Similar to you, I was diagnosed based on blood work, not symptoms. Platelets were a bit elevated as far back as 2008 when they were 403 (so just a tad over normal and they continued at this general level until 2015, when they were 500, so a referral was made at that time. Additional bloodwork confirmed JAK2. I did not originally get a BMB, but ET was the diagnosis. I did get a BMB last year, which did reflect a likely ET diagnosis.

I haven't substantially changed my diet. My diet has generally included lost of fruits and vegetables, almost no processed foods, and limited red meat. I likely should decrease my sugar intake, but I do have a bit of a sweet tooth. Sugar is supposed to trigger inflammation, so I have reduced this, but just can't eliminate it! No supplements other than vitamin D.

ET is sneaky. Usually, first symptom is an TIA, stroke or a heart attack... Thise of us youget regular medical attention may never have any ET symptoms prior to diagnosis.