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www.mayoclinic.org/macrocytosis/expert-answers/faq-20058234

Macrocytosis is a term used to describe red blood cells that are larger than normal. Also known as megalocytosis or macrocythemia, this condition typically causes no signs or symptoms and is usually detected incidentally on routine blood tests.

nlcatp.org/enlarged-red-blood-cells-alcoholism

Alcohol comes with a number of side effects on the different forms of blood cells as well as their functions. For instance, too much consumption of alcohol may lead to generalized repression of production of blood cell and the production of unusual structure of blood cell precursors, which may not develop into functional cells.

www.zocdoc.com/answers/3084/do-alcoholics-have-enlarged-red-blood-cells

"Do alcoholics have enlarged red blood cells?" ... Alcohol abuse can certainly be associated with poor nutrition and therefore lead to deficiencies in B12 and folic acid, but there are several other important ways that alcohol is associated with macrocytosis. See a doctor who can help.

www.livestrong.com/article/440344-large-red-blood-cells-normal-b12

Red blood cells are the most abundant type of blood cell. They carry oxygen through the body from the lungs to the tissues. A low red blood cell count is called anemia. There are several ways to classify anemia. One way is by the size of individual red blood cells. Macrocytic anemia refers to large ...

www.healthline.com/health/megaloblastic-anemia

Megaloblastic anemia is a blood disorder marked by the appearance of very large red blood cells that crowd out healthy cells, causing anemia. ... since alcohol interferes with the body’s ability ...

www.familydoctor.co.uk/unassigned-articles/alcohol-and-health

Alcohol reduces the body’s ability to absorb vitamins from food and a deficiency of vitamin B1 (thiamine) is linked to nerve and brain damage in heavy drinkers. Blood. Alcohol causes changes in the blood cells. Your doctor may unexpectedly find an abnormal test result, due to alcohol, when your blood is taken for some other reason.

www.healthtap.com/topics/enlarged-blood-cells-alcohol

Helpful, trusted answers from doctors: Dr. Dugan on enlarged blood cells alcohol: Alcohol causes vitamin b1 deficiency, the most serious, also resulting in greater alcohol intake.Vitamin b6 can't be converted to its active form. Decreased liver absorption and increased urinary excretion of many b vitamins and especially Folic Acid is noted.

www.healthhype.com/macrocytosis-enlarged-red-blood-cells.html

Macrocytosis is the term for enlarged red blood cells. These blood cells, also known as erythrocytes, may be larger than normal for various reasons that affect its development. Therefore further investigations are necessary to identify the cause, as some of these causative factors can be very serious in nature.

www.medhelp.org/posts/Degenerative-Diseases/Enlarged-Red-Blood-Cells/show/324085

This again showed enlarged red blood cells (the size was 102) and nucleated red blood cells. I had a quick google, as you do, and was left with the impression that the nRBCs meant that I had a serious disease of some kind. The doctor (a different one) again talked about alcohol consumption and checked it again during another consultation.

health.heraldtribune.com/2015/05/12/what-can-cause-large-red-blood-cells

Vitamin B-12 and folic acid deficiencies are the ones we usually first look for, but some medications can cause it, as can alcohol, as you mention. Some genetic conditions, like hereditary spherocytosis, can do it. Even low thyroid levels sometimes can cause large red blood cells and a high MCV.