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Pathophysiology of Secondary Polycythemia Secondary polycythemia (D75.1) reflects an appropriate physiological response to chronic hypoxia (COPD, OSA, cyanotic heart disease, high altitude) or inappropriate EPO overproduction (renal cell carcinoma, hepatocellular carcinoma, cerebellar hemangioblastoma)

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When used, it can correct deficiencies that might otherwise jeopardize pregnancy outcomes, thus its judicious use can be very beneficial