papaya leaf still apparently helping
Karin (PNH with thrombocytopenia) is still benefiting from taking Papaya Leaf Extract. We have had 4 CBC taken, one week apart (spans 3 weeks therefore) and the platelets were 17000, 17000, 16000, 15000. So not increasing as we had hoped but probably saved 2 platelet transfusions so far given their pre-papaya leaf extract frequency. She needs RBC transfusion tomorrow since the hemolysis is high (LDH 640ish depending on proportion of transfused blood in circulation). They will transfuse platelets if they get to 10000 or she has unusual bruising/petuchiae/nose bleeds. I think the papaya leaf is managing to get her marrow to produce platelets but not at a rate that exceeds their half-life.
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