Colleen, thank you for asking. Very fortunate that all my other blood work is within acceptable ranges. So the doctor will continue to monitor platelet levels every three months. The doctor was encouraging in that I have been living with these levels for almost six years and have not developed any other problems along with other normal blood work. Bone marrow biopsy in 2017 was normal so he is not going to repeat that at this time. He said the Jak2 positive explains the why. In the most recent blood work the platelets had come down to 633. Staying hopeful. I can tell from these feed that others are experiencing more severe issues. I wish good future health for everyone.