Your reports together tell a clear story. The CBC shows MCV of 104.7 fL (elevated) with low RBC count (3.74) â this is macrocytic anemia, almost certainly from
B12 deficiency, which is extremely common in vegans since B12 is found almost exclusively in animal products. Your homocysteine of 26.60 (normal 30).
Triglycerides are also high at 263 â often seen with high refined carb intake. B12 supplementation is non-negotiable lifelong on a vegan diet.
Next Steps
Start methylcobalamin
B12 1500 mcg daily (sublingual preferred). Add Vitamin D3 60,000 IU weekly x 8 weeks. For high
triglycerides, reduce refined carbs and
sugar. Recheck CBC, B12, Vit D, and
lipid profile in 3 months. Consult a physician for a formal prescription.