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Toxicity of initial treatment must be

considered, independently of blood cell

counts that may be misleading!

time

relative cell number

high dose/toxicity

peripheral cells

stem cells

stimulated

transit

proliferation

stem cells

time

relative cell number

low dose/toxicity

peripheral cells

stimulated

transit

proliferation

Earlier recovery of peripheral cell number does not reflect recovery of

stem cell population (

i.e.

restoration of radiation tolerance)