Conversation: The conversation between human and AI assistant.
[|Human|] HI i have been feeling unwell for a long time with extreme tiredness and difficulty concentrating.  I have had problems sleeping and waking up constantly through the night.  I have low IgA levels and high MCV and MCH.  I suffer with constipation and bloating also esspecially after food.saran
[|AI|]  Hi Saran, Thanks for asking. Based on your query, my opinion is as follows.1. High MCV and MCH is usually due to It B12 and folate deficiency. Your hemoglobin will also be mildly reduced.2. Vitamin deficiencies can cause low levels of antibodies, like low IGA levels. Associated protein deficiency can also be contributory.3. Improve your nutrition with protein rich diet and also take It B12 and folate supplements. Your diet can be enriched with fish, red meat, pulses to improve both. You can notice changes within two weeks. Hope it helps. Any further queries, happy to help again.