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Real members of myMPNteam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.
July 19
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A myMPNteam Member

Hi, I am 68 years old, I have had this MPN, CALR, since 2021. Truthfully, I had it prior to that but was not diagnosed till 2021. I was started on hydroxyurea when my platelets were in the 600,000s. I was on it for one week and developed a fib. I switched doctors because they wanted to keep me on it even though I had a problem. Long story short now I see a doctor at University of Michigan who is a top-notch specialist in this problem. That makes a huge difference. I am on low-dose aspirin and I have been for a number of years now. I don’t take anything else. My von Willebrand’s is greater than 30% actually almost 60% and with that being said my doctor said I’m good to stay on the low-dose aspirin. My platelets are a little over 1 million at this point. I have no symptoms and I feel great.

July 22
myMPNteam

Great question! With ET, the decision to start cytoreductive therapy like Hydroxyurea (Hydrea) isn't based solely on platelet count. Doctors look at the bigger picture when deciding on treatment.

Key risk factors they consider include:

- Age (60 or older = higher risk)
- History of blood clots or bleeding
- History of Show Full Answer

Great question! With ET, the decision to start cytoreductive therapy like Hydroxyurea (Hydrea) isn't based solely on platelet count. Doctors look at the bigger picture when deciding on treatment.

Key risk factors they consider include:

- Age (60 or older = higher risk)
- History of blood clots or bleeding
- History of smoking or high blood pressure
- Presence of JAK2 mutation
- Platelet count trends over time Since you have a CALR Type 2 mutation, it's worth knowing that CALR mutations are generally considered lower risk for blood clotting compared to JAK2 mutations. This may mean a more conservative "watch and wait" approach is appropriate for longer.

Many myMPNteam members with ET and lower-risk profiles have shared that their doctors monitored them on low-dose aspirin alone for quite some time before considering cytoreductive therapy.

It's always best to have an open conversation with your hematologist — ideally an MPN specialist — about your specific numbers and risk profile to determine the right time to start treatment.

July 19
A myMPNteam Member

When I turned age 60 and My Platlettes hit 1 million, my Dr started to treat.

August 5
A myMPNteam Member

Hi 👋 my platelets were 1026 and started on interferon, after 3 treatments doc put me on hydrea as they only came down by 100. Been on hydrea 6 weeks now

July 22
A myMPNteam Member

Hi Carol9! My platelets were at 769 when Drs advised me to take Hydroxyurea . I was only taking baby aspirin.I decided not to take Hydroxyurea and instead take Anagrelide. The Hematologist I saw were all pushing me to take Hydroxyurea basing it only on my platelet counts. They are now at 391. What is Von Willebrand and how does it work? I agree with you about seeking a specialist since it’s considered a rare disease. I’m still looking for one and it hasn’t been easy. I can’t find an MPN specialist in network and insurance won’t approve an out of network specialist. 😩 I’m so happy that you’re feeling good! 🙏🏼

July 22

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