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Annie Has Anemia from Fibroids

Annie is instructing in a classroom with elementary faculty youngsters. There’s a chalkboard with a container of chalk with the chalk protruding of it. 

Annie is eyeing the chalk

Annie: Why do I all of the sudden really feel like consuming that chalk?

Annie is strolling house and appears at grime subsequent to the sidewalk/grass.

Creativeness bubble that’s her remembering bizarre issues that she needed to eat:


Lined piece of paper



Annie thought bubble: I positive have been having some bizarre cravings currently. I actually need to eat that grime, however that appears unusual.

Annie is climbing her entrance porch stairs at her home and will get wanting breath

She goes inside and grabs a giant cup of ice and begins consuming it.

Annie’s mother, enters

Mother: Are you OK? Each time I come over currently, you’re consuming a giant cup of ice. And also you appear to be taking quite a lot of naps. 

Annie: I don’t know. I’ve been craving ice so much — and in addition another unusual issues like chalk.

Mother: Hmm… I’ve heard of cravings like that, particularly for girls with heavy bleeding from fibroids like you could have. I believe you must see your healthcare supplier. 

The subsequent week … 

Annie is on the physician, a feminine WOC, mid 40s

Thought bubble “I’m not going to inform her concerning the bizarre cravings. It’s too embarrassing!”

Annie: I’ve simply been so drained currently, and I’m undecided why. 

I’ve additionally been having actually heavy durations due to my fibroids.

Physician appears at Annie’s mouth (cracks on the perimeters), brittle nails and general pale pores and skin.

Physician makes use of stethoscope to verify coronary heart

In doc workplace

Physician: You look pale, your nails are brittle and also you mentioned you’ve been drained, weak and wanting breath. 

You even have an irregular heartbeat. Have you ever been having any uncommon cravings, by likelihood?

In doc workplace

Annie: Now that you simply point out it, I’ve had some unusual cravings. I assumed I used to be dropping it!

In doc workplace

Physician: What forms of cravings? Have been they issues like grime or ice? 

Annie: Sure! Precisely! How do you know? I hold craving grime, ice and chalk. It’s been actually unusual.

Physician: These non-food cravings are known as pica. They usually can come from having extreme anemia, which is admittedly low iron. This may very well be due to your heavy bleeding out of your fibroids. Let’s run some bloodwork and see. We’ll additionally verify your vitamin D ranges.

Every week later …

Annie is again on the physician in several garments

Meals heavy in iron:




Iron-fortified bread & cereal

Fruit & dried fruit

Darkish leafy inexperienced greens


Physician: Effectively Annie, your bloodwork exhibits that you simply’re severely anemic and low on vitamin D. 

I’m going to prescribe an iron tablet and a vitamin D complement to assist get your ranges again up. If the iron capsules don’t work, we are able to refer you to a hematologist to debate different choices. Additionally, make sure you add iron-rich meals to your weight-reduction plan.

Annie: Thanks. I’ll begin taking these right this moment. Is there anything I ought to know? 

Physician: Typically taking iron could make you constipated so make sure you get sufficient fiber.

I will help with the anemia for now, however you must discuss to your OB-GYN about your heavy bleeding and fibroids. There are therapy choices that would make it easier to.

3 Months Later …

Annie is on the fridge extending a glass of water with 2 cubes of ice in it to her mother and has 2 cubes in her personal glass as effectively. 

The mother and Annie clink glasses. 

Annie: I’m feeling so a lot better — and look, mother, I’m again to 2 ice cubes! 

Mother: I’m so glad. Cheers to wholesome iron ranges! 

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This useful resource was created with monetary assist from Myovant Sciences GmbH and Pfizer.

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