<s>[INST] my immature granulocytes have elevated from .2 to 1.6 in the last 4 months. I have hashimotos and celiac disease. My doctor ran the tests because I ve been feeling lethargic and in a great deal of pain lately. My doctor said it s within normal limits but I m concerned. [/INST] Hi, dairy have gone through your question. I can understand your concern. Please tell me your total count. Your immature granulocytes count is normal and no need to worry about that. Your lethargy may be due to anemia or thyroid disease or some other cause. You should go for complete blood count. Send me your reports, so that I can help you further. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health. </s>