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There's no way to be absolutely sure that your symptoms are due to any particular thing. Sometimes you have to do the best you can with the limited information you can get.
That could be enough to stop you from taking Valcyte. Probably a good thing you're not sure you need it or want to take it.
But that's not a good thing that I can't take Valcyte because of my WBC count.......if I really need it and have an active infection I am SOL???