Anemia because it decreases blood viscosity
Every cell in your body has the same genes/DNA but, the gene expression process decides which genes are active in which cells which is how each cell type gets it properties.
The resource for friends and family of alcoholics is to go to AA meetings and get help
It is a tick disease so whenever the ticks are out people can get it. If you live in Northeastern United States these fall in Fall and Winter season when most people and animals get bitten.