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Because the test relies on the lifespan and turnover of red blood cells, any condition that alters red cell production, size, or survival can directly influence the result

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She added that there is "also concern for loss of bone density and muscle mass if protein intake and resistance activity are inadequate." "These medications do not distinguish between fat and lean mass, so without proper nutrition, patients can lose both," she said

When that happens, its often not just about rest or willpower

However, this is the exception, not the rule