Case Presentation A 43-year-old Indian woman presented to the primary care clinic for evaluation. She followed a vegetarian diet and had a known medical history of hypothyroidism.
Chief Complaints Persistent fatigue Nausea Dizziness and lightheadedness Intermittent abdominal cramping and bloating Constipation Progressive hair loss History of Present Illness The patient had a four-year history of chronic iron deficiency anemia Initially, her condition was minimally symptomatic and remained largely uninvestigated Over the following months, fatigue progressively worsened, accompanied by nausea, dizziness, and lightheadedness Physical Examination Vital signs were stable Weight: 134.4 lbs Blood pressure: 118/78 mmHg Mild tenderness was noted in the right upper and left lower abdominal quadrants Mucous membranes were dry, consistent with dehydration No pallor, pica, brittle nails, or signs of…
