I was diagnosed in April, got total relief from the crashing headaches after my first 2-3 blood draws. Now I'm down to maybe 12 hemoglobin, could be little lower and I'm likely in an anemic state now which causes fatigue. When I go next week I don't want a blood draw but I'm going to ask for a Saline infusion to help me feel less fatigued. I've had about 5 pints taken in less than 2 months. HemoOnc doc wanted to bring me down to 11, I know now this is not a good number for me. Once I find the right number to feel better and less fatigue they think it might only be 2-3 blood draws a year, easy peasy as my grandson says. I'm on no meds other than low dose aspirin and my 10mg statin which I've been on for a few years now, hereditary cholesterol.

If your hemoglobin is 18 or higher I would ask for a couple therapeutic phlebotomies, I call them blood draws (or Vampire Visits 😉). My regular GP wrote the initial script for me to get that going while I waited for an appt with an oncologist. My GP is an MDVIP doc (concierge) and an excellent diagnostician. I did not like the 1st HemoOnc doc at all, arrogant and said I don't think you have PV which caused me even more delay. My next HemoOnc doc was/is wonderful, love their NP (she's teaching me how to read and interpret my numbers) and their infusion center, they're all my buddies now. Helps to make friends in those areas.
Best of luck, this Forum has been a game changer and I feel God has a plan for me and it's to help others with this disease once i have it under control.

We can all live a nice long and quality life with PV as long as we listen to our bodies, take excellent care of outselvee and line ourselves up with the right docs. Drink TONS of water, one of the most important things you can do. Dehydration makes your hemoglobin go up.

It takes a village 💪 ❤️