Significant bleeding disorder; History of significant bleeding disorder unrelated to cancer History of significant congenital or acquired bleeding disorder unrelated to cancer Any history of significant bleeding disorder unrelated to cancer, including any congenital bleeding disorder or any acquired bleeding disorder within one year of start of study History of significant bleeding disorder unrelated to cancer History of significant congenital or acquired bleeding disorder unrelated to cancer History of significant congenital or acquired bleeding disorder History of significant congenital or acquired bleeding disorder unrelated to cancer History of significant bleeding disorder unrelated to cancer History of significant congenital or acquired bleeding disorder unrelated to cancer Known presence of a significant congenital or acquired bleeding disorder unrelated to cancer History of significant congenital or acquired bleeding disorder unrelated to cancer Have a significant bleeding disorder unrelated to CML or Ph+ALL History of significant congenital or acquired bleeding disorder unrelated to cancer History of significant bleeding disorder unrelated to cancer, including: History of significant bleeding disorder unrelated to CML Known presence of significant congenital or acquired bleeding disorder unrelated to cancer Patients with a history of any grade autoimmune disorder are not eligible; asymptomatic laboratory abnormalities (e.g. antinuclear antibody [ANA], rheumatoid factor, altered thyroid function studies) will not render a patient ineligible in the absence of a diagnosis of an autoimmune disorder Patient must not have intercurrent organ damage or medical problems that will jeopardize the outcome of therapy (i.e., psychiatric disorder, drug abuse, pregnancy) Diagnosis of autoimmune disorder, including RA, SLE, or Sjogren's syndrome Patients with a genetic disorder of fat metabolism History of a bleeding disorder Patients must have a histologically confirmed CD20+ lymphoproliferative disease that is related to an immunosuppressed state (e.g., post-transplant lymphoproliferative disorder [PTLD], diffuse large B-cell lymphoma [DLBCL] of the elderly, iatrogenic immunodeficiency-associated lymphoproliferative disorder [LPD]) and for which rituximab monotherapy would be considered to be appropriate frontline therapy Patients with an identified familial hyperlipidemia disorder history of bleeding disorder Subject has a known gastrointestinal disorder that in the opinion of the treating investigator is concerning for malabsorption of oral medications Patients with a known disorder that affects their immune system, such as human immunodeficiency virus (HIV), or an autoimmune disorder requiring systemic cytotoxic or immunosuppressive therapy are not eligible; Note: patients that are currently using inhaled, intranasal, ocular, topical or other non-oral or non-intravenous (IV) steroids are not necessarily excluded from the study but need to be discussed with the study chair History of documented seizure disorder, presence of cerebellar dysfunction, dysphasia or altered mental status on neurological examination Diagnosis of bipolar disorder, schizophrenia, post-traumatic stress disorder (PTSD) and or adult attention deficit hyperactivity disorder (ADHD) Generalized Anxiety Disorder (GAD)-7 scale of 15 or higher Active keratitis or current corneal disorder. Evidence or history of bleeding disorder. Patients should not have an autoimmune disorder that requires active immunosuppression Has a bleeding disorder or a screening platelet count < 100×109/L. Presence of active neurological disorder(s). Patients with corneal epitheliopathy or any eye disorder that may predispose the patients to this condition at the discretion of the ophthalmologist Anti-coagulant therapy, bleeding or clotting disorder Underlying psychiatric disorder requiring pharmacological intervention or a Hospital Anxiety and Depression Scale (HADS) score of 8 or more Neurological disorder (Parkinson’s disease, dementia, multiple sclerosis) Documented or known bleeding disorder. Bipolar disorder Breast cancer survivors with a severe current psychiatric diagnosis (e.g. bipolar disorder) Current diagnosed neurologic disorder Any psychiatric disorder that prohibits obtaining informed consent The patient has a history of uncontrolled hereditary or acquired thrombotic disorder Known mania-associated psychiatric disorder Histologically confirmed histiocytic disorder or histologic findings compatible with a histiocytic disorder in the context of confirmatory radiologic findings History of clinically significant liver disease, urea cycle disorder, or genetic liver problem caused by a mitochondrial disorder (e.g., Alpers-Huttenlocher syndrome) Documented or known bleeding disorder. Subjects must not have a history of neurodegenerative or central nervous system movement disorder Active neurologic disorder (i.e. weakness, altered mental status) – peripheral neuropathy alone does not exclude a patient Any concomitant serious physical illness other than cancer (i.e., immune deficiency disease, bleeding disorder, etc.) within 1 year prior to dosing Documented or known bleeding disorder. Currently taking selective serotonin reuptake inhibitor (SSRI), serotonin-norepinephrine reuptake inhibitors (SNRI), or tricyclic antidepressant (TCA) regimen for treatment of major depressive disorder or generalized anxiety disorder (without approval and involvement of the patient’s treating psychiatrist) Patients with known active autoimmune disorder Patients with history of bleeding disorder or with history of spontaneous haemorrhage tumour Corneal epitheliopathy or any eye disorder that may predispose the patients to this condition History of an active connective tissue disorder Patients with severe personality disorder or mental illness that would preclude compliance with the study Bleeding or thrombotic disorder or any prescribed anticoagulant requiring therapeutic international normalized ratio monitoring (eg, warfarin or similar agents) at Screening, or within 6 months before randomization/enrollment Subject has an underlying bleeding disorder Evidence of end-organ damage that can be attributed to the underlying plasma cell proliferative disorder, specifically: Known malabsorptive disorder Contraindications to use of bupropion (i.e., concurrent use of other forms of bupropion, MAO inhibitors, anti-depressant medication, seizure disorder or any clinical situation that might increase risk for seizures, past head injury, current or prior diagnosis of bulimia or anorexia nervosa; bipolar disorder). History of bipolar disorder. Autoimmune disorder Unmanaged/uncontrolled mental health disorder Patients with known active autoimmune disorder Chronic myeloproliferative disorder, i.e. myelofibrosis Patient has a Generalized Anxiety Disorder (GAD)-7 mood scale score >= 15 Any of the following conditions: \r\n* Serious or non-healing wound, ulcer, or bone fracture\r\n* Current use of therapeutic warfarin; Note: low molecular weight heparin is allowed; prothrombin time (PT)/partial thromboplastin time (PTT) must meet the inclusion criteria\r\n* History of bleeding disorder, including patients afflicted with hemophilia, disseminated intravascular coagulation, or any other abnormality of coagulation potentially predisposing patients to