The healthcare provider is seeing four patients at the neighborhood clinic. Which of these patients should the healthcare provider identify to be most at risk for iron-deficiency anemia?

Menses may increase the risk of iron-deficiency anemia in some women. Pica, the craving to eat unusual substances like ice or dirt is a classic manifestation of iron-deficiency anemia. Gastric bypass surgery may result in decreased intrinsic factor and absorption of vitamin B12. Patients with chronic renal failure require a specific diet plan. Iron-deficiency anemia will not develop as long as a vegan diet is well-planned.