<s>[INST] Hi. I had a blood test performed and although I m anemic (I always am) all the cell counts are fine except my monocytes which was consistently 223 the last two years but decreased to 153. I m a little worried because this is a big drop. Do you think I have some kind of infection or what can I do to help increase it. Thank you [/INST] Hello, welcome to HCM. Firstly, you do not need to increase the monocyte count. Basically we find Monocyte as 1-3%. So, usually the level is very low. But, this report should be corroborated with the peripheral blood findings. Secondly, decreased monocyte count does not indicates an infection. Rather its increased number indicates a chance of leukemia. There is nothing that can help you to increase its number. So, do not worry. </s>