You see a 44-year-old woman with a 6-month history of increasing fatigue despite adequate opportunity for sleep and rest.  Laboratory results reveal a microcytic, hypochromic anemia with elevated RDW as well as TSH within normal limits. You expect to find which of the following upon review of the patient’s health history?

A. Report that she has been consuming a plant-based diet since age 18

B. Report of menorrhagia

C. A history of alcohol use disorder

D. A diagnosis of rheumatoid arthritis
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