Hello Lynn, I was diagnosed during a spine surgery with platelets in the mid 700s in 2018. I went through all chemos available resulting in most major side effects, skin cancers, nausea, itching, etc. I totally quit all chemo for 3 months to give my system a break from chemicals. I then had a hematologist recommend mini dose of Jakafi, 5 mil twice a day, beginning January 2022. Side effects dwindled to slight anemia and fatigue, although maintaining 10% weight gain, but blood platelets have dropped to within normal range at 415. I'm 84, with metal throughout my body from injuries including a broken spine with rods. I now feel great and plan on going to the century mark.
Run this by your physician and the best of luck in your prognoses.