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NBME 22 Answers
A 39-year-old woman comes to the physician because ...
FTR I had no idea this was a thing, and was pretty disappointed in myself when the google search had it in big bold letters right in my face.
via @johnthurtjr link: "Testosterone and other androgens have an erythropoietic stimulating effect that can cause polycythemia, which manifests as an increase in hemoglobin, hematocrit, or red blood cell count." https://www.medscape.com/viewarticle/773465
I guess that's another reason for steroids and doping up.
I guessed this one cause men have a higher hemoglobin than women.
High levels of testosterone will result in amenorrhea. I guessed that since she's not menstruating she will not be losing blood and therefore hemoglobin. Therefore her hemoglobin levels will be higher than expected.
It kinda makes sense knowing testosterone causes catabolism so I was in between Alkaline phosphatase and hemoglobin...
isn't testosterone anabolic?
The increased testosterone is metabolized by granulosa cells to estrogen and by adipose tissue into estrone. Both feed back on the hypothalamus to inhibit FSH & LH secretion, but FSH is much more sensitive to feedback inhibition than LH, causing an increased LH/FSH ratio.
@sup, i did the same thing. Had no idea testosterone and androgens can increase epo