I am on a phlebotomy every 3-6 months and 2 baby aspirin a day. Each and every body is different. I chose at this point not to do chemo meds, but if the time comes when I need it, I will absolutely revisit my options. I was told by 2 oncologists that the meds only help symptoms but do nothing to slow the disease. If anyone knows anything different, please comment as I am always open to new info on this disease.