Hello @bdglass, @marco88, @kgerbitz and @dabls6
I did a little research online to see if there were any articles related to MDS and cognitive decline. There are several and I posted links to the two I felt were most informative.

There is evidence of a relationship between the anemia associated with blood disorders and the lack of blood supply to the brain. When hemoglobin numbers are low the brain doesn’t receive the normal oxygen supply which can result in cognitive decline.
Have any of you required blood transfusions? Did you notice a change afterwards?

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