H
Eosinophils, Absolute: 0 L
Globulin: 3.9 H
RDW: 23.8 H

Glucose, Fasting: 85
Urea Nitrogen: 16
GFR Estimated: 121
Total Lymphocytes (%): 93.3
Platelet Estimate: ADEQUATE
Creatinine: 0.87
Albumin: 4.0
Total Neutrophils %: 1.8
Carbon Dioxide: 24
Chloride: 101
Basophils: 0.1
Valproic Acid, Total: 51.4
A/G Ratio: 1.0
Protein, Total, Serum: 7.9
Calcium, Plasma: 9.0
Eosinophils, %: 0.0
MPV: 8.5
Basophils, Absolute: 30
Monocytes, %: 4.8
Platelet Count: 237
EGFR AFRICAN AMERICAN: 140

PATH REVIEW PERIPHERAL SMEAR

SLIGHT TEAR DROPS
OCCASIONAL ATYPICAL LYMPHOCYTES OBSERVED ON
SMEAR.
OCCASIONAL MYELOCYTE SEEN.
LYMPHOCYTOSIS
MODERATE ELLIPTOCYTES
SLIGHT POLYCHROMASIA
SLIGHT MACROCYTOSIS
MARKED ANISOCYTOSIS
OCCASIONAL NRBC
MODERATE SPHEROCYTES
SLIGHT SCHISTOCYTES

I am wondering what some of these might be indicators of and if my doctors might require further blood work from me?

Symptoms:  Blood test interpretation
Doctor

A:   Hello
Welcome to Ask The Doctor.

We are here for your help.
Your major abnormality is Anemia and raised MCV. This reflects Megaloblastic Anemia. This can be due to Vitamin B12 or Folate Deficiency.
Your doctor would order following investigations for you:
1. Vitamin B12 and Folate assay.
2. Reticulocyte count.
3.Bone marrow examination should be performed if the levels are found normal.
If it is simple Vitamin B12 and Folic acid deficiency, you would require parenenteral Vitamin B12 supplementation.

I hope it helps.
Stay Healthy

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