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Hanna is a 23-year old graduate student from South Carolina. She has been workin

ID: 122018 • Letter: H

Question

Hanna is a 23-year old graduate student from South Carolina. She has been working long hours and is always tired. She tries to eat a healthy diet, she has been a lacto-ovo vegetarian for the past six months,

What factors increase Hanna’s risk for iron deficiency anemia?

Hanna goes to the health center to see if there is a medical reason for her exhaustion. A nurse draws her blood to check her for anemia. The results of Hanna’s blood work are summarized in the figure below:

Does Hanna have iron deficiency anemia? Why or why not?

Hanna meets with a dietitian. A diet analysis shows that because she consumes no meat, much of her protein comes from dairy products. She consumes about four servings a dairy, eight servings of whole grains, three fresh fruits, and about a cup of cooked vegetables daily. She drinks four glasses of iced tea daily. Her average iron intake is about 12mg/day.

Name three dietary factors that put Hanna are risk for iron deficiency.


Suggest two changes Hanna could make to increase her iron intake while sticking with her lacto-ovo vegetarian diet.


What could Hanna add to her diet to increase absorption of the non-heme iron she consumes?

Explanation / Answer

factors increase Hanna’s risk for iron deficiency anemia:

1. Anna is a lacto-ovo vegetarian, which means intake of red meat is avoided. Hemoglobin rich food is red meat.

2. Stress, which leads to decreased oxygen consumption.

3. Diagnosis shows that the iron in RBC is normal, where as, iron in plasma is less than the normal. Based on this, the improper diet is the reason for iron defeciency but not iron deficiency anemia.

4. iced tea is the another factor for Anna to leads to iron deficiency.

To increase her iron intake while sticking with her lacto-ovo vegetarian diet.

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