I'm going to see my Dr. in a few days, I m able to get blood work results on line beforehand which is great. I can't stand that waiting. So I am clear on the ALC and doubling time, but for the first time since I've been getting blood draws, my Absolute Monocytes have gone from 344 to 1389 in 3 months......ALC up from 18,000 to 21,000. I know that is OK So what do you think is going on with the AMC? My concern is the medical care where I live....a second opinion and perhaps better care is 3 hours away BUT if I had to begin, I would go for it. I would appreciate your experience and feedback Like others have said, I am so glad I found this group, its my go to for information and others going through this I in the states BTW.