I have never had that happen. How often do you have your bloodwork done? You could either wait until next month's bloodwork and see how it is doing or call your Rheumy and discuss now. Who is reading your bloodwork? Doesn't your Rheumy get your results too?

Hope they figure it out for you.

Hi Amberhere, The doctor looks at all of the different blood scores together before drawing a conclusion. I like to look up the meaning of all my scores on google. There are some scores that may not be clinically significant by themselves, but combined with other scores then there is a meaning.

The only way that your scores will affect taking the MTX is for the doctor to consider all the scores together and determine if MTX is helping or effecting the blood work in a negative way.

I have learned that just because scores are in range does not necessarily mean everything is rosy. Too many blood scores that are about to go out of range either high or low is a concern but not alarming. There are things diet wise that may contribute to maintain better scores for liver, kidney, and heart. I was able to lower my LDH by 45 points over three months by diet.

Here is a helpful article. Over time your blood work will change. I like to get familiar with blood scores so I can ask questions:

Complete Blood Count in Primary Care - bpacnz
www.bpac.org.nz/Supplement/2008/May/complete-blood-count.aspx

I find that knowing my blood work scores is helpful for me. I can ask questions and work with the doctor on ways to maintain good health. I feel it gives me some control.

I hope this helps.

Hi Amber. It is right that your GP is speaking to your Rheumatologist about this as he has the overall picture for your blood results and he also has all your baseline results before you started treatment. I know this happens. I hope it goes well, there is always something with this illness. Best wishes. Autumm

I have the same problem. I am taking MTX for 7 years, and for 7 years i have a low lymphocyte count ., I am doing my blood work every 2 month , my Rheumy see it and does not pay too much attention to it.
Michael

Thanks for your replies - hopefully it should be OK - just not sure on this DM - it is so unpredictable its hard to know what is "normal" for us.

My rheumy said to only watch the Absolute Lymph, not the number but the relationship to the others... Mine went down once and came right back up... Give it time...