### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
My husband has elevated Hemoglobin 18.5 Hematocrit 55.3 MCV 102.3 MCH 34.3 RDW 16.1 and monocytes 15.3 ALL LEVELS ARE HIGH , he has also had circular hair loss the size of a small orange . He has seen a Dermatologist who ran the above tests and is now sending him to his PCP for answers as he ruled out skin issues and his ANA screen was negative Please advise

### output:

Hi Welcome to ChatDoctorI have gone through your query regarding high hemoglobin Which may cause many health problems or may be caused by other problems as cancer,, bone marrow disorders, blood doping, living at a high altitude, and inappropriate use of the Chat Doctor. The normal level of hemoglobin in blood is 14-18 mg/DL for men which is not very high. The RDW and MCV levels can both be increased if there is too little vitamin B12 or folic acid (a type of vitamin) in the body People with PV have abnormally high hemoglobin and are at risk for a stroke High hemoglobin levels in the blood are caused by . The RDW and MCV levels can both be increased if there is too little vitamin B12 or folic acid (a type of vitamin) in the body even bigger mistake would be for balding people to take iron supplements on their own. Unless you have iron deficiency --diagnosed by a doctor -- iron supplements can lead to a very dangerous condition from iron overload. Hair Loss May Be a Symptom of Serious Illness A sensitive way to check total body iron stores is to measure the amount of ferritin in the blood. Ferritin is a protein that plays an important role in iron storage. As a general rule, the less ferritin in the blood, the less iron a body has stored up. People prone to develop even hereditary hair loss, if their iron levels are low, it accelerates that process. We think It's because the hair follicles grow so much, they require a lot of ironBaldness is very common occurrence in old people, but nowadays, many young people, even in their 20s, suffer from it, due to present stressful lifestyle and inadequate nutrition in the diet of people some home remedies to control hairless -Take a balanced diet including all essential nutrients in natural form fiber, fruit green veges, OND supplements full of antioxidants ginger, garlic, lemon juice, aloe vera juice30 ML + AMLA juice 2 Spoons, almonds, nuts, a lot of water .  Take 4 parts bhangra, 3 parts Catalans, 5 parts dashamoola, and mix all with goat milk. This home remedy when taken orally cures hair loss and promotes hair growth. You can 