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It means your body is producing too many red cells and it is only a symptom and not a disease by itself. There are a variety of causes, some of which can be quite serious, including heart, lung, and kidney disease. Polycythemia vera, a blood marrow disorder, is another cause. However, other causes may be benign. For instance, if a person lives at a high altitude, he may develop more RBC's/hemoglobin to better enable him to take in the available oxygen. If a person is dehydrated, it may appear that his RBC count has risen, simply because the ratio of plasma to RBC's has been altered. Males tend to have higher RBC counts than women due to their higher levels of testosterone; males who abuse anabolic steroids and have elevated levels of testosterone will also have much higher RBC counts.

Obviously one must determine the cause of an elevated RBC count before treating the underlying condition.

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