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If you have diabetes or hypertension it is. If you have these conditions and now have protein in the urine that suggests that these conditions may be causing damage to your kidneys.
Since your creatinine is normal right now it suggests that your kidneys are functioning well but over time these conditions can cause irreversible damage to the kidneys.

. Find Nephrologists near you. Chief among them is pregnancy however it is likely that you and your doctor are already aware of whether this is a possible cause of your macrocytosis. Find Primary care doctors near you.
Other causes of macrocytosis include hypothyroidism disorders of the bone marrow itself increased production of immature blood cells and certain medications especially chemotherapathy.
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