bleeding\r\n* History of hemoptysis in excess of 2.5 mL (1/2 teaspoon ) within 8 weeks prior to first dose of study drug\r\n* Poorly controlled depression or anxiety disorder, or recent (=< 6 months) suicidal ideation\r\n* HIV-positive patients on combination antiretroviral therapy; appropriate studies will be undertaken in patients receiving combination antiretroviral therapy when indicated Patients with a history of a psychiatric disorder that may interfere with the understanding and compliance with this protocol and the required follow up Patients with a known coagulation disorder are excluded; patients with a first-degree relative with a history of venous thrombosis before age 50 years (yrs) or an arterial thrombosis before age 40 yrs must have the following testing performed prior to enrollment to exclude a heritable disorder; patients with a suspected disorder will be excluded History of psychiatric disorder (e.g. depression) History of autoimmune disorder (e.g. hepatitis) The participant has a significant bleeding disorder or vasculitis. Thrombocytopenia secondary to other possible causes, including medication(s), congenital disorder(s), immune disorder(s), or microvascular disorder(s) No autoimmune disorder that requires active immunosuppression Have a history of uncontrolled hereditary or acquired thrombotic disorder. History of Wilson’s disease or other copper-metabolism disorder Patients with an uncontrolled bleeding disorder Patients with a known or suspected urea cycle or other metabolic disorder are not eligible Current evidence of corneal disorder/keratopathy Has a known blood clotting disorder requiring treatment Has uncontrolled disease-related metabolic disorder Patients with corneal epitheliopathy or any eye disorder that may predispose the patients to this condition at the discretion of the investigator in consultation with the ophthalmologist. Diagnostic and Statistical Manual of Mental Disorders (DSM)-IV diagnoses for psychotic disorders, bipolar disorder, attention deficit hyperactivity disorder (ADHD), major depressive disorder within the last 3 months, substance dependence within the last 3 months with the exception of nicotine and marijuana dependence Patient has a bleeding disorder or a screening platelet count <100×109/L. Known history of an autoimmune disorder Active liver disease, for example, due to autoimmune hepatic disorder, or sclerosing cholangitis Subjects with uncontrolled bleeding disorder which cannot be controlled with anticoagulants Other conditions which could jeopardize the subject's ability to comply with the protocol including but not limited to dementia, psychosis, or other major psychiatric disorder. Patient has a Generalized Anxiety Disorder (GAD)-7 mood scale score >= 15 Known history of an autoimmune disorder History of bipolar disorder History of eating disorder such as anorexia or bulimia Known HIV or other history of immunodeficiency disorder. Uncontrolled thrombotic or hemorrhagic disorder History of Wilson's disease or other copper-metabolism disorder Patients with known or suspected brain metastases, carcinomatous meningitis, uncontrolled seizure disorder, active intracranial bleeding or active neurologic disorder are excluded Any active or chronic corneal disorder and Sjogren's syndrome. History of serious chronic mental disorder or drug-abuse accompanied by documented problems of compliance with therapeutic programs Known immunosuppression (i.e. chronic steroid use) or autoimmune disorder Previous history of primary platelet disorder or bleeding disorder No medical disorder that increases risks of radiation or temozolomide (TMZ) chemotherapy; no uncontrolled infection; no known positivity for human immunodeficiency virus (HIV); no other disorder limiting expected survival to < 5 years Bleeding disorder History of underlying bleeding disorder, such as hemophilia Pre-existing severe psychiatric condition or a history of a psychiatric disorder requiring hospitalization or a history of suicidal ideation or attempt Patient has a history of autoimmune disorder or immune deficiency disorder Known systemic bleeding or platelet disorder History of major psychiatric disorder including use of anti-depressive medications, mood stabilizers, or anti-psychotic drugs Has known psychiatric disorder that would interfere with fulfilling the requirements of the study Suffering from a known bleeding disorder. History of or active systemic autoimmune disorder or immunodeficiency syndromes History of therapy for an autoimmune disorder Other ongoing, uncontrolled illnesses (including HIV infection and active hepatitis A, B, or C), psychiatric disorder, or social situation that would prevent good care on this study Previous diagnosis of bipolar disorder Epstein-Barr virus (EBV) post-transplant lymphoproliferative disorder Uncooperative patients, or patients who are incapable of following directions (for example, as a consequence of a neurological or psychiatric disorder). History of Wilson's disease or other copper-related metabolic disorder PART I: History of bleeding disorder PART I: Participants with evidence of a significant psychiatric disorder by history/examination that would prevent completion of the study will not be allowed to participate PART II: History of bleeding disorder PART II: Participants with evidence of a significant psychiatric disorder by history/examination that would prevent completion of the study will not be allowed to participate Uncorrected bleeding disorder. Any prior or current malignancy or myeloproliferative or immunodeficiency disorder. Any prior or current malignancy or myeloproliferative disorder. Mentally incapacitated or has a significant emotional or psychiatric disorder Current unstable major medical disorder Myeloproliferative disorder (MPD) Have a known major sleep disorder documented by prior diagnosis, such as: a) sleep disordered breathing b) narcolepsy c) periodic limb movement disorder d) parasomnias History of Wilson's disease or other copper-related metabolic disorder Patient has a General Anxiety Disorder (GAD)-7 mood scale score >= 15 Patients with active bipolar disorder History of or currently taking medications for attention deficit hyperactivity disorder, severe anxiety disorder, schizophrenia, or substance abuse by patient record and/or self-report Active or a history of Tourette’s syndrome or tic disorder Participants with a documented history of genetic predisposition for thrombosis (anti-phospholipid antibody syndrome, antithrombin [AT]-III deficiency, etc.), platelet disorder or bleeding disorder History of major psychiatric condition (e.g. psychosis) in parent or child; severe neurodevelopmental disorder in child (e.g. Down's syndrome) Self-reported history of bipolar disorder or manic episodes (which is a contra-indication for light treatment) Serious accompanying cardiac disorder Serious accompanying cardiac disorder. No history of mood disorder History of bipolar disorder diagnosis History of eating disorder (ever uncontrolled or any within the last two years) Subjects with a history of substance use disorder other than nicotine, such an opiate use disorder History of bipolar disorder or manic episodes (which is a contra-indication for light treatment) Documented attention deficit hyperactivity disorder (ADHD) predating cancer diagnosis A significant anxiety disorder