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Harleyrider - From my experience the only definitive test to identify MDS is a bone marrow biopsy. And, don't assume that being tired, fatigue is age related!
I was first told that I may have leukemia (a doctor told me he was 99% sure), but after bone marrow biopsy, learned it was not leukemia, but MDS. And, don't let them start any treatments until you receive the final BMP reports (it took about 4 days my biopsy to get definitive reports back). After my first shock of learning i had this disease, I learned it CAN be managed with treatments and, for me, without any complications or side effects. Hang-in-there!
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