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Originally Posted by cdseibold
Does anyone understand what hypercellularity has to do with MDS? My hematologist seemed to think this was the smoking gun.
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Hypercellularity (literally "too many cells") is a common characteristic of MDS, but some MDS patients have normal cellularity or hypocellularity (too few cells).
Hypercellularity of bone marrow cells is a sign of a bone marrow problem, but it's not always MDS. Myeloproliferative diseases or AML can also be indicated. So you might call it a smoking gun, but one that doesn't completely identify the suspect.
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How does one avoid all infection? On wiki they say to only eat cooked fruit and veggies. Really. I would think uncooked might be better for overall health which is important. We are not a 3rd world country.
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There's a tradeoff between eating for general health and eating in a way that lowers the risk of infection. For example, boiling food reduces both bacteria (which you want to reduce) and water-soluble nutrients (which you would have preferred not to reduce). Fresh fruits and vegetables are great for general health but are more likely to be a source of infection than, say, processed vegetable soup from a can. Leafy vegetables are good for us but washing them one leaf at a time is a royal pain. I know - I did this for my wife when she was most neutropenic.
If you do Internet searches you'll find a number of recommendations for neutropenic diets, for example
this one. As Mary4Mike said, common sense is also a good guide.