PATIENT: No evidence of thought disorder, delusions, or active suicidal ideation is observed or reported PATIENT: Evidence of thought disorder, delusions, hallucinations, or suicidal ideation Patients who have a cognitive disorder which impacts the ability to follow directions or adhere to safety rules; this will be determined by the physical therapist by assessing whether a neurological disorder or musculoskeletal disorder would prevent the patient from safely exercising Patients who have a neurological or structural disorder which would impact use of exercise equipment; this will be determined by the physical therapist by assessing whether a neurological disorder or musculoskeletal disorder would prevent the patient from safely exercising Significant uncontrolled psychiatric disorder (e.g. psychotic disorder, bipolar disorder, major depression) or other co-morbid disease (e.g. dementia, cognitive impairment) which the treating clinician believes prohibits informed consent or participation in the study Subjects with bipolar disorder that have experienced a manic episode within 6 months of study entry will be excluded or at the principal investigator (PI)’s discretion Survivors who report ever being diagnosed with bipolar disorder will be excluded Known bleeding disorder per patient reported history Significant physiological or psychological impairment that interferes with participation (e.g., migraines, bipolar disorder, psychosis, seasonal affective disorder) Neurologic disorder that impairs ambulation (e.g. Parkinson’s) Substance use disorder within the prior six months History of oropharyngeal swallowing disorder prior to cancer diagnosis A principal diagnosis of major depressive disorder (MDD) History of bipolar affective disorder or psychosis Medical history of cancer other than colorectal cancer or non-melanoma skin cancer, untreated or unstable mental or psychiatric disorder, learning disability, traumatic brain injury, drug or alcohol abuse, debilitating medical disorder such as advanced cardiac, respiratory or renal disease Treatment with other stimulant medications within 14 days of registration; however, a diagnosis of attention-deficit hyperactivity disorder (ADHD) does NOT exclude a child from participation Major psychiatric disorder (e.g., psychosis, personality disorder) A score above 45 on the Wender Utah Rating Scale for attention deficit disorder (ADD) (WURS) Significant uncontrolled psychiatric disorder (psychotic disorder, bipolar disorder, major depression) or other co-morbid disease (dementia, cognitive impairment), which the treating clinician believes prohibits the ability to participate in study procedures Individuals with pre-existing neurological disorder (i.e. brain tumors, dementia, Parkinson’s disease, multiple sclerosis, seizure disorder) or diagnosed with metastasis cancer Individuals with a current substance use disorder will also be excluded History of neurological/psychiatric disorder, including psychotic disorder or dementia, or any other reason, which in the opinion of the investigator makes adherence to a treatment or follow-up schedule unlikely Significant uncontrolled psychiatric disorder (psychotic disorder, bipolar disorder, major depression) or other co-morbid disease (dementia, cognitive impairment), which the treating clinician believes prohibits informed consent or participation in the study Untreated endocrine abnormality, such as hypothyroidism, parathyroid hormone disorder Subject has previously been diagnosed with a serious immunodeficiency disorder. Patients with an identified familial hyperlipidemia disorder. Uncontrolled hereditary or acquired thrombotic or bleeding disorder. Patients must not have a severe bleeding disorder Mental incapacitation or significant emotional or psychiatric disorder that, in the opinion of the investigator, precludes study entry medical conditions such as seizure disorder, restless leg disorder, or Parkinson's disease Congenital bleeding disorder or predisposition to priapism that is contraindicative to vacuum constriction\r\ndevices (VCD) use History of Post-traumatic Stress Disorder Previous diagnosis of radiosensitivity disorder (i.e., ataxia telangiectasia) Presence or recent history of any systemic disorder or conditions, such as: Patients will be between 6 months and 4-years post radiation treatment; ongoing chemoprevention therapy is permissible; based on International Classification of Diseases (ICD)-10 proposed criteria, a diagnosis of CRF will require evidence from the history, physical exam, and laboratory findings that the fatigue is a consequence of cancer or cancer therapy and not primarily a consequence of comorbid psychiatric disorders (schizophrenia, depression, generalized anxiety disorder, bipolar disorder, dementia, delirium or obsessive–compulsive disorder [OCD]) Currently in treatment for a major psychiatric disorder History of demyelinating disorder Diagnosis of major depressive episode, acute anxiety disorder, liver or kidney dysfunction (defined by SGOT and creatinine levels 1.5 x upper limit of normal) as listed in the patient’s medical history in the chart within the past year and by self report Any neurologic or psychiatric disorder Any neurologic or psychiatric disorder except depression, anxiety, or attention-deficit disorder/attention-deficit hyperactivity disorder History of disordered eating as indicated by the Eating Disorder Examination Questionnaire (EDEQ) Any serious or unstable medical/psychiatric disorder (including severe substance use disorders, other than tobacco use disorder) in the past month that may interfere with study performance based on principal investigator (PI) judgment Reports diagnosis of seizure disorder or a history of neurological illness or closed head injury that in the opinion of the principal investigator (PI) or designated expert(s) feels that it would affect the results of the electroencephalogram (EEG) Major depressive disorder in the last year requiring treatment History of panic disorder, psychosis, bipolar disorder, or eating disorders Reports diagnosis of seizure disorder or a history of neurological illness or closed head injury that\r\nin the opinion of the principal investigator (PI) feels that it would affect the results of the electroencephalogram (EEG) Patients with serious, concomitant disorder, including active systemic infection, autoimmune disease, proven or suspected immunosuppressive disorder or any other major medical illnesses of the cardiovascular or respiratory system, concurrent malignancy except for nonmelanoma skin lesions Have current psychiatric disorders (i.e. major depression, bipolar, and/or psychotic disorders) or substance use disorder as determined by a psychiatric screener (Mini International Neuropsychiatric Interview [MINI])\r\n* Alcohol use disorder: current mild disorder is eligible; moderate disorder is eligible if in early remission (3-12 months); severe disorder, current or early remission, is not eligible\r\n* Substance use disorder is as follows: current disorder is not eligible; mild or moderate in early remission is eligible; severe disorder in early remission is not eligible Hospitalization due to a psychiatric disorder in the past 3 years Subjects with systemic autoimmune disorder; History of autoimmune disorder or any illness that requires therapy with chronic steroids