“…While commonly incorrectly considered benign by providers and the public, people with a sickle cell trait experience a myriad of debilitating and life-threatening outcomes [3] that are initiated or exacerbated by extreme conditions, such as intense physical exertion, heat, dehydration, and high or low altitude [4]. This can lead to outcomes such as renal medullary carcinoma (RMC) [5], hematuria (blood in the urine) [6], hyposthenuria (inability to properly concentrate urine) [7], chronic kidney disease (CKD) [8], venous thromboembolism [9], splenic infarction [10], exertional rhabdomyolysis [11], exercise-related sudden death [12], glaucoma and hemorrhage post-hyphema [13], and, likely others [14]. Having a sickle cell trait can lead to negative health outcomes; people with the trait have been found to have up to 95% protection against malaria [15].…”