Hi @trijacks and welcome to Mayo Connect. Good grief, so your family doctor kept putting off your symptoms, saying it must be internal bleeding???!!! And yet not having that investigated? 🤦🏽‍♀️. Well, I’m glad you took the initiative to get a hematology referral…and a new family doctor!
I had a similar story, resulting in a new doctor as well.

As often the case with CMML, you’re in an active surveillance period because it tends to progress very slowly. That doesn’t change some of your symptoms but at least you now have answers and a specialist on your team! How often are your follow-up appointments and labs?