or immunomodulators Is mentally incapacitated or has a significant emotional or psychiatric disorder Suffering from a severe psychiatric disorder (assessed using self-reporting history of psychiatric diagnosis during the phone screening) that would interfere with participation Major depressive disorder in the last year requiring treatment History of panic disorder, psychosis, bipolar disorder, or eating disorders Bleeding disorder Preexisting language or developmental disorder that would limit ability to cooperate with testing (as determined by the P.I. or treating physician after interviewing potential subject and his/her family; for example, a child may be excluded if he/she has confirmed or suspected autism spectrum disorder, dysarthria, dyslexia, lisp, hypotonia, or other age inappropriate speech development) Any known psychiatric disorder other than mild depression or anxiety that may affect adherence to the study requirements. Acute painful perianal disorder Contraindications to TRUS/prostate biopsy (BX)\r\n* Currently on blood thinning agents (Plavix, Coumadin etc.) or bleeding disorder\r\n* Active urinary tract infection\r\n* Acute painful perianal disorder (i.e. rectal abscess) Known bleeding disorder that cannot be sufficiently corrected with co-fact or fresh frozen plasma (FFP) PATIENTS: Significant uncontrolled psychiatric disorder (psychotic disorder, bipolar disorder, major depression) or other co-morbid disease (dementia, cognitive impairment), which the treating clinician believes prohibits the ability to participate in study procedures Any concomitant serious physical illness other than cancer (e.g., immune deficiency disease, bleeding disorder, etc.) within 1 year prior to dosing. No history of autoimmune disease. Participants with unexplained anemia, and/or thrombocytopenia Known coagulopathy, platelet disorder or history of non-drug-induced thrombocytopenia History of thrombocytopenia with complications Known hypersensitivity to heparin or the presence of heparin-induced thrombocytopenia. Have a history of thrombocytopenia with complications DONOR: Thrombocytopenia < 150,000 cells /mm^3 at baseline evaluation Known adverse reactions to heparin (heparin-induced thrombocytopenia or any allergy) Thrombocytopenia <100 x 103/ml, not resulting from therapy Patients with documented contraindication to anticoagulation therapy such as heparin induced thrombocytopenia or a documented coagulopathy or hematologic disorder that would contraindicated undergoing treatment and use of the associated anticoagulant agents required during treatment Patients with a history of hypersensitivity to heparin or the presence of heparin-induced thrombocytopenia. Thrombocytopenia (< 125,000 platelets/mm^3) Platelets ? 75,000/mcL OR ? 50.000 if thrombocytopenia due to iBCL Secondary immune thrombocytopenia from any cause including lymphoma, chronic lymphocytic leukemia, and drug-induced thrombocytopenia hemoglobin level lower than 8 g/dL (5.0 mmol/L) or platelet count <75x10^9/L or history of heparin induced thrombocytopenia; History of coagulopathy, platelet disorder or history of non-drug induced thrombocytopenia Subjects with coagulopathies, including thrombocytopenia Platelets < 30,000/ mm3 for any reason, PT prolongation or thrombocytopenia that is not due to sepsis. History of adverse reaction to heparin such as heparin-induced thrombocytopenia Patients with known heparin induced thrombocytopenia Known other causes of thrombocytopenia Participants with known coagulopathy, platelet disorder or history of non-drug-induced thrombocytopenia A history of heparin-induced thrombocytopenia or hypersensitivity to heparin, enoxaparin, or pork products Secondary immune thrombocytopenia Drug induced thrombocytopenia Thrombocytopenia (<30,000/uL) Anemia (hemoglobin <11 mg/dL) or thrombocytopenia (platelets<100,000/?L). History of heparin-induced thrombocytopenia. Active autoimmune thrombocytopenia. Known hypersensitivity to heparin or the presence of heparin-induced thrombocytopenia Platelets < 150 mg/dL or history of thrombocytopenia Thrombocytopenia History of heparin induced thrombocytopenia Known allergy to heparin or aspirin or a history of heparin induced thrombocytopenia Grade >= 3 thrombocytopenia (platelets < 50 x 10^9/L) after the first 3 months of therapy with the TKI for patients with CML and platelets < 100 x 10^9/L for patients with MF after the first 3 months of therapy; thrombocytopenia must be either recurrent (i.e., second or greater episode of thrombocytopenia) or having required dose reductions of the TKI Thrombocytopenia that is considered to be unrelated to treatment with TKI or accelerated phase as defined above History of heparin induced thrombocytopenia Thrombocytopenia (platelet count < 50,000) Thrombocytopenia < 150 x 10(9)/L (< 150,000/µL) at baseline evaluation. Thrombocytopenia (platelets < 100,000 cells/uL) Active bleeding or pathologic condition that carries a high risk of bleeding (e.g., hereditary hemorrhagic telangiectasia). Patients with bleeding cutaneous lesions not actively requiring transfusions are eligible. Patients who have been uneventfully anti-coagulated with low molecular weight heparin are eligible Active bleeding or pathologic condition that carries a high risk of bleeding. No bleeding diathesis. Active uncontrolled bleeding Active gastrointestinal bleeding Active bleeding disorder in the past 6 months. Patients with active bleeding or pathologic conditions that carry high risk of bleeding, such as known bleeding disorder, coagulopathy, or tumor involving major vessels Active bleeding conditions If receiving warfarin: INR ? 3.0 and no active bleeding (i.e., no bleeding within 14 days prior to first dose of study therapy). History of bleeding disorders which would put a patient at risk for bleeding with anti-coagulation or patients with an increased risk of thromboembolic or hemorrhagic events (e.g., stroke). Brain lesions or intracranial abnormalities at risk for bleeding, by history or radiologic imaging (e.g., active metastases). Patients with uncontrolled coagulopathies who are at increased risk of bleeding. Evidence of active bleeding or bleeding disorder Significant risk for bleeding Patients with history of intra-abdominal bleeding or retroperitoneal bleeding within the last 3 years are excluded Subjects with untreated or incompletely treated varices with bleeding or high risk for bleeding; subjects treated with adequate endoscopic therapy (according to institutional standards) without any episodes of recurrent GI bleeding requiring transfusion or hospitalization for at least 6 months prior to enrollment are eligible Active bleeding or a pathological condition that is associated with a high risk of bleeding (therapeutic anticoagulation is allowed) Existing bleeding or condition associated with increased risk of bleeding Active bleeding or pathologic condition that carries a high risk of bleeding (e.g., hereditary hemorrhagic telangiectasia) Platelet count > 30,000 cells/mm^3 (30 x 10^9/L) without transfusion support; evidence of mucosal bleeding; a known bleeding episode within 3 months of screening; or a history of a bleeding disorder No active bleeding Active and significant bleeding Active bleeding or pathologic condition that carries a high risk of bleeding (e.g. hereditary hemorrhagic telangiectasia); patients who