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Fitzgerald, PhD, DVM, DABVP, and Alvin C

Indirectly, smoking can lead to secondary polycythemia due to increased carboxyhemoglobin levels, which reduces the oxygen-carrying capacity of the blood and results in tissue hypoxia [11, 12]

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This can result in poorer exercise performance and a reduced overall endurance

This is the decline rate

and when that unimaginably painful moment finally arrived it left him with combined damage that made the injuries he picked up seven years earlier, when he bounced along the banked track in the USA, seem relatively minor