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The third option is that the free hemoglobin formed in excess passes through the glomeruli, being then partially taken up by the proximal tubules of the kidney until they are saturated
Biol Reprod 64(3):974982 Fisch H, Goluboff ET, Olson JH, Feldshuh J, Broder SJ, Barad DH (1996) Semen analyses in 1,283 men from the United States over a 25-year period: no decline in quality

In normal pregnancies, a natural increase in plasma volume is not matched by an increase in RBC mass leading to a mild decrease in hemoglobin concentration referred to as physiologic (or dilutional) anemia

It is also worth keeping an eye on the pipeline: newer approaches like PP405 for androgenetic alopecia aim to reactivate dormant follicles, though they are still in clinical development rather than available today
