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Hemostasis would increase the number of RBCs in circulation to allow for enough transport of oxygen. This also happens in smokers, (to compensate for the loss of functional lung surface) when smokers move to high altitude, they have less "buffer" to compensate.

Populations living in high altitudes have developed a number of adaptations to cope with the lack of oxygen (compared to sea level). Among which increased lung capacity and more effective red blood cells.

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Q: Who does a permanent move from sea level to a high altitude effect red blood cell count?
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