@1pearl I was due for my 6-month bloodwork last April 2025, but noticed I felt “off” and checked blood in March. Malaise and fatigue. Platelets in 700’s. BMB confirmed SMF. I’ve always been active, playing tennis, Pilates, walking. You are 100% correct about avoiding stress. For many reasons I had been under extreme stress for five years. In my heart, I believe it caused the disease to progress to MF. I was having digestive issues and kept telling myself I had to get that under control, which caused more stress. I had oxidative stress for too long! Through prayer and doing whatever I can to stay as healthy as possible, I’m taking life a day at a time and enjoying each day! I wish you the best!!