[tytd]

Hello Mcgill54, I'm glad that you have been doing well over the past year except for your declining platelets. We patients with mainly low platelets don't have many options available. I guess it's difficult to decide when to start Nplate if you are not bleeding or requiring transfusions. I've heard that patients with excess blasts should avoid Nplate but I assume you don't have that. I have felt that Nplate would be a safer option for me (rather than Vidaza) but my physicians seem reticent to use Nplate off-label. I would be interested in your response to the drug if you don't mind posting your results if you are able to get the Nplate. Thanks and the best of luck to you. tytd