instruction: hello doctor for three years my rec has been slightly elevated 9 my dna results show a homozygous good game genotype for snap rs12340895 of the jake gene indicating greatly increased odds of developing jake v617f positive mpn I have no symptoms and I am in good health should I see a hematologist to establish a baseline and periodically monitor for mpns
output: hi based on your query my opinion is as follows numerous dna mutations are always present and it is difficult to monitor for any specific malignancy however speaking specifically the mutation you have described can be seen in 50 of the normal population which is very high considering the percentage of man prevalence a higher rec count can be seen due to high altitude lung problems smokers athletes etc rec count above would suggest a possible risk 9 is too low to comment and the only thing I can comment is it is very good hemoglobin levels based on your mi I would consider you to be physically fit and this rec count should be appropriate not to worry no monitoring is necessary for now annual checkup of complete hemogram should be adequate I hope this helps