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Hannah is a 14 year old who presents to the clinic with fatigue and complaints of…

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Hannah is a 14 year old who presents to the clinic with fatigue and complaints of…

Hannah is a 14 year old who presents to the clinic with fatigue and complaints of getting really tired on her runs. She is a runner and is on the school cross country and track team. She has been previously healthy and is a vegetarian. Her last menstrual period was 2 weeks prior to the visit.  She states that her menses are every 4 weeks, and reports that they are heavy and last for 5 to 7 days. Hannah’s Hgb is 10.1 and her Hct is 31.2%. Her ferritin is 14.

1. What if any medications are indicated for Hannah?

2. What education should she receive regarding her medication and lifestyle?

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