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One of the many mysteries of WM is how and why it affects people in different ways. Some patients do not experience symptoms. Others may develop enlarged lymph nodes and/or spleen, and may suffer fatigue, headaches, weight loss, a tendency to bleed easily, visual problems, confusion, dizziness, and loss of coordination. An eventual diagnosis of WM often starts with a finding of anemia during routine physical exams. Blood and urine tests also play an important part, but a final medical judgment usually relies upon the result of a bone marrow biopsy in which a needle is inserted into a bone, and a small amount of marrow is extracted and examined under a microscope.
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