What lifestyle modifications should I recommend to patients with essential thrombocythaemia to reduce their risk of complications?

Lifestyle modifications for patients with essential thrombocythaemia to reduce their risk of complications include:

• Targeted management of cardiovascular risk factors: Advise patients to control hypertension, hypercholesterolaemia, diabetes mellitus, and to stop smoking, as these factors increase thrombotic risk.
• Healthy diet: Recommend a cardioprotective diet with total fat intake less than 30% of total energy, saturated fats less than 7%, and replacement of saturated fats with mono- and polyunsaturated fats such as olive or rapeseed oil.
• Physical activity: Encourage regular aerobic and muscle-strengthening activities according to UK Chief Medical Officers' guidelines, tailored to the patient's capacity and comorbidities.
• Patient education and support: Provide information about the condition, risks, and importance of lifestyle changes to empower self-management.

These lifestyle measures complement pharmacological treatments and monitoring to reduce thrombosis and bleeding risks in essential thrombocythaemia.