Having a humble hematologist is great. They will probably be more willing to work with an expert, should the need arise.
A B12 deficiency is the first thing that I was checked for when presenting with pancytopenia. Since you are low on B12, can your request B12 shots now from your local hematologist? I think they are relatively inexpensive. If this is the source of the problem, you will start to see improvements within a couple of weeks. Check out this article on the subject:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3736209/
Here is the first line from the article:
"Vitamin B12 deficiency is a well recognised and reversible cause of bone marrow failure."
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55 yo female, dx 9/08, AA/hypo-MDS, subclinical PNH, ATG/CsA 12/08, partial response. small trisomy 6 clone, low-dose cyclosporine dependent
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