It seems as if we have the PV under control (CBC scores wise), but I feel really bad for a couple of weeks, then good for a couple and back to the drawing board with Phlebotomies, then really bad, it goes on and on. Feels like I'm starting over every few months. NOTE: only been at it 7 months.
If your VAF is 62%, it can also mean you might have hereditary PV. Not always, but in younger patients, a VAF >50% at diagnosis indicates some form of hereditary MPN.
Better talk about this with a specialist.