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What is polycythemia vera?

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Polycythemia vera is a rare blood disorder in which there is an increase in all blood cells, particularly red blood cells. The increase in blood cells makes your blood thicker. This can lead to strokes or tissue and organ damage.

What causes polycythemia vera?

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Polycythemia vera is caused by a genetic change (mutation) that develops during your lifetime. It is not an inherited genetic disorder. In most cases it is not known why this happens.

What are the symptoms of polycythemia vera?

When you have more blood and it is thicker than normal, problems can occur. Each person's symptoms may vary. Symptoms may include:

• Lack of energy (fatigue) or weakness
• Headache
• Dizziness
• Shortness of breath and trouble breathing while lying down
• Vision problems, such as double vision, blurred vision, and blind spots
• Inability to concentrate
• Night sweats
• Face and becomes red and warm (flushed)
• Nosebleeds
• Bleeding gums
• Too much menstrual bleeding
• Coughing up blood
• Bruising
• Itchy skin (often after a hot bath)
• Gout
• Numbness
• High blood pressure

These symptoms may look like other blood disorders or health problems. Always see your healthcare provider for a diagnosis.

How is polycythemia vera diagnosed?

Your healthcare provider will take your medical history and give you a physical exam. Your provider may also do blood tests. These tests will check the increased number of red blood cells in your body. They will also check if there are other conditions that could cause your higher red blood cell count.

How is polycythemia vera treated?

Your healthcare provider will figure out the best treatment based on:

• Your age, overall health, and medical history
• How sick you are
• How well you handle certain medicines, treatments, or therapies
• If your condition is expected to get worse
• What you would like to do

Treatment may include:

• Phlebotomy. This procedure removes blood from your body. At first this must be done often, such as every week. Once enough blood has been removed to reduce your body's iron stores (needed to make blood quickly), you will not need this done as often.
• Certain medicines, including chemotherapy. The medicines help to stop your bone marrow from making too many blood cells. They also keep your blood flow and blood thickness closer to normal.

What are the complications of polycythemia vera?

Polycythemia vera can be fatal if not diagnosed and treated. It can cause blood clots resulting in a heart attack, stroke, or pulmonary embolism. Liver and spleen enlargement are other possible complications.

Living with polycythemia vera

There is no cure for polycythemia vera, but proper treatment can help to reduce or delay any problems. Work with your healthcare provider to create a treatment plan that fits your needs. You should also be physically active in order to increase your heart rate and improve your blood flow.

Other ways to improve your blood flow include:

• Stretching your legs and ankles
• Wearing warm gloves and socks during cold weather
• Avoiding extreme heat
• Drinking plenty of water

You should also avoid situations in which you could be hurt, and check your feet for any sores.

Key points about polycythemia vera

• Polycythemia vera is a rare blood disorder in which there is an increase in all blood cells, particularly red blood cells.
• The increase in blood cells makes the blood thicker.
• Thick blood can lead to strokes or tissue and organ damage.
• Symptoms include lack of energy (fatigue) or weakness, headaches, dizziness, shortness of breath, visual disturbances, nose bleeds, bleeding gums, heavy menstrual periods, and bruising.
• Treatment may include medicines and phlebotomy, a procedure that removes extra blood from your body.

Next steps

Tips to help you get the most from a visit to your healthcare provider:

• Know the reason for your visit and what you want to happen.
• Before your visit, write down questions you want answered.
• Bring someone with you to help you ask questions and remember what your provider tells you.
• At the visit, write down the name of a new diagnosis, and any new medicines, treatments, or tests. Also write down any new instructions your provider gives you.
• Know why a new medicine or treatment is prescribed, and how it will help you. Also know what the side effects are.
• Ask if your condition can be treated in other ways.
• Know why a test or procedure is recommended and what the results could mean.
• Know what to expect if you do not take the medicine or have the test or procedure.
• If you have a follow-up appointment, write down the date, time, and purpose for that visit.
• Know how you can contact your provider if you have questions.

author: C. Langley

A Funky casino website design? No, it is definitely something absolutely not serious, something that cannot be operating in the market where millions, if not milliards of dollars are in play! This is what you definitely think when you hear an expression 'a casino with funky design'. Well, and what about Vera & John casino? Ok, the name is funky, as well, it doesn't add to its truthfulness in your eyes. However, on this example, you will see that you don't really need to judge based on cover only. And let`s agree, the cover of the casino is just nice, a funky one, ok.

