Hi Stan, I found this study https://pubmed.ncbi.nlm.nih.gov/23484698/ indicating that in their small group of 19 newly diagnosis patients, WBC were high in 5 and low in 6. So counterintuitive to see such a contrast. Other factors seem more consistent. The good news is 100% response with Rituximab! My local oncologist has recommended a lymphoma specialist at UVA medical center in Charlottesville, VA. I will probably give that a try at my next follow up in August. My doctor has not mentioned a repeat bone marrow biopsy at any point which does make me wonder; I see so many mentions of them here. I want to be a diligent participant in my own care as far as possible. It's so helpful to hear from others who have this rare diagnosis. Thanks for the interest and encouragement!