Why do 30% of people need a CBC Blood Count Test?
CBC Test Kit. It gives you the information you need on your Red + white cells, and platelets.
It also includes 5 differentials, namely: Neutrophils, Monocytes, Lymphocytes, Eosinophils, and Basophils.
For what reason should I get a CBC Panel ?
Your complete sample is analysed with a process at one of our London Clinic locations. Doctors can use the results to help diagnosis, screening, and monitoring of certain conditions and infections, including anaemia and leukaemia.
Your doctor might recommend you to routinely get this profile to assess your general health.
What is in our CBC Report?
16 Biomarkers shown:
- Haematocrit (HCT): Red cell percentage volume.
- Haemoglobin: Oxygen transport.
- MCH (Mean Corpuscular Haemoglobin): Average cell haemoglobin.
- MCHC (Mean Corpuscular Haemoglobin Concentration): Cell haemoglobin concentration.
- MCV (Mean Corpuscular Volume)
- RDW-CV: Red cell volume variation (percentage)
- RDW-SD: Red cell volume variation (femtoliters)
- Red Cell Cnt (RBC): Amount of your red blood cells.
- White Cell Cnt (WBC): Amount of your white blood cells.
- Basophils: Assists the immune system.
- Eosinophils: Helps the immune system against parasites.
- Lymphocytes: Helps the immune system against bacteria.
- Monocytes: Removes dysfunctional cells.
- Neutrophils: Fights infection.
- MPV (Mean Platelet Volume)
- Platelet Cnt
Steps to Order a Home Pack:
Buy the CBC kit online and collect your samples as instructed.
Drop your sample parcel off at the nearest Royal Mail Red Street Box, ideally before collection times. Use the Track 24/48 return label for lab deliveries.
Wait for your results to be ready as informed, then view your results in your email inbox or dashboard
When do I get the CBC results?
We can give you a target turnaround time for our CBC evaluation of 1 day. However, you must remember that this time is not a guarantee and is dependent on our laboratory assay times. For an additional £50, you can get a while-you-wait service.
We suggest taking the sample from Monday to Thursday to avoid the possibility of delays in your delivery to our labs.
Why Should You Use Our CBC Panel?
Our Laboratory uses the most advanced CE-certified technology for our instruments and robotics. They are sourced form the largest Medical suppliers.
- State-of-the-art, advanced technology used for laboratory analysis.
- Batch processing (1-7 days each) for the best prices you can find anywhere.
- Support handled by professionally trained Medical Laboratory People instead of regular customer service.
- Option to jump the queue for only £50.
- Track24 Pre-paid Labels included for you to make sample deliveries to our Labs.
- CBC report certificate sent to you through a Private Email instead of SMS.
- Top-notch support via WhatsApp during our business hours.
- Bundle option available for Prescription Referral, only £60.
What is included in the CBC Home Pack?
Self Finger Prick Tube Kit
- BD Microtainer Industry Standard*
- Sample return clear safety bag.
- Absorbing Pad.
- Return UN3373 Labelled Bag.
- Return label option at the checkout.
- Instructions for proper CBC usage.
- Pre-Return Online Sample Registration
- Free Replacement Kit if your kit is lost or damaged during delivery.
- Plain White package for privacy and discretion from neighbours.
- Cost effective Standard kit with an Upgrade Kit Option for £50
- Patient Request Comments Box (your feedback is read by the Laboratory Staff processing your sample for better quality and communication).
*During shortages, we may substitute the microtainer brand for another CE approved Alternative.
You can register your Sample Tube from your ordered Kit in your Account dashboard.
It is best that you collect your blood samples in the morning and at least an hour before taking any medication you are currently on.
How the CBC Q&A helped change my Life
One question: Does anyone else have low WBCs/neutrophils?
Does anyone else experience repeated below-range CBC white cell and neutrophil counts?
My WBCs are always just at or below the lower end of the range of 4.2 – 9.1. My readings for the last four draws were 3.6, 4, 4.5, 3.9, and 4.9. The two most recent readings were drawn in the last two months, and the three prior readings were from the prior 3-4 years.
Neutrophil counts usually in range at around 2.3 (range 1.8 to 5.4) but most recently was 1.6
From what I read, the reasons for this range from terrifying to nothing concerning at all, and I’m wondering where I land in that range. My primary care physician signed off on the bloodwork without an issue but then referred me to a haematologist only after I pointed out to him that I’d been below the WBC range in 3 out of the last 4 tests.
