_____ is a medical condition in which there is an abnormally high number of platelets in the blood. Platelets are small blood cells that play a crucial role in hemostasis by forming blood clots. ________ can be either primary, which is caused by a problem with the bone marrow that produces too many platelets, or secondary, which is caused by an underlying medical condition, such as inflammation or cancer. Symptoms of ________may include blood clots, bleeding, or no symptoms at all, depending on the underlying cause and severity of the condition.