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Polycythemia (elevated red blood cell count) is a rare blood disease in which the body produces too many red blood cells. Causes of polycythemia are either primary (acquired or genetic mutations) or secondary (diseases, conditions, high altitude). Examples of primary polycythemia include:

  • Fatigue
  • Excessive sweating
  • Unintended weight loss
  • Gouty arthritis, usually in big toe
  • Shortness of breath
  • Headaches
  • Dizziness
  • Weakness
  • Feeling pressure or fullness on the left side of the abdomen where the spleen is located.
  • Vision problems
  • Heavy bleeding from minor cuts
  • Bleeding from the gums
  • Itching
  • Redness in the face
  • A burning feeling in the hands and feet

Complications of a high red blood cell count include blood clots, heart attack, stroke, enlarged liver and spleen, angina (heart pain), AML leukemia, and heart failure. Blood clots in the liver or kidney can cause sudden, intense pain. Treatment goals for patients with polycythemia are to manage symptoms and reduce the risk of complications like heart attack and stroke.

REFERENCE: NIH. National Heart, Lung, and Blood Institute. "What Causes Polycythemia Vera"? Updated: Mar 20, 2011.

Even though anabolic steroids do not cause the same high as other drugs, they can lead to addiction. Studies have shown that animals will self-administer steroids when they have the chance, just as they do with other addictive drugs. People may continue to abuse steroids despite physical problems, high costs to buy the drugs, and negative effects on their relationships. These behaviors reflect steroids' addictive potential. Research has further found that some steroid users turn to other drugs, such as opioids, to reduce sleep problems and irritability caused by steroids.

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