The current strategy seems o be working. I am actually gaining a little weight, and everyone says I look better.
Iam keeping at the lower red cell level, and chewing through less red cells than before.
I am back to being sleepy, and doing less, but I am happier, so staying with the change in strategy, but will try going back to Ritalin to wake me up.
I am particularly thankful to my oncologist who found the right and trusting way to tell me that I seemed to be feeling worse than my numbers suggested should be the case. We then explored issues such as depression, diet, GI, and I took various small steps. Anyway, well worth it. What it means to have a provider who can be direct and honest, without blaming!
Thanks again to all for your support.