An 80-year-old woman has chronically low hemoglobin despite a diet high in iron.The primary care nurse practitioner (NP)will perform laboratory tests to confirm a diagnosis and should suspect the patient will need:

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Women and elderly adults are often at risk for folic acid deficiency leading to anemia because folic acid is necessary for synthesis of hemoglobin.Folic acid supplements are indicated.Omega-3 supplements are not indicated for anemia.If anemia is caused by iron deficiency alone,iron supplements must be used,which have more iron than a multivitamin with iron.Folic acid supplements are more effective than dietary folic acid.

An 80-Year-Old Woman Has Chronically Low Hemoglobin Despite a Diet