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@kat260 thank you so much for your precise description of your appointment with this fabulous specialist. I am pretty relieved after knowing that this expert emphasizes the necessity of acting instantly. And from my understanding, it is exactly what I have hoped for. First of all it is so vital to reduce the platelets and HU is the only medication which is capable to do this. And after the successful process of lowering those dangerous thrombos the next step could start. And obviously, she prefers the more modern path of treatment, namely interferon. Has she already defined if she’s gonna use Pegasys or Besremi? Can’t wait to hear her recommendation. And I guess you are absolutely right to do this nasty biopsy. I guess this is the gold standard although I have to admit, I am happy that I could have avoid the procedure yet .

By the way, you kindly inquired about my ongoing treatment . Until now the side effects are pretty low. I only perceive red marks at the point where injection has been administered. However, my other blood numbers are too low and we closely observe this development, otherwise the danger of severe infections will increase. Tomorrow I am gonna have my next appointment and afterwards I know the exact numbers and how to deal with this issue. Hopefully we will be in touch to share our stories. I wish you a good start with HU, pleas have in mind that sun protection is key🏖️your Birgit

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Replies to "@kat260 thank you so much for your precise description of your appointment with this fabulous specialist...."

@birgitr You are absolutely right. I just wish I had been on this path earlier.
Besremi is not available in Australia so it's Pegasys. She also alluded to other upcoming treatments that would be available in the not too distant future, so that is very promising.
I had my blood tests today - 9 vials to test for a number of things. My BMB is booked for 10th June. I'll let you know how it goes!
Thanks for your wishes. We had an island holiday booked for July but sadly, had to cancel. I guess in hindsight, starting HU and staying out of the sun on an island would have been a bit of a challenge!
It's great to hear your side affects have been so minimal, not so great about your blood numbers. Wishing you good luck tomorrow and hoping that your issue can be managed successfully.
Let me know how you go, Kathy.

@birgitr I have heard a lot of horror stories regarding the BMB but I opted for the sedation and I can tell you I literally don’t remember a thing. It was awesome! There was some soreness at the extraction site for a few days but not bad and I was able to work out the next day. It is important to have a baseline.