My HCT is coming down!: I had my blood drawn on... - MPN Voice

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My HCT is coming down!

Barbiebreath profile image
12 Replies

I had my blood drawn on 7/14- my HCT was 47.5. My RBC and Platelets were high but down from the blood draw before that.

3rd Besremi shot on 7/18.

I went for a phlebotomy today and they did a CBC before the blood letting. My HCT was 44.5! That is the lowest it’s been in 3 years! I’m hoping I’ll be in an optimum range for my next blood draw. I’m so excited.

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Barbiebreath profile image
Barbiebreath
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12 Replies
ggrana profile image
ggrana

That’s great news! I hope and pray this is the end of phlebotomies for you. Thanks for sharing and I wish you all the best, God bless you!

Barbiebreath profile image
Barbiebreath in reply to ggrana

Thank you!

hunter5582 profile image
hunter5582

YEAH!! I am doing my Happy Dance for you. 🕺

Give the Besremi time and it can do its thing. Hopefully you can eliminate the phlebotomies with time.

All the best my friend.

EPguy profile image
EPguy

Fabulous news. We see here how stubborn that HCT can be. Wishing that trend keeps up.

Mazcd profile image
MazcdPartnerMPNVoice

that is excellent news, so pleased for you. Maz

Hopetohelp profile image
Hopetohelp

Super news! It’s such a relief when things start to work. Very pleased for you🥂

Wewo01 profile image
Wewo01

Woo hoo!!! I know how good it feels to see your numbers coming down! Great news.

Jamesxyz profile image
Jamesxyz

Hi,

How are your liver numbers?

Barbiebreath profile image
Barbiebreath in reply to Jamesxyz

Does this tell you James?

Liver function.
Barbiebreath profile image
Barbiebreath in reply to Jamesxyz

They told me my liver function was ok. I do see the ALT is (H). Do they look at a combination of things?

EPguy profile image
EPguy in reply to Barbiebreath

Reply to Barbiebreath:

The FDA label indicates as high as 5 x is ok without stopping the Bes, but reductions are required to get under 3 x. But you're nowhere near any of these, (only 1.25 x) so makes sense your Dr is ok with it.

" more than 5 x the upper limit of normal(ULN) but ≤20 x ULN:

Decrease dose by 50 mcg; if toxicity does not improve, continue

decreasing at biweekly intervals until alanine aminotransferase

(ALT) and aspartate aminotransferase (AST) recover < 3 x ULN"

accessdata.fda.gov/drugsatf...

I'm also watching these numbers carefully, so far ok on mine too.

Barbiebreath profile image
Barbiebreath in reply to EPguy

Thank you EP.

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