<s>[INST] i have pancytopenia my hb is 6.9 and wbc is 2800 and rbc is 1.81 i was on nerroferritin and rudimin and vitcofol injection.now my doctor has changed my medications to leucovorin and livogen along with vitcofol injection daily for one week.i want to what is the exact problem im suffering from [/INST] Hi, dairy have gone through your question. I can understand your concern. You have pancytopenia. There are many causes of pancytopenia.  Megaloblastic anemia, Hypoplastic or plastic marrow, certain viral infection, bone marrow fibrosis etc. are the causes of pancytopenia.  You should go for bone marrow examination once to find the cause of pancytopenia. Then you should take treatment according to cause. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. Don't forget to click, thank you. </s>