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Original Question

A 25-year-old woman has a 2-month history of difficulty in breathing and extreme fatigue. She has been on a “fad” diet for the past 6 months. Physical examination revealed no enlargement of the spleen or liver. Laboratory data are Hb: 6.0 g/dL HCT: 18% WBC: count 3.3 x 10^9/L WBC differential: Neutrophils: 10% Lymphocytes: 80% Monocytes: 10% Eosinophils, basophils: 0% RBC count 2.00 x 10^12/L RDW: 12 Platelet count: 13.0 x 10^9/L Reticulocyte count: 0.6% 1. Describe the factors that will assist you in classifying this anemia morphologically and what is the most probable type of anemia seen in this patient, and what laboratory value supports this type of anemia.

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