Hello @lmclark – I see this is your first post.

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B-PPL is a type of Leukemia.

As you have had this condition for several years, have you tried a different service provider to get answers for you?

Hi, @Imclark, B-PPL is a very rare leukemia. You mentioned having a low White blood count since 2008. The symptoms of this disease would show a very high amount of White blood cells. So it would be contrary to having this disease.

Has the possibility of having B-PPL come up with conversations with a hematologist?
Do you have any other symptoms? How low is your WBC~critically low or just at the bottom end of the normal range?

Causes for low white counts can be attributed to a variety of reasons from latent viruses, underlying infections, medications, stress, autoimmune diseases, blood cancers, etc.
Are your other CBC (complete blood count) numbers normal?
These numbers all work together to paint a picture of what’s happening inside your body. It’s difficult to see the whole picture by just looking at your WBC.
As my fellow mentor @grandpabob mentioned, have you tried another provider?
Let’s hope we can find some answers for you.