Hello,

Thank you so much for your comments and the references. They are quite helpful. Things are less clear in my case since my numbers are borderline.
I am mainly healthy and have not noticed any deterioration (except some possible spleen related stomach discomfort and some recent head issues).
Some things that have been noticed:
Blood work mentioned platelet clumping a number of times. Large clumping is probably fatal but even small clumping is dangerous. Hopefully, this is a measurement issue.
Fullness feeling after even a small meal. Stomach ache next to the ribs after eating. These are probably symptoms of a slightly enlarged spleen (can be conformed by a physical or an ultrasound ). I doubt there is any fix for a slightly enlarged spleen. A severely enlarged spleen may be taken out (rarely) if the platelet count is really low.
There is a sudden loss in my hearing (probably unrelated). I am still trying to resolve this. I had balance issues a couple of months ago which got quickly resolved by taking Teva - betahistine a prescription medication which increases blood flow to the head area. I have a head congestion feeling for which I have been prescribed a nasal spray (first time). I am hoping that it will begin to help. I think these are all minor unrelated issues and will get resolved in time.
I could probably see a hematologist to resolve platelet clumping issues and get an ultrasound scan to confirm a slightly enlarged spleen. I am not sure if any solution can be found. Thanks again for any comments and suggestions.