You didn't mention your age which seems to be a boundary when it comes to treatment. As I understand over 60 years and or a Transient Ischemic Attack (mild sign of stoke) we are considered high risk and put on medication. as I understand hydroxurea is first line. It may take a few tries to get the dose right I'm 76, on hydrox 500mg 5 days a week however, it took a couple of doses and phlebotomies to get me where I needed to be. I'm handling this dose of hydrox very well along with a baby asa living a normal life without issues. I'm lucky to have MDAnderson 40 minutes away.. However please know this diagnosis ,from my research, is very manageable and if you get care and make you appointments we all will live a long life. Just a gentle reminder abnormal lab work are symptoms. I wish you luck and believe you reaching out for information, getting educated is very wise..Good luck..