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WESTREN FORMULA # 2. Causes an increased release of red blood cells (RBC) from the bone marrow due to its effect of decreasing the ability of RBS to release its oxygen bound to body cells. The “feed back mechanism” of temporary oxygen deprivation stimulates the bone marrow to release more red blood cells to compensate. As the effect subsides (usually in 2-3 days), the red blood cells then regain their normal height, with the added benefit of not having a higher volume of RBCs. This increase in quantity translates into an increased supply of oxygen transported to muscle tissues and thus increases endurance and performance.