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Steph,
Your blood counts are on the low side but people can live normally with counts like that. You might have MDS but you could also have aplastic anemia or another bone marrow-related disease. Has your hematologist/oncologist said why AA isn't also a suspected possibility?
Even if you were found to have AA or MDS I don't think doctors would choose an aggressive treatment, maybe no treatment at all since you don't need transfusions. The reason is that treatment might not be worth the risk if your counts are low but stable. If your counts are dropping that would be another matter.
Bone marrow biopsies are unpleasant but pretty safe, and that's really the only way to rule in or rule out possible diagnoses. But if no treatment would be warranted anyway, a diagnosis may not be critical.
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