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Thrombocytosis is a condition characterized by an abnormally high number of platelets in the blood, increasing the risk of inappropriate blood clot formation. It is caused by either bone marrow disorders producing excess platelets (primary thrombocytosis) or underlying conditions like inflammation, infection, or iron deficiency (secondary thrombocytosis). The Complete Blood Count (CBC) is the most important test for diagnosis, as it directly measures platelet levels and provides critical information about blood cell composition.
Thrombocytosis is caused by either bone marrow disorders that produce too many platelets (primary thrombocytosis) or underlying medical conditions that trigger increased platelet production (secondary thrombocytosis). Primary thrombocytosis results from mutations in bone marrow stem cells, leading to uncontrolled platelet production. Secondary thrombocytosis is more common and can be triggered by chronic inflammation, infections, iron deficiency anemia, cancer, recent surgery, or tissue damage that signals your body to produce more platelets as part of the healing response.
The Complete Blood Count (CBC) is the most important test for thrombocytosis because it directly measures your platelet count along with other critical blood components like red blood cells and white blood cells. This test detects elevated platelet levels above 450,000 per microliter of blood, which is the diagnostic threshold for thrombocytosis. The CBC with differential also provides valuable information about other blood cells that help your doctor determine whether you have primary thrombocytosis from a bone marrow disorder or secondary thrombocytosis from an underlying condition like inflammation or infection.
You should get tested if you experience unexplained headaches, dizziness, chest pain, or unusual bleeding or bruising that seems out of proportion to minor injuries. Testing is also important if you have numbness or tingling in your hands or feet, vision changes, or a history of blood clots. Many people with mild thrombocytosis have no symptoms, so you should consider testing if you have risk factors like chronic inflammatory conditions, recent surgery, iron deficiency, or cancer, as these can trigger elevated platelet counts that need monitoring.
What this means
Your testosterone levels are slightly below the optimal range. While this is not necessarily cause for concern, it may contribute to occasional fatigue, reduced motivation, or lower muscle mass over time.
Recommended actions
Increase resistance or strength training
Prioritize 7–8 hours of quality sleep per night, try to reduce stress
Include more zinc- and magnesium-rich foods (like shellfish, beef, pumpkin seeds, spinach)
Consider retesting in 3–6 months
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