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What can cause low platelets low white blood cells and abnormal red blood cells

My blood work is bad. My platelets are up and down, mostly down. My white blood cells are extremely low, and something about my red cell distribution width, I understood that too mean they are abnormal in shape or size? Also spleen is swollen. They want to do a bone marrow biopsy, I have CRPS Type 2 this can be bad for me. Is the test worth the risk?
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