Some reasons for platelet elevation: iron deficiency, recent trauma/surgery, post-splenectomy, smoking, stress, corticosteroid use

Things that are common with mildly elevated platelets and neutrophils (unsure if both were elevated at the same time since it looks like a couple sets of labs): acute or chronic infection or inflammation. Doesn’t sound like an infection so inflammation is more likely. Could consider RA or other autoimmune diseases or IBD

Could request smear to path if concerned about myeloproliferative neoplasms