Because we have these auto-program things that if we get into a slump or we get into that space, we [say], What if that wasn't true? And I always say, What if something else is possible
Light protection: Keep the vial in its original box or a small opaque container
present in ~40% of PV patients Plethora (facial redness/ruddy complexion) due to increased RBC mass and skin hyperemia Headache, dizziness, and visual disturbances from hyperviscosity and reduced cerebral blood flow Splenomegaly palpable in 7090% of PV patients from extramedullary hematopoiesis Thrombotic events (DVT, stroke, MI, Budd-Chiari syndrome) major complications from hyperviscosity Erythromelalgia burning pain/redness of hands and feet due to platelet-mediated microvascular occlusion Gout from elevated uric acid due to increased cell turnover Hypertension common comorbidity in PV Bleeding tendency paradoxically, despite elevated platelets, qualitative platelet dysfunction can cause GI bleeding Signs and symptoms that are routinely associated with a confirmed diagnosis of anemia or polycythemia (e.g., tachycardia, fatigue, pallor with anemia
10.1007/s00253-016-7400-4 265 ShinD.ChoiW.BaeH
Patients with fibromyalgia and chronic pain often experience lasting relief, improved mobility, and increased energy levels with regenerative treatments