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A Stunning Welcome Offer

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Sunday Friday, or a Weekly Offer from Vera and John Casino

Every Sunday, you can get a chance to win something more than ordinary, including daily ones, promotions and bonuses. But be careful: rules, topic, theme – all changes every week, and who knows, maybe even the promotion conditions will change the next time! For now, the bonus offers looks like this:

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• The maximum bonus sum is 50 USD.
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Tournaments

Vera & John want to make your life full of entertainment and joy, so, the casino runs a lot of absolutely different tournaments. Live tables, all kinds of games, just whatever you can imagine, there are tournaments just everywhere. And what can you win? Just anything, including massive jackpots, can be won there.

Many More Things to Try

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If you want to check all the bonuses, we will tell you something: it is possible only if you check all the games, one by one. Moreover, you should do it within one day because on the other day, new bonuses will be available. To be efficient with all the special offers, select your favorite games, those that you play constantly, and check the offers every day. Every day appears something, so, it is only up to you whether you are able to take an advantage of it, or not.

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Table Games Are Available, as Well!

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Slots are not the only games to have fun on www.verajohn.com. On this unusually designed website, you will find a stunning selection of table games, just for any kind of gambler.

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Some More Things to Do There

What about Bingo? Some amazing bingo rooms are at your full service, if you love the game. And it is very possible that exactly this casino might become your lucky one.

Slingo: Have You Ever Played It?

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Live Offer from the casino Vera and John

Such casino definitely could leave out a live option for those gamblers who love the experiences of land-based casinos. Live dealers are waiting for you. Select your favorite kind of roulette, blackjack, baccarat and a table to play. Stakes can be absolutely different, so, you are free to select those that are fine for your budget. Even if you prefer playing with one cent a stake, you can find the right table for you.

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Casino Vera and John on Mobile Devices

Vera and John is a very advanced casino, moreover, it is one of the biggest online casinos, as you remember. A mobile version of it is present of course, you can play on-the-go any game of the desktop version, including any live game. Don't forget though that, even though it is a modern casino, a stable internet connection is still needed if you want to enjoy all the games without interruptions. You might be wondering about all the bonuses and special offers? All of them are available on a mobile version, as well. Basically, it is the same Vera&John casino, but on your mobile. Even the player`s account is the same, you don't need to create another one.

Payment Options

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Make sure you deposit at least 10 USD, because the lower sums aren`t going to be processed. When it comes to withdrawals, you can get up to 2,000 USD daily without any need in special verifications. If you want to withdraw more, the casino might want to get some screens of documents, just to make sure your money is safe.

There is one little inconvenience with these withdrawal limitations though: you can cash out just 10,000 USD per week. But what if you win a couple of millions? Well, the question stays open for us, even though we sincerely believe, the casino has definitely some spare solutions for such lucky players.

Customer Support with Vera and John

Whenever you play with real cash, you need to have an option to fix the possible problem if they ever appear. There are not so many problems with Vera and John casino, but they still provide a comprehensive support option, just for any cases of life.

Whenever you are in doubt, or some conditions are not as clear as you would like to have them, or whatever happens, you can contact a casino representative via:

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Vera&John Wrap Up

Vera And John Casino

Vera&John is definitely a reliable and user-friendly casino worth attention of each gambler. It is regulated by the most significant regulators, such as the Maltese and the UK, which provides the online gambling company with the right to extend its presence to almost all the world, except the countries where gambling is prohibited in general. So, wherever you are: England, Canada, New Zealand, Australia, the USA, and many other countries in all parts of the world.

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Verajohn offers a special section for Asian gamblers. Not all the options are available there, but players from Singapore and some other countries where gambling is allowed, at least, to some extent, can enjoy a nice selection of games created especially for them.

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The mobile version of the casino is the same efficient and fast as its desktop version. There is still an app for smartphones, but, considering that the casino has moved to the most advanced technologies, it is almost not used. So, now, its desktop version adjust to any size of a mobile device screen and provides the same fluent experience like its desktop version. So, no app takes the additional resources of your device and takes your valuable time and efforts for its search, download and installation.

All in all, we can conclude, that Vera and John are an amazing option in all regards, and you should not let you be tricked by the funky website design: everything is made with a purpose.