A clients blood work shows an anemia that was not present at the last clinic visit 6 months ago. ...

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Rationale 1: Dietary changes may significantly influence production of red blood cells.
Rationale 2: Chemicals can cause RBC destruction.
Rationale 3: Change to dark tarry stool, red stools, or much looser stools could indicate blood loss.
Rationale 4: There is no connection between carbohydrate ingestion and anemia.
Rationale 5: Heavy menstrual flow is a leading cause of blood loss anemia in women.
Global Rationale: Dietary changes may significantly influence production of red blood cells. Chemicals can cause RBC destruction. Change to dark tarry stool, red stools, or much looser stools could indicate blood loss. Heavy menstrual flow is a leading cause of blood loss anemia in women. There is no connection between carbohydrate ingestion and anemia.

Such an awesome helper!