have been uneventfully anti-coagulated with low molecular weight heparin are eligible Active gastrointestinal bleeding Patients with active bleeding or pathologic conditions that carry high risk of bleeding, such as a known bleeding disorder, coagulopathy, or tumor involving major vessels Patients with a history of bleeding disorders or evidence of intracranial abnormalities which would put them at risk for bleeding with anti-coagulation (e.g., strokes, active metastases). active bleeding or a high risk of bleeding contraindicating anticoagulant treatment; Have active uncontrolled bleeding or a known bleeding disorder Evidence of active mucosal or internal bleeding. Evidence of active mucosal or internal bleeding. Patients with active or prior digestive tract bleeding. Known, increased risk of bleeding Active bleeding disorder or other history of significant bleeding episodes within 30 days before study entry Patients with active bleeding or pathologic conditions that carry high risk of bleeding, such as known bleeding disorder, coagulopathy, or tumor involving (in contact with, invading or encasing) major vessels Active bleeding or a pathological condition that is associated with a high risk of bleeding (therapeutic anticoagulation is allowed) Patients with bleeding disorders are ineligible due to lymph node removal possibly causing excessive bleeding; bleeding disorder will be defined by an INR level of > 2.0 No evidence of active bleeding Patients with active bleeding or pathologic conditions that carry high risk of bleeding, such as known bleeding disorder, coagulopathy, or tumor involving major vessels This criterion applies only to the patients enrolled before August 29, 2011 and those enrolled after this date electing to receive bevacizumab; patients with active bleeding or pathologic conditions that carry high risk of bleeding such as a known bleeding disorder, coagulopathy, or tumor involving major vessels History of active bleeding within the last 3 months requiring transfusion Patients with active bleeding or pathologic conditions that carry high risk of bleeding, such as known bleeding disorder, coagulopathy, or tumor involving major vessels Subjects with untreated or incompletely treated varices with bleeding or high risk for bleeding. Active bleeding or pathologic condition that carries a high risk of bleeding (e.g. hereditary hemorrhagic telangiectasia). Patients who have been uneventfully anti-coagulated with low molecular weight heparin are eligible. Has active bleeding disorder or other history of significant bleeding episodes within 30 days of randomization. Patients must not have active bleeding or a pathological condition that is associated with a high risk of bleeding Patients with active bleeding or pathologic conditions that carry high risk of bleeding Active bleeding or pathologic condition that carries a high risk of bleeding (e.g. hereditary hemorrhagic telangiectasia). Active uncontrolled bleeding Patients with active bleeding or pathologic conditions that carry high risk of bleeding, such as known bleeding disorder or coagulopathy. Ongoing major bleeding, Contraindications to prophylactic dose low molecular weight heparin (LMWH), including \r\n* Patients with recent gastrointestinal bleeding \r\n* History of heparin induce thrombocytopenia on LMWH\r\n* Subjects with previous severe hemorrhagic events on LMWH\r\n* Recent central nervous system bleed, intracranial or spinal lesion at high risk for bleeding\r\n* Active bleeding (major): more than 2 units transfused in 24 hours\r\n* Spinal anesthesia/lumbar puncture\r\n* Chronic, clinically significant measurable bleeding > 48 hours\r\n* Severe platelet dysfunction (uremia, medications, dysplastic hematopoiesis)\r\n* Recent major operation at high risk for bleeding\r\n* Underlying hemorrhagic coagulopathy\r\n* High risk for falls (head trauma) Active bleeding disorders and high likelihood of bleeding or conditions or medications known to increase the risk of bleeding; patients with bleeding diathesis and subjects who are receiving anticoagulation treatment with INR > 2 are excluded Patients with active bleeding or pathologic conditions that carry high risk of bleeding, such as known bleeding disorder, coagulopathy, or tumor involving major vessels Patients with a history of significant tumor bleeding, or coagulation or bleeding disorders. Patients with active bleeding or pathologic conditions that carry high risk of bleeding, such as known bleeding disorder, coagulopathy, or tumor involving major vessels Evidence of mucosal or internal bleeding Patients with untreated or incompletely treated varices with bleeding or high-risk for bleeding Active uncontrolled bleeding Uncontrolled severe bleeding tendency or active GI bleeding Active bleeding or bleeding susceptibility Active bleeding or a pathological condition that is associated with a high risk of bleeding Patients with active bleeding or pathologic conditions that carry high risk of bleeding, such as known bleeding disorder, coagulopathy (in the absence of therapeutic anticoagulation), or tumor involving major vessels. For subjects with known or suspected cirrhosis, esophagogastroduodenoscopy ) within 12 months of signing the informed consent form, showing no evidence of untreated varices or stigmata of active bleeding (such as active ulcer, visible vessel, or blood) is required. Subjects with history of upper GI bleeding must have an EGD of 3 months or less prior to signing the consent form confirming adequate prior endoscopic therapy (eg, no evidence of any untreated varices, recent or active bleeding, stigmata suggesting high risk for bleeding, active ulcer). Subjects with history/suspected esophageal varices must be on optimal medical management (eg, proton pump inhibitor and non-selective beta-blocker) per local institutional policy. Subjects with current/a history of bleeding disorder or coagulopathy or who are at particularly high risk for bleeding complications. Ongoing risk of bleeding. Active bleeding disorders or clinical signs of bleeding (Grade ?2). Active bleeding that requires hospitalization during the screening period Recent hemoptysis >2.5 mL or serious bleeding from another site, known bleeding disorder or coagulopathy or therapeutic anti-coagulation Active bleeding or high risk for bleeding contraindicating treatment with LMWH or edoxaban; History of bleeding diasthesis Ongoing major bleeding, Active bleeding; pathological condition that carries a high risk of bleeding; risk of pseudoaneurysm of the internal carotid artery and carotid blowout syndrome. Endometrial bleeding Active bleeding Patients with an underlying diagnosis or disease state associated with an increased risk of bleeding. Target bleeding site has moderate bleeding according to the Investigator's judgment. The target bleeding site has a mild or severe bleeding. If receiving warfarin: INR ? 