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Gabriel differentiates primary from secondary polycythemia through comprehensive testing (JAK2 mutation, erythropoietin levels, oxygen saturation).
Gabriel differentiates primary from secondary polycythemia through comprehensive testing (JAK2 mutation, erythropoietin levels, oxygen saturation). For secondary: treats underlying cause (sleep apnea, COPD, smoking cessation). For primary polycythemia vera: combines conventional phlebotomy when necessary with natural blood thinners, antioxidants to reduce oxidative stress from excess RBCs, addresses inflammation, optimizes hydration, and uses therapeutic phlebotomy judiciously. Also monitors for cardiovascular risks (clotting, stroke). Works with hematologist for serious cases.
Standard Treatment
Therapeutic phlebotomy (removing blood regularly to reduce RBC count), low-dose aspirin (prevent clotting), for polycythemia vera: hydroxyurea (chemotherapy drug to suppress bone marrow), ruxolitinib (JAK inhibitor), treating underlying causes for secondary (CPAP for sleep apnea, bronchodilators for COPD), monitoring for complications.
The Problem
Phlebotomy necessary but doesn't address root cause or reduce cardiovascular risk adequately, hydroxyurea is chemotherapy with side effects (low blood counts, increased cancer risk long-term), doesn't optimize natural anticoagulation or address inflammation, often misses secondary causes (sleep apnea very common and undiagnosed), inadequate focus on hydration and lifestyle factors, doesn't use natural blood thinners to reduce clotting risk between phlebotomies.
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What's Included
Available through Fullscript
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What's Included
Whole food supplements by Standard Process
What's Included
Standard Process + Matter peptides
Adequate hydration critical (at least half body weight in ounces of water daily to reduce viscosity), anti-inflammatory diet, foods that naturally thin blood (garlic, ginger, turmeric, cayenne, cinnamon, dark chocolate, fatty fish), increase vegetables and fruits high in antioxidants, avoid iron-rich foods if polycythemia vera (don't need extra iron with high RBCs), avoid alcohol (dehydrating and increases RBC production), eliminate smoking completely, moderate protein, avoid high-altitude exposure if secondary polycythemia.
Smoking cessation absolutely critical (causes secondary polycythemia and cardiovascular risk), treat sleep apnea if present (major cause of secondary polycythemia), adequate hydration always, avoid high altitudes, regular moderate exercise (improves circulation but avoid extreme exertion), stress management, avoid hot tubs and saunas (increase dehydration and viscosity), regular phlebotomy as needed to maintain hematocrit <45%, monitor for symptoms of hyperviscosity (headaches, dizziness, vision changes, tingling), baby aspirin often recommended to prevent clotting.
Mind, Body & Spirit
True healing requires addressing all dimensions of health. These evidence-based practices complement physical treatment protocols.
Chronic stress affects blood viscosity and cardiovascular risk.
Managing anxiety about blood disorder and stroke risk.
Structured hydration plan to maintain blood viscosity and circulation.
Moderate exercise to improve circulation without excessive strain.
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