Blood Disorder

My daughter's blood test result shown her red blood platelets was very high and need a bone marrow biopsy. She is 35 years old.
What supplement to take to strengthen her bone marrow to produce healthy red blood cells?
Thank you

[Dr. Kokil Mathur]

Hi!
Severe dehydration can cause a high cell count. If both red cells and platelets are high, your daughter could be suffering from polycythemia. Cells like platelets and RBC are increased in some bone marrow disorders like myeloproliferative disorders (polycythemia vera, essential thrombocytosis, idiopathic myelofibrosis and chronic myeloid leukemia). All known causes like myeloproliferative disorders of bone marrow, essential thrombocytosis, chronic myeloid leukemia, rheumatoid arthritis etc have been looked into, and  bone marrow biopsy performed, then other rare causes need to be looked into. One is an absent spleen or a poor functioning spleen. A rare condition known as Kawasaki's disease, which occurs as a result of inflammation of the arteries is another possibility. High RBC are usually due to dehydration or low oxygen as in high altitudes and in lung disorders such as asthma. Congenital heart disease, some kidney problems and polycythemia vera are the other causes of increased RBC.
Please consult your PCP for primary examination followed by proper referral to a hematologist.
Take care!