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Not immediatelychanges are gradual, especially with good diet/exercise

Energy and sleep improvements often come first, within the initial 46 weeks

doi: 10.1016/j.rbmo.2023.103319 130 Bany BakarRReimannFGribbleFM

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We found that, regardless of the total dose of rHuEPO used, this substance improves the main hematological (total hemoglobin mass, hemoglobin concentration, and hematocrit) and physiological (maximal oxygen uptake and peak oxygen uptake) parameters, while the maximal performance-related parameters (mainly, maximal power output, and peak power output) also tend to increase