Bertha, hi. I know this is confusing. Such a rare and strange disease. I was watch and wait until my Hg dropped to 8.7. I started luspatercept. I’ve had three treatments, Hg up to 11. I have a blood draw 7 days before scheduled shot to see if I get the shot. If Hg goes above 11.5, I have to stop since blood clots are possible. In the meantime, my breathing is better, but I remain dizzy, lightheaded at times. Fatigue is awful.
My suggestion to you is get a team behind you. If you are near a Center of Excellence, go there. I have a doctor who is MDS specialist. Trust is the key. We are all on this journey, hang in there. Day by day.