Esr increased to 44

I had taken blood test .all others things r normal except esr which is electrolyte sedimentation rate which came 44 for me but it should actually be 0 to 20. what is the cause for this
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Dr. Gladson Guddappa Uchil
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Erythrocyte Sedimentation Rate (ESR) has to be interpreted along with other reports. Please upload all your lab reports for me to help you better.
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