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How does EPO affect performance? EPO stimulates the bone marrow to produce more red blood cells (to increase the oxygen carrying capacity of the blood). Unlike other PIEDs, EPO has limited or no application to enhancing body image. People are using EPO illicitly to enhance performance in elite endurance sports.
How serious is being anemic? When you're anemic your heart must pump more blood to compensate for the lack of oxygen in the blood. This can lead to an enlarged heart or heart failure. Death. Some inherited anemias, such as sickle cell anemia, can be serious and lead to life-threatening complications.
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