system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 47-year-old woman with a history of recent gastric bypass surgery presents for a follow-up visit. 8 months ago, she underwent gastric bypass surgery because she was struggling with maintaining her BMI below 42 kg/m². She previously weighed 120 kg (265 lb), and now she weighs 74.8 kg (165 lb). She says that she has low energy and is easily fatigued. These symptoms have become progressively worse over the past month. She is struggling to get through the day and sometimes has to nap before she can continue with her work. She has also recently noticed that she gets cramps in her legs, especially after a long day. The patient is afebrile and vital signs are within normal limits. Physical examination is unremarkable. Her hemoglobin is 9.5 mg/dL with an MCV of 75 fl. Her peripheral smear is shown in the exhibit. Which of the following supplements would most likely improve this patient’s symptoms?
assistant
Iron