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Key findings Interpretation Smoking is associated with higher hemoglobin and hematocrit despite lower circulating EPO levels, contradicting the conventional model of hypoxia-driven, EPO-mediated erythrocytosis

Diagnosed first with aggressive stage 3 non-Hodgkin lymphoma in November 2024 after noticing swollen lymph nodes, then with p16-positive squamous cell carcinoma at the base of his tongue in December 2025 during a follow-up scan, Coulier endured six rounds of intense chemotherapy followed by 35 targeted radiation sessions

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Wakefield MA, Loken B, Hornik RC: Use of mass media campaigns to change health behaviour