I feel like I am not often sick.
Like any average person, I get 1-2 colds yearly. I am not lightheaded much or have any significant health issues other than cholesterol, which I just started medicating last week.
Has anyone else experienced this?
Answer:
Physician here. A chronically low white count in an otherwise young, healthy person is a normal finding. It’s called benign neutropenia and is more common in folks of African, Middle Eastern, Mediterranean, and West Indian descent, though it can still be found across all population groups. It’s a fun fact, but our reference range for WBC was standardised on traditional white males, so it doesn’t consider the heterogeneity across populations. I wouldn’t be concerned with that lab value.
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Low-Normal WBCs
- Some people naturally have counts on the lower side, and for many, this is perfectly normal and harmless, particularly if it doesn’t drop drastically or cause symptoms like frequent infections. Minor CBC fluctuations, like those between 3.6 and 4.9, can happen due to various factors like stress, mild viral infections, or even dehydration. Regular monitoring by your healthcare provider, which you’re already doing, is often enough.
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Neutrophil Levels
- Since your test counts generally stay within the normal range, this is reassuring, as they are a crucial component of the immune system. The slight dip to 1.6 may be a transient change, potentially related to minor infections, stress, or natural variations.
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Referral to Heamatology
- A referral to a haematologist is likely a precaution, especially since this pattern has been ongoing. Hematologists can rule out rare causes, such as chronic neutropenia, which is usually harmless but can cause lower-than-average counts, especially if it’s persistent. They may run additional tests, like checking for immune markers or vitamins (B12, folate), which can affect blood cell production.
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Good General Health
- The fact that you don’t get sick often and experience minimal symptoms is a very positive sign. Many people with mild, consistent neutropenia live without any significant health issues as long as they don’t have any symptoms like frequent infections, fatigue, or prolonged illness.
I would get that high IPF worked up further, however. It could be a one-time error or a side effect of certain medications. It just needs to be investigated further.
Question: MVP is high; should I be worried?
I have a CBC w/Diff done (For Checking Hypothyroidism, which it turns out I don’t have). Everything was fine on my Metabolic Panel (Liver/Kidney tests/etc… and besides 1 thing was off…and being a hypochondriac, It has me worried).
Results Overview
Component Your Value Standard Range
- White BC 5.2 10*3/uL 4.5 – 11.0 10*3/uL
- Red BC 5.49 10*6/uL 4.0 – 6.0 10*6/uL
- Hemoglobin 15.7 g/dL 13.5 – 17.5 g/dL
- Hematocrit 47.8 % 33.0 – 51.0 %
- Mean Corpuscular Volume 87.1 fL 80.0 – 100.0 fL
- Mean Corpuscular Hemoglobin 28.6 pg 27.0 – 31.0 pg
- Mean Corpuscular HGB Conc 32.8 g/dL 32.0 – 37.0 g/dL
- Red Cell Distribution Width-CV 12.5 % 11.6 – 13.7 %
- Platelet 184 10*3/uL 150 – 450 10*3/uL
- Mean Platelet Volume 12.1 fL 7.8 – 11.0 fL
- Diff Type Physician Office CBC w/AutoDiff (arb’U) (arb’U)
- Neutrophils % 64.8 % 45 – 80 %
- Lymphocyte % 26.9 % 20 – 51 %
- Mono/Eos/Basophil % 8.3 % 0.1 – 24.0 %
- Neutrophil Abs 3.40 10*3/uL 2.0 – 8.8 10*3/uL
- Lymphocyte-Absolute 1.40 10*3/uL 1.2 – 3.4 10*3/uL
- Mono/Eos/Basophil-Absolute 0.40 10*3/uL 0.4 – 1.0 10*3/uL
Concerns About MPV
So, as you can see, Everything looks good besides MPV. I’ve read a high number can be a few things like Cancer, chronic myelogenous leukaemia (CML) (or other leukaemias), ITP or something called heterozygous thalassemia. So, I usually don’t worry, but my platelets tend to be on the lower end (they always have been, though they remain above the normal range). My past 3 results have been 186 149 184. Which are low but still normal.
