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In some cases, you don’t have too many red blood cells, but they are too concentrated because you don’t have enough fluid in your bloodstream. Anabolic steroids and other performance-enhancing drugs can cause your body to increase the number of red blood cells it makes. The hormone EPO, which controls the production of red blood cells, is made in your kidneys.
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This may entail treating the underlying problem, such as lung or heart disease, or changing lifestyle variables, such as quitting smoking and staying hydrated. Secondary erythrocytosis, typically caused by external factors such as prolonged hypoxia, necessitates addressing the underlying cause. Congenital erythrocytosis is typically identified when a person exhibits symptoms at a young age or has erythrocytosis in family members. A high erythropoietin level is frequently adequate for clinicians to identify secondary erythrocytosis.
Having too many of these cells can make your blood thicker than normal and lead to blood clots and other complications. This is the primary treatment for polycythemia vera. A normal or high EPO level suggests a secondary cause, such as low oxygen, kidney problems, or EPO-producing tumors. Many of the symptoms of erythrocytosis are caused by your blood flowing more slowly than normal. Relative erythrocytosis can also be caused by diuretics, medicines that cause your kidneys to get rid of salt and water more quickly than normal.
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