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Thank you so very much for your comments and advice! I can see from reading other folks' questions that you're an invaluable resource on this site, and I for one am most grateful.
Hi.
Though discrete guidelines exist, different doctors have different tolerance levels regarding when to treat for CLL. In your situation, the feeling of progressive fatigue and the extremely high white blood counts may already be an indication to treat your CLL. High white counts may cause a syndrome where in the blood becomes too viscous that the blood is not able to circulate effectively causing all symptoms (fatigue, stroke, etc.).
I suggest you get a second opinion from another hematologist/oncologist since some would recommend starting treatment for your condition.
Regards.