@cetzler
I know this diagnosis can be surprising and very scary. I was diagnosed at age 71 with no symptoms except a climbing platelet count.
After consulting with a hematologist/oncologist, and hearing the possibility of blood clots and stroke, he diagnosed daily baby aspirin and 500 mg hydroxyurea. I continue to feel no symptoms, but after 6 months, my platelet count has dropped into the normal range.
Do research, and read the comments on this website, which are very helpful and comforting.
Only you can decide what is right for you. May God guide you in your decision.