Lots of things affect platelet counts in normal people: stress, food, medication, etc.

ET is a different animal. Your driver mutation is a glitch that tells your body to replicate a certain type of cell (or cells) like crazy. Your bone marrow produces megakaryocytes with abnormal nuclei--basically, big dumb platelet-making cells that don't work right.

It's not just the platelet levels that need to be addressed with ET, but that the platelets themselves may be "stickier" in people with certain ET mutations, which is why doctors put everybody on baby aspirin, even if they don't yet need to address the platelet levels.

Dietary changes can reduce overall stroke risks, especially if they are coupled with exercises that work circulation. Dietary changes can also help with fatigue and brain fog.

If you have credible evidence (double-blind research) that your dietary changes control ET, please post it.

Cognitive dysfunction is not a symptom of ET, so not sure why Lion's Mane mushrooms were suggested. Please post credible studies that show this is effective for anything besides making money off desperate people.