3.0 (and no active bleeding, [i.e., no bleeding within 14 days prior to first dose of study therapy]) No active bleeding No active bleeding Active bleeding or high risk of bleeding Active gastrointestinal bleeding Active bleeding Patients with active bleeding or pathologic conditions that carry high risk of bleeding, such as known bleeding disorder, coagulopathy, or tumor involving major vessels by imaging, regardless of whether any chance of requiring vascular reconstruction Active bleeding Active bleeding that requires hospitalization during the screening period Evidence of active bleeding or pathologic conditions that carry high risk of bleeding such as known bleeding disorders, coagulopathy or tumor involving major vessels No central lung metastases with excessive active bleeding No active bleeding or pathological condition that carries a high risk of bleeding (e.g., tumor involving major vessels or known varices) within 14 days prior to registration No clinical signs active of bleeding Patients with overt bleeding Active bleeding or high risk of bleeding in the opinion of the investigator Active bleeding (grade 2 or higher) at the time of enrollment Active bleeding Participants with untreated or incompletely treated varices with bleeding or high-risk for bleeding Active or serious bleeding within two weeks of enrollment Active major bleeding Active bleeding or high risk for bleeding (e.g. known acute gastrointestinal ulcer) Patients on anticoagulation or with bleeding disorders should be evaluated by a physician for risk/benefit of bleeding disorders with intramuscular injections prior to study enrollment; patients determined to be at high risk for bleeding with intramuscular injections will be excluded Active bleeding condition (not limited to: thrombocytopenia, hemophilias, potential bleeding lesions, recent trauma or surgery, recent stroke, confirmed intracranial or intraspinal bleeding) Bleeding diathesis, hemorrhagic lesions, active bleeding, and other conditions with a high risk for bleeding Evidence of active mucosal or internal bleeding active bleeding or at high risk of bleeding Active vaginal bleeding requiring packing and emergent radiation therapy Any condition resulting in increased risk of bleeding at biopsy. No active bleeding No active bleeding in the post-operative period Active bleeding or high risk of bleeding Bleeding and Thrombosis: If active bleeding requiring acute surgical intervention, not eligible Active bleeding or pathologic condition that carries a high risk of bleeding Patients with uncontrolled coagulopathy or bleeding disorder are not eligible Participants with active bleeding disorder/coagulopathy Participant must not have a history of a coagulopathy or a platelet disorder. History of coagulopathy Bleeding disorder/coagulopathy Uncontrolled coagulopathy Has a clinically significant coagulopathy per investigator’s assessment Uncontrolled coagulopathy or bleeding disorder Patients with uncontrolled coagulopathy or bleeding disorder Subject has first degree family member with a known hereditary coagulopathy. Has evidence or a coagulopathy or hemostasis problem. Uncontrolled coagulopathy Active coagulopathy Patients with uncontrolled coagulopathy or bleeding disorder uncorrectable coagulopathy Active coagulopathy Patients with coagulopathy with an elevated INR ?1.5, or platelets <50 Current Grade 3 or higher coagulopathy, thrombosis and/or hemostasis disorders, History of clinically significant coagulopathy Patients with uncontrolled coagulopathy or bleeding disorder Coagulopathy tests will be obtained within 2 weeks of enrollment History of abnormal bleeding and coagulopathy Use of full dose, therapeutic anti-coagulation or patients with uncontrolled coagulopathy or bleeding disorder Uncontrolled coagulopathy Has a clinically significant coagulopathy per investigator’s assessment Patient has a coagulopathy or bleeding disorder Known coagulopathy or bleeding disorders are controlled Known bleeding disorder or coagulopathy Coagulopathy characterized by an INR >1.40 without other known causes. Coagulopathy which contraindicates transperineal and intraprostatic needle insertion Known, existing uncontrolled coagulopathy Known, existing coagulopathy or receiving anticoagulants Patient has a coagulopathy or bleeding disorder which is uncontrolled. Patients with uncontrolled coagulopathy or bleeding disorder Known, existing uncontrolled coagulopathy History of coagulopathy or known thrombophilias Known, existing uncontrolled coagulopathy Known, existing uncontrolled coagulopathy No history of clinical coagulopathy No known coagulopathy Nonreversible or uncorrectable coagulopathy. INR should not be >1.5, Patients with uncontrolled coagulopathy or bleeding disorders Hereditary or chronic hemorrhagic or coagulopathy conditions (i.e., hemophilia) Known bleeding disorder or coagulopathy Clinically significant coagulopathy or bleeding disorder. Uncorrected coagulopathy Subjects with uncorrected coagulopathy Uncorrectable coagulopathy Coagulopathy Patient has an uncorrectable coagulopathy Uncontrollable coagulopathy Coagulopathy Uncontrolled coagulopathy or bleeding disorders History of coagulopathy or bleeding disorders Coagulopathy Known inherited bleeding disorder or coagulopathy Severe coagulopathy or bleeding disorder Uncorrectable coagulopathy Uncorrectable coagulopathy Known coagulopathy Uncorrectable coagulopathy prohibiting biopsy. (INR > 1.5 and/ or platelets < 50,000) Coagulopathy Evidence of a coagulopathy Patients with clinically controlled thyroiditis or pituitary disorders on stable replacement therapy are eligible Any history of hereditary bleeding disorders Participants with clear evidence of myeloproliferative disorders, or myelodysplastic disorders in the marrow Uncontrolled electrolyte disorders. Cardiac or pulmonary disorders within 6 months of enrollment. Known immunodeficiency disorders, either primary or acquired Significant bleeding disorders. Neurological or psychiatric disorders which may influence understanding of study and informed consent procedures. Participants will be excluded for medical conditions that are contraindications to XRT and/or might confound the relationship among fatigue, and inflammation, including pregnancy, unstable major psychiatric disorders, autoimmune (active within the past 6 months) or inflammatory disorders, chronic infectious diseases (e.g. human immunodeficiency virus [HIV], hepatitis B or C), neurologic disorders and uncontrolled cardiovascular, metabolic, pulmonary or renal disease (as determined by medical history, physical examination or laboratory testing) unless otherwise approved by the PI or PI’s designee History of psychiatric drug abuse that cannot be ended, or subjects with mental disorders that will prevent compliance or evaluation including uncontrolled schizophrenia, uncontrolled depression or other uncontrolled disorders. History or evidence of thrombotic or hemorrhagic disorders within 6 months before first study treatment Participants with inherited or acquired bleeding disorders Subjects with a history of connective tissue disorders. Subjects with a history of depression, anxiety, or psychotic disorders (due to tolcapone adverse event profile). Psychiatric disorders that would interfere with consent History or evidence of thrombotic disorders within 6 months before first study treatment unless stable on anticoagulation for > 3 months Patients with uncharacterized eye disorders Patients with known serious mood disorders Known bleeding disorders Patients with known bleeding disorders or more than punctate intratumoral hemorrhage are excluded Renal and hepatic disorders with values of >1.5 times the upper limit of normal (ULN) or blood disorders (upon clinician judgment); Patients with a history of bleeding disorders Active