<s>[INST] High neutrophils, low lymphcytes, severe skin itching (for about 6 months) that I'm scratching myself raw, fatigue, joint (knee) pain, and chronic cold sores since June.  I'm an active 42 year old female, so these recent symptoms are driving me crazy.  Any significance? [/INST] Good day and thanks for your question. Your complaints are quite significant and I suggest you see a Hematologist.Hope it helps. Thank you. </s>