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Polycythemia refers to an increase in red blood cell mass due to increased production by the bone marrow. Polycythemia can be due to many causes and is categorized into different types, each with a different treatment plan. An increased amount of red cells make the blood thick and viscous, which moves sluggishly in the blood vessels and may also form clots. Symptoms appear late in the disease and include headaches, nose bleeds, fatigue, dizziness, etc.