This is a post I made yesterday on a Facebook group I'm a member of. I wanted to mention genotypes, tho it was getting late and I had a couple glasses of wine going on
Yes I do believe he's fooling himself and the layperson on several accounts.
Secondary erythrocytosis is used synonymously, or interchangeably used with secondary polycthemia. It's not synonymous with the diseased state of "vera". They're two different distinctive etiologies.
Mistakenly there's a perception that high elevations dwellers are associated with no possible pathophysiological fallout. Sadly, there is with some of these individuals (as with those on testosterone replacement) in which some of these unfortunate individuals develop pulmonary arterial hypertension from hypoxic hypoxia-secondary polycthemia, as well they develop hyperuricemia and high altitude renal syndrome. The literature is out there. It's very easy to find. As a side note: if pulmonary arterial hypertension develops, this can lead to right-sided heart failure, or cor pulmonale.
Given that. The issue I see with the message that Dr. Rouzier is conveying to a subset of the population that will take his word as gospel. Although, what he's failing to comprehend is that he's spreading this through YouTube videos to thousands of sheeple unknowingly what each and everyone of their health parameters are, individually.
Finally, similarities between those with uncontrolled OSA and those living in higher elevation in which are chronically exposed to hypoxic hypoxia environments, in conjunction with the stimuli of erythropoiesis from testosterone is a recipe for bad things to occur, as aforementioned.
I'm personally not one that jumps on the bandwagon of once an individuals HH hits a certain percentage---g/dL it's time to phelbot. I've hovered around 59% (this was before I was diagnosed with severe OSA) for a few months before I dumped, without issue.
Although, I knew what my homocysteine, Fibrinogen, Nt-proBNP and Galectin-3 levels where and that I have no inherent coagulation traits--- Factor V Leiden, Prothrombin and MTHFR.
Again the issue I have with these statements put fourth by Dr. Rouzier and the likes. They have no clue of any underlying condition(s) or morbidity you may have.
You should check to see if you have undiagnosed sleep apnea. That's where I'd suggest starting.
Good luck.