This has been over 3 years
My MPV has also been 12 back in a test I took in 2016 (The doctor has a site that shows your past results conveniently). Anyways…do I need to be worried? I know it’s only slightly over. I was lacking sleep horribly. and had some alcohol the night before (Not sure if that would affect it) and had done some exercise the day before (Which not sure if that would affect it either). Sidenote….is my platelet count worrisome? Since it’s always towards the low end? (It’s always been that way).
Thankfully, the rest of my results in the past have always been perfect. And the same with my Comprehensive Metabolic Panel.
Do you know if I need to get this retested?
How likely is this slight overage to be some of the diseases listed above? (It seems unlikely since everything else is normal.) Thanks. I know this is worrying too much, but understanding why I don’t need to worry would be helpful!
Answer:
I’m an MD but not a haematologist, so if someone steps up to correct me, I will trust them instead. But MPV is one of the CBC values that doesn’t mean much.
When interpreting a CBC, I look primarily at certain values: cell counts (RBC, WBC, platelets), haemoglobin, and hematocrit. If there’s a differential, I check to see if it’s skewed towards any predominance.
Understanding Abnormalities
Most other values (hint: most of the ones with “mean” in the name) help characterise any abnormalities in the main levels. So, if Hemoglobin is low, I want to check MCV to see if I have macrocytic or microcytic anaemia. If it is just outside the normal range and everything else is normal, I don’t really care. Normal ranges aim to encompass most, but not all, normal variations within the population.
For this specifically, platelets are larger when they are young. So when the test happened, you had a slight preponderance of young platelets compared to old. Platelets only last 8 to 9 days. Your platelets may die on the earlier side of that range, so your mean platelet volume will always skew a bit large. In the absence of abnormal platelets (which yours are not) or specific symptoms, this is not worth worrying about.
Shipping and Return Policies
Appointment:
Missed appointments or cancellations less than 24 hours prior are not entitled to refunds. Rescheduling is possible but not guaranteed. Please contact the customer service prior to the appointment time to discuss cost and availability options.
Shipping & Return:
We have a 14-day return policy, which means you have 14 days after receiving your item to request a return.
To Qualify for any return, the product must be in the same condition as when you received it. Not used, not opened, unworn, in its original packaging. You will also need to send it to us with the receipt or proof of purchase.
Please return to: Medicines Online, 89 Falcon Rd, London. SW11 2PF
You can read our full return policy here:
https://medicinesonline.org.uk/return-policy/
We offer next day delivery; however courier delivery times are out of our control. We are unable to offer refunds for any late deliveries. But you will receive courier tracking information once your order has been dispatched. And orders placed by 1pm are dispatched on the same day.
Our CBC Sales Shipping and Return Policies
For Appointments:
Please understand that we are unable to refund any missed appointments or cancellations done within 24 hours of the appointment time.
We can discuss rescheduling with you, but be aware that we can’t guarantee that one can be given. You may speak with customer service to discuss pricing and availability.
Shipping & Return:
We offer a 14-day return policy as long as you qualify for one. To qualify for a home CBC return, you must keep the product in original, unused, unopened condition in its original package. You also need to provide your receipt to prove your purchase.
Our return address: Medicines By Mailbox, 61 Falcon Rd, London. SW11 2PG
Our complete policy: https://medicinesbymailbox.co.uk/return-policy/
We also offer next-day deliver, but be aware that courier delivery times are out of our control, so any late deliveries caused by slow courier delivery will not be refunded. Parcel tracking information will be provided to you. Our same-day shipping cut-off time is 1 p.m. of each day.
Principle IVD Regulatory Certification
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MHRA Registration Number: 10271 – Unistik Lancet
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MHRA Registration Number: 13613 – BD Microtainer Tube
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The instructions are clear, the sample collection is easy and the results are available online in just a couple of days!
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The lancet was broken but as soon as I spoke with customer service they sent a new one. Thank you!
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I am afraid of needles but the lancet was fine. A bit weird to do it myself but it was quite easy
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The report gave me valuable insights that I used to improve my overall wellness.
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The results were delivered on my email and I’ve found them to be just as accurate as the ones I’ve had done at the lab.
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The finger prick was practically painless and the whole process took no time at all. The instructions were simple to follow and I felt confident about how to collect the sample.
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Very good. Thank you!
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