polycythemia

So again, hypoglycemia and polycythemia are two of the most common problems with an infant that is small for gestational age.

But don't get confused.

Polycythemia, again, is secondary to oxygen distress.

So, uh, an infant that's large for gestational age could also experience oxygen distress in utero because especially if a mom has, um, gestational diabetes and, you know, or they're large, and they just don't have enough oxygen, right? So they're being cut off.

So again, it's driven by a hypoxic state.

So either way, we're concerned about respiratory overall.

We're concerned about glycemic control, their glucose levels.

Um, are they feeding enough? Are they tolerating feedings, right? Is their blood glucose where it needs to be? Polycythemia, that's the other theme, right? Did their body pro- overproduce red blood cells because they were lacking oxygen? And then hyper-, uh, bilirubemia or jaundice, however you wanna call it, an excess level of bilirubin.

... that it's n- like, this is guidelines 101.

Erythrocytosis needs to be managed either through blood donations or a change in formulation.

Like, this has to be done.

This is not like, "Oh, we'll, we'll maybe do this." Like, no, no, no, this is, this is, you have to do this.

Consider the service member's ability to comply with the treatment, the appropriateness of the chosen product, and the patient's preference and convenience when selecting type.

Erythrocytosis risk is a property of formulation and dosing interval.

Basically, it says percentage points of what they can expect, I guess, based on the route that they choose.

Short-acting injection at extended intervals is the highest risk configuration.