Hello, I have been on Reblozyl since May of 2020. My hemoglobin was 6.3 when I got my first shot. It jumped to 8.5 when I got my second shot. And it continued to improve. For a while. But it tapered back a bit. They raised my dosage to the max. And it started back up. Now, it stays in the tens most of the time. It has gone over eleven a few times, and as high as 12.3 once. But when it hits eleven or higher, I don’t get the injections that visit. I have to wait three weeks. The worst side effect is the bone and joint pain around my waist and upper legs. It can be excruciating. I can barely stand for more than a few minutes. Also, exhaustion is really bad. I fall asleep throughout the day. But, I am not sure if it is the drug or the MDS that causes that problem. But I do know that I am grateful for the drug. And really grateful the Medicare pays the unreal price to keep me alive.