White Blood Cell Differential Test

Neutrophils (Absolute)

Optimal Result: 1.4 - 7 x10E3/uL, or 1400.00 - 7000.00 cells/uL.

Other names: Absolute Neutrophil Count (ANC)

Neutrophils are white blood cells.

Neutrophils are one of five types of cell belonging to the white blood cell family, all of which are called leucocytes.

These include:

- neutrophils,

- lymphocytes,

- monocytes,

- eosinophils,

- and basophils.

All leukocytes serve in our body’s immunological and inflammatory responses, protecting us from irritants and malignant invaders.

- About 40%-60% of all white blood cells are neutrophils.

- Neutrophils, along with eosinophils and basophils, constitute a group of white blood cells known as granulocytes.

- Neutrophils are the most abundant type of white blood cell and the most abundant type of granulocytes.


Neutrophils are phagocytic; they engulf and digest other microorganisms.

White Blood Cell differential:

Neutrophil concentration is determined with a white blood cell differential, often as a part of a complete blood count (CBC). A healthcare provider may order a complete blood count during a routine health check or if someone has symptoms or signs of an infection, including:

- Fever and shaking chills

- Rapid pulse

- Rapid breathing

- Nausea / vomiting

- Diarrhea

What does it mean if your Neutrophils (Absolute) result is too low?


Neutropenia is potentially associated with life threatening infection. It is most significant when the total neutrophil count is less than 0.5 x 109/L, particularly when the neutropenia is due to impaired production (e.g. after chemotherapy). When the neutropenia is due to increased peripheral destruction or margination (e.g. with viral infection), it is less certain what constitutes a significant level. These patients rarely have problems with significant bacterial infection despite quite low neutrophil counts.


In routine clinical practice the most frequent cause of a low neutrophil count is overt or occult viral infection, including viral hepatitis. Acute changes are often noted within one to two days of infection and may persist for several weeks. The neutrophil count seldom decreases enough to pose a risk of infection.

A low neutrophil count is often discovered in some people as an incidental finding in the CBC ('Complete Blood Count') result. The patient is generally asymptomatic and the clinical examination is unremarkable. The count is usually stable on follow-up. This is likely to be idiopathic although in some cases a neutropenia may be associated with splenomegaly or an autoimmune disease such as lupus.

Neutropenia can be classified as:

Classification Neutrophil count
Mild 1.0 – 2.0 × 109/L
Moderate 0.5 – 1.0 × 109/L
Severe < 0.5 × 109/L

Drugs causing neutropenia:

Although relatively rare, drug therapy may cause an acquired neutropenia in some people. The drugs most likely to be associated with moderate neutropenia are chemotherapy and immunosuppressive drugs, antithyroid medications, antibiotics, antirheumatics, antipsychotics and anticonvulsants. 

Many drugs may cause a chronic mild neutropenia e.g. nonsteroidal anti-inflammatory drugs, valproic acid.

Vegan diet:

If you are following a wholefoods, plant-based (i.e. vegan) diet your white blood cell count (including Neutrophils and Monocytes) might be on a lower level naturally. This is in general not a concern. There is research studies supporting the hypothesis that people on a vegan diet have overall lower WBC counts and for those individuals the optimal reference range should be adjusted downwards [L, L, L, L].

What does it mean if your Neutrophils (Absolute) result is too high?

An increased percentage of neutrophils, called neutrophilia, may result from:

- an inflammatory disorder (rheumatoid arthritis, gout),

- from infection (acute or chronic),

- from certain cancers (myelocytic leukemia),

- or from stressors (eclampsia in pregnant women, injury, burns).

High neutrophil count is not, in itself, a symptom-causing problem. Evaluation of neutrophils, therefore, is done to determine the condition or disorder causing the number of neutrophils to increase.

10 000+ happy clients
100% satisfaction
★ ★ ★ ★ ★ customer support

Understand blood, stool, and urine medical results from all your laboratories.

Get Started With Our Personal Plan

Advanced Plan

  • ✓ Yearly subscription
  • ✓ Five free uploads
  • ✓ Cancel anytime
  • ✓ Instant interpretations
  • ✓ Use the free self-upload form
  • ✓ 3000+ biomarkers explained
  • ✓ Nutrition Recommendations
  • ✓ Dedicated support
  • ✓ Yearly subscription
  • ✓ Five free uploads
  • ✓ Cancel anytime
$79 per year
  • ✓ Instant interpretations
  • ✓ Use the free self-upload form
  • ✓ 3000+ biomarkers explained
  • ✓ Nutrition Recommendations
  • ✓ Dedicated support

Unlimited Plan

  • ✓ No subscription
  • ✓ Ten free uploads
  • ✓ Unlimited access
  • ✓ Instant interpretations
  • ✓ Use the free self-upload form
  • ✓ 3000+ biomarkers explained
  • ✓ Nutrition Recommendations
  • ✓ Dedicated support
  • ✓ No subscription
  • ✓ Ten free uploads
  • ✓ Unlimited access
$250 full version

Are You a Health Professional?

Get started with our professional plan

Welcome to Healthmatters Pro.

Save time on interpreting lab results with the largest database of biomarkers online. In-depth research on any test at your fingertips, all stored and tracked in one place. Learn more

Pro Plan

for health professionals

  • ✓ Track multiple clients results
  • ✓ No setup fees
  • ✓ No hidden costs
  • ✓ Cancel anytime
  • ✓ Instant interpretations
  • ✓ Use the free template forms
  • ✓ 3000+ biomarkers explained
  • ✓ Additional team member $25
  • ✓ Personal training and support

$45 per month

Use promo code to save 10% off any plan.

We implement proven measures to keep your data safe.

At HealthMatters, we're committed to maintaining the security and confidentiality of your personal information. We've put industry-leading security standards in place to help protect against the loss, misuse, or alteration of the information under our control. We use procedural, physical, and electronic security methods designed to prevent unauthorized people from getting access to this information. Our internal code of conduct adds additional privacy protection. All data is backed up multiple times a day and encrypted using SSL certificates. See our Privacy Policy for more details.


Understand Your Lab Result Now

  • Instant interpretation
  • 3000+ biomarkers explained
  • Science-based recommendations
  • Online support
  • Secure and private portal

Get 10% off with promocode: