<s>[INST] Hello doctor, My wife is having high platelets count, diagnosed with mild anisopoikilocytosis, predominantly normocytic with ovalocytes (RBC), WBC mild leukocytosis is present, platelets: appear increased in the smear. [/INST] Hello. The increased platelet count in your wife case seems to be due to reactive thrombocytosis. The iron deficiency anemia can lead to reactive thrombocytosis and so platelet count can be high. You need to treat her anemia with Ferrous Ascorbate tablet like medication for a month. The high total count along with high neutrophil and lymphocytes need to be treated by empirical antibiotic course. Her diabetes is also not controlled well and with a medication, it needs to be controlled. After a week, repeat CBC to check total count. </s>