substance abuse or psychiatric disorders; in case, the patient falls under the lower spectrum of psychiatric disorders and is able to function well under medication, the patient could be accrued at the discretion of the physician History or evidence of thrombotic or hemorrhagic disorders within 6 months before first study treatment Patients on non-aspirin anti-coagulation (Coumadin, heparins, or clopidogrel) or with documented bleeding disorders will be excluded Patients with a history of immune-mediated neurological disorders such as multiple sclerosis, Guillain-Barré or inflammatory CNS/PNS disorders Patients with known disorders associated with hemolysis Known bleeding disorders Serious concurrent medical condition including CNS disorders. History of thrombocytopenia with complications (including hemorrhage or bleeding ? Grade 2, based on NCI-CTCAE v4.03 criteria), hemolytic condition, or coagulation disorders that would make subjects unsafe based on the judgment of the Investigator Patients with active, uncontrolled psychiatric disorders including: psychosis, major depressive, and bipolar disorders Patients with active, uncontrolled psychiatric disorders include: psychosis, major depression, and bipolar disorders If medical history of the following, case should be reviewed by the Medical Monitor: prior biliary tract disorders (as based on Hepatobiliary SOC high level terms of: obstructive bile duct disorders, hepatic vascular disorders, structural and other bile duct disorders) or portal hypertension and/or hepatic vascular disorders Uncontrolled medical or psychiatric disorders which may preclude patients to undergo clinical studies (discretion of the attending physician) Patients with known urea cycle disorders (i.e.: ornithine transcarbamylase deficiency) History or presence of any significant bleeding disorders Uncontrolled medical or psychiatric disorders Patients with GI disorders who have failed standard therapy Major medical or psychiatric disorders that would seriously compromise patient tolerance of this regimen Concurrent or Intercurrent Illness: Impaired wound healing due to diabetes; Significant concurrent or intercurrent illness, psychiatric disorders or alcohol or chemical dependence that would compromise Subject safety or compliance or interfere with interpretation of the study; Uncontrolled thyroid disease or cystic fibrosis; Presence of clinically significant acute or unstable cardiovascular, cerebrovascular (stroke), renal, gastrointestinal, pulmonary, immunological (with the exception of the presence of hepatitis B virus (HBV), viral hepatitis, or cirrhosis), endocrine, or central nervous system disorders; Current encephalopathy or current treatment for encephalopathy; Variceal bleeding requiring hospitalization or transfusion within 4 months of screening; History of human immunodeficiency virus or acquired immune deficiency syndrome; The clinical presence of ascites. History of significant neurological or psychiatric disorders that would impede giving consent, treatment, or follow up. Myeloproliferative disorders\r\n* Idiopathic myelofibrosis\r\n* Polycythemia vera\r\n* Essential thrombocytosis\r\n* Chronic myelomonocytic leukemia\r\n* Patients with myeloproliferative disorders must be end-stage, which is primarily defined as disease severity refractory to splenectomy Patients with the following ocular conditions: corneal disorders, monocular vision (i.e., best corrected visual acuity greater than or equal to 20/200 in one eye), or active ocular disorders requiring treatment Have a history of uncontrolled hereditary or acquired bleeding or thrombotic disorders. Patients with known history of liver disorders. Patients with the following ocular conditions: corneal disorders, monocular vision (ie. best corrected visual acuity greater than or equal to 20/200 in one eye), or active ocular disorders requiring treatment Significant hematologic, gastrointestinal, thromboembolic, vascular, bleeding, or coagulation disorders. Moderate eye disorders Patients with endometrial disorders, including evidence of endometrial hyperplasia, dysfunctional uterine bleeding or cysts Participant has a history of uncontrolled hereditary or acquired bleeding or thrombotic disorders Major psychiatric disorders which would limit compliance Has a history of epilepsy, depression or other psychiatric disorders. Subject has a contraindication to receiving IM injections (eg, bleeding disorders, anticoagulant use). History of or current major gastrointestinal, pulmonary, cardiovascular, genitourinary or hematologic disease, CNS disorders, infectious disease or coagulation disorders as determined by the Investigator Known immunodeficiency disorders Known history of Wilson's disease or other copper-related disorders Patients with known bleeding disorders or more than punctate intratumoral hemorrhage are excluded Patients with neuromuscular disorders that are associated with elevated CK Participants with known disorders due to a deficiency in bilirubin glucuronidation (e.g. Gilbert’s syndrome) Participants with known disorders due to a deficiency in bilirubin glucuronidation (e.g. Gilbert’s syndrome) Patients with neuromuscular disorders that are associated with elevated CK. Patients who have a history of bleeding disorders including congenital or acquired coagulopathies Patients with previous history or current presence of neurological disorders (with the exception of myasthenia gravis), including epilepsy (although controlled by anticonvulsant therapy), Parkinson's disease and extra-pyramidal syndromes. Concurrent uncontrolled or active hepatobiliary disorders, untreated or ongoing complications after laparoscopic procedures or stent placement, including but not limited to active cholangitis, biloma or abscess (to be eligible, the subjects have to be treated and disorders/complications should be resolved within 2 weeks prior to the first dose of ARQ 087) History of significant cardiac disorders: i. Untreated psychiatric disorders Patients with previous history or current presence of neurological disorders, including epilepsy (although controlled by anticonvulsant therapy), Parkinson's disease and extra-pyramidal syndromes Patients with active, uncontrolled psychiatric disorders including: psychosis, major depression, and bipolar disorders Patient with any active or chronic corneal disorders Evidence or history of congenital or acquired hypocoagulability disorders Patients with a history of thrombotic or hemorrhagic disorders History or evidence of thrombotic or hemorrhagic disorders within 6 months prior to first dose of mirvetuximab soravtansine Documented hypercoagulable disorders or vasculopathies Serious medical risk factors involving any of the major organ systems, or serious psychiatric disorders (including but not limited to connective tissue disorders, lung disease, and cardiac or seizure disorders) Significant gastrointestinal disorders, in the opinion of the Investigator Bleeding or thrombotic disorders requiring anticoagulant therapy such as warfarin, or similar agents requiring therapeutic INR monitoring Other preexisting sleep disorders Patients with a history of/or active bleeding disorders History of eye surgery within 6 months, presence of cataracts or other ocular disorders significantly affecting vision No known bleeding disorders Patients with a