Hi!
I am impressed you have been on "Watch and Wait" for so many years. Revlamid is best for del 5q. There are some people who live 5-10 years on the med. The first 8 weeks you will have weekly blood tests and metabolic panels. The Dr's may have to adjust your dose during that time. There are other options. Luspatercept is an option but the side effects may be worse. As I understand it, all of the drugs they use for MDS eventually stop working and something else will be tried. When the drugs quit working, we become transfusion dependent.

If you have not done so, go to mds-foundation.org and use the IPSS-M calculator to show your risk. I know you are low right now, but knowing how your risk score is calculated is helpful. You need your latest blood counts and your latest Bone Marrow biopsy.

Good luck! Keep us posted on your progress.