Lori's suggestion to ask for another CBC sounds wise to me.

I am 68, diagnosed with essential thrombocytosis CALR+ at age 60, but onset of ET probably age 55. Platelets swim around in 400s on hydroxyurea + baby aspirin. No clots yet, knock wood.

I also have moderate to severe mitral valve prolapse (heart) and an enlarged thyroid they're watching.

It seems like a no-brainer for docs to tell old ladies like me with these morbidities to get exercise to help circulation, eat heart healthy, and get good sleep--all of which may help reduce overall clot risk.

I sure wish a session with a physical therapist and a nutritionist were a standard of care for any of these ailments, especially for those of us with many of them.

Take care blood friends!