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Thankfully, having fewer red blood cells in space isn't a problem when your body is weightless, but when landing on Earth and potentially on other planets or moons, anemia affecting your energy, endurance and strength can threaten mission objectives. The effects of anemia are only felt once you land, and must deal with gravity again.
If we can find out exactly what's causing this anemia, then there is a potential to treat it or prevent it, both for astronauts and for patients here on Earth, this is the best description we have of red blood cell control in space and after return to Earth. We were surprised and rewarded for our curiosity.
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