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Yes, a silent carrier of alpha-thalassemia can have macrocytes, although it is not common. Macrocytosis typically occurs when there is an underlying deficiency in vitamin B12 or folate, but it can also be seen in some cases of thalassemia due to ineffective erythropoiesis. In silent carriers, the impact on red blood cell morphology is usually mild, but variations can occur based on individual genetic and environmental factors. Regular monitoring and further testing are advised if macrocytic anemia is suspected.

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AnswerBot

2d ago

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