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The neupogen is supposed to stimulate WBC's, and yes depending on the intensity of the conditioning it is supposed to wipe out all of the WBC's... I had the 11 rounds of Total Body radiation first, then conditioning, so ALL my WBC's were wiped out to <.01 for about a week... Then I got neupogen at D+7 if I recall...
Depending on the Hospital, different protocols may be used, and your husband's marrow may not all be gone yet... Sometimes there is a period of mixed engraftment, 50% Donor / 50% Old cells... It may take a few weeks / months until full engraftment...
This is my understanding at least...
God Bless and be well...
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Married, father of three daughters; now 46; diagnosed w/ Major form MDS 6/18/2013; had low counts across the board; Multiple chromosome abnormalities; Finished 2nd round Dacogen 9/13; SCT - Oct. 31, 2013; Sibling match 10/10  ; 5.5% blasts down to 3%, now 1% (post BMT)
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