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What is the appropriate evaluation and management for a 45-year-old woman with Hashimoto's thyroiditis, two thyroid nodules, throat pain after consuming legumes or protein, premenstrual constipation, fatigue, anemia with low ferritin, eosinophilia, and who is currently taking levothyroxine 25 g, a multivitamin (UdLite), a protonpump inhibitor (Rablet 10 mg), vitamin D, and monthly vitamin B12 injections?

10.1101/lm.031674.113 78 PrinceT

Avoid tea/coffee immediately after meals (reduces iron absorption) Conclusion Anemia in women is common but highly treatable when diagnosed early