history of familial bleeding disorders Has a history of uncontrolled hereditary or acquired bleeding or thrombotic disorders History of significant neurological or psychiatric disorders History of bleeding disorders CORTISOL EXCLUSION: Participants with endocrine disorders (e.g., diabetes and thyroid disorders) or on steroid-based medications are excluded from the cortisol portion of the study (with the exception of topical hydrocortisone that is permitted) Patient has motility/neurologic disorders including autonomic failure (spinal cord lesions, tumor invasion of nerves) and/or poorly controlled endocrine/metabolic disorders (hypercalcemia, hypokalemia, diabetes, hypothyroidism), as determined by the investigator Severe sleep disorders (e.g., narcolepsy) Subject with known congenital bleeding disorders or platelet dysfunction Have a current diagnosis of major Axis I psychiatric disorders (e.g. depressive disorders), neurological impairments, or muscular dystrophies Meet criteria for major neurological disorder, such as mild cognitive impairment or neurodegenerative disorders (such as movement disorders, dementia), that could be exacerbated by the administration of cannabis Severe sleep disorders (e.g., Narcolepsy) Is known or suspected to have neuromuscular disorders (ex: myasthenia gravis) Known bleeding disorders Eating disorders Unstable psychiatric disease (psychotic disorders or major depression identified using Brief Psychiatry Rating Scale [unless stable in treatment for 3 months]) - smokers with stable psychiatric disease will be eligible Treatment for serious psychological disorders (e.g., schizophrenia) in the last 6 months Uncontrolled medical or psychiatric disorders Subjects with metabolic abnormalities (e.g. thyroid disorders, insulin dependent diabetes, rheumatologic disease etc.); subjects with metabolic disorders (a) who are otherwise eligible, (b) treated for hypothyroidism by their primary MD with Synthroid (levothyroxine) and (c) with the approval of the Moffitt treating oncologist will not be excluded from the study Have no documented or observable psychiatric or neurological disorders that would interfere with study participation (e.g., dementia, psychosis) Have no documented or observable visual, auditory, psychiatric, or neurological disorders that would interfere with participation (e.g., blindness, deafness, psychosis, or dementia) Patients who have significant personality disorders or unstable psychiatric disorders (including active major depression, substance abuse, psychosis or bipolar disorder) as assessed by the interviewing clinician Uncontrolled major psychiatric disorders, such as major depression or psychosis Known bleeding disorders or taking any dose of warfarin or heparin Patients with uncontrolled major psychiatric disorders, such as major depression or psychosis, will not be eligible for this trial; patients with a history of depression or anxiety who are stable on or off psychiatric medications will be eligible History of gold-induced disorders, including but not limited to, necrotizing enterocolitis, pulmonary fibrosis, exfoliative dermatitis, bone marrow aplasias or other severe hematologic disorders; history of severe allergic or anaphylactic reactions or hypersensitivity to auranofin or other gold compounds Known bleeding disorders or taking any dose of warfarin or heparin Known urea cycle disorders based on history Patients have a current diagnosis of major Axis I psychiatric disorders, neurological impairments, or muscular dystrophies The subject has a history of significant bleeding disorders Individuals with neurological, mental or psychiatric disorders Participants must not have documented or observable visual, auditory, psychiatric, or neurological disorders that would interfere with study participation (e.g., blindness, deafness, psychosis, or dementia) Clinical history of severe psychiatric disorders Bone marrow failure disorders:\r\n* Paroxysmal nocturnal hemoglobinuria (PNH)\r\n* Hereditary bone marrow failure disorders include Diamond-Blackfan anemia, Shwachman- Diamond syndrome, Kostmann syndrome, and congenital amegakaryocytic thrombocytopenia\r\n* Other non-malignant hematologic or immunologic disorders that require transplantation:\r\n** Quantitative or qualitative congenital platelet disorders (including but not limited to congenital megakaryocytopenia, absent-radii syndrome, Glanzmann’s thrombasthenia)\r\n** Quantitative or qualitative congenital neutrophil disorders (including but not limited to chronic granulomatous disease, congenital neutropenia)\r\n** Congenital primary immunodeficiencies (including but not limited to severe combined immunodeficiency syndrome, Wiskott-Aldrich syndrome, CD40 ligand deficiency, T-cell deficiencies)\r\n** Hemoglobinopathies (including sickle cell disease and thalassemia) Patients with diagnosis of major depression or any other psychiatric disorders Known bleeding disorders that preclude intramuscular injection (e.g., on anticoagulants or thrombocytopenia) Subjects with active auto immune disorders/processes or active neurological or inflammatory disorders Significant psychiatric or neurologic disorders that would impair compliance with study protocol acute rheumatic disorders Patients with severe metabolic disorders that would preclude administration of calcitriol The patient has a lack of bleeding disorders, and Patients must lack bleeding disorders, and be able to provide informed consent; the latter two criteria will be assessed from the patient’s history and the consenting interview All patients with existing plasma cell disorders and no history of psychiatric disorders and can receive conscious sedation are eligible to participate in the trial Neurologic disorders (dementia) Participants must lack bleeding disorders, and be able to provide informed consent; the latter two criteria will be assessed from the patient’s history and the consenting interview Lack bleeding disorders Known inherited or acquired bleeding disorders. Severe cardiac rhythm disorders within the last 7 days Bleeding disorders Presence of significant medical illness: autoimmune/inflammatory diseases, cardiopulmonary disorders (i.e., angina, congestive heart failure, severe chronic obstructive pulmonary disease [COPD]), uncontrolled endocrine disorders (i.e., hypothyroidism, diabetes), vestibular neuritis, Meniere's syndrome, benign paroxysmal positional vertigo, or known or previously diagnosed structural disorder of the peripheral vestibular system History of any coagulation, bleeding, or blood disorders (e.g. anemia) No known bleeding disorders Immune system disorders, respiratory diseases, kidney or liver diseases or any other medical disorders that may affect biomarker data History or presence of significant bleeding disorders Has a history of any major neurological disorders, including stroke, multiple sclerosis, or neurodegenerative disease. not experiencing psychiatric neurological disorders (assessed through clinical team members) that would prevent obtaining consent. currently experiencing psychiatric or neurologic disorders that would prevent their ability to provide consent. Subjects with psychiatric disorders that affect their ability to consent for themselves will be excluded and not the entire population of patients with psychiatric disorders Bleeding or thrombotic disorders.