Annie Has Anemia from Fibroids

Annie is instructing in a classroom with elementary faculty youngsters. There’s a chalkboard with a container of chalk with the chalk protruding of it. 

Annie is eyeing the chalk

Annie: Why do I immediately really feel like consuming that chalk?

Annie is strolling residence and appears at dust subsequent to the sidewalk/grass.

Creativeness bubble that’s her remembering bizarre issues that she wished to eat:


Lined piece of paper



Annie thought bubble: I certain have been having some bizarre cravings these days. I actually wish to eat that dust, however that appears unusual.

Annie is climbing her entrance porch stairs at her home and will get in need of breath

She goes inside and grabs an enormous cup of ice and begins consuming it.

Annie’s mother, enters

Mother: Are you OK? Each time I come over these days, you’re consuming an enormous cup of ice. And also you appear to be taking a variety of naps. 

Annie: I don’t know. I’ve been craving ice loads — and likewise another unusual issues like chalk.

Mother: Hmm… I’ve heard of cravings like that, particularly for girls with heavy bleeding from fibroids like you’ve gotten. I feel you need to see your healthcare supplier. 

The subsequent week … 

Annie is on the physician, a feminine WOC, mid 40s

Thought bubble “I’m not going to inform her concerning the bizarre cravings. It’s too embarrassing!”

Annie: I’ve simply been so drained these days, and I’m unsure why. 

I’ve additionally been having actually heavy intervals due to my fibroids.

Physician seems at Annie’s mouth (cracks on the perimeters), brittle nails and general pale pores and skin.

Physician makes use of stethoscope to examine coronary heart

In doc workplace

Physician: You look pale, your nails are brittle and also you mentioned you’ve been drained, weak and in need of breath. 

You even have an irregular heartbeat. Have you ever been having any uncommon cravings, by likelihood?

In doc workplace

Annie: Now that you simply point out it, I’ve had some unusual cravings. I assumed I used to be dropping it!

In doc workplace

Physician: What sorts of cravings? Have been they issues like dust or ice? 

Annie: Sure! Precisely! How do you know? I maintain craving dust, ice and chalk. It’s been actually unusual.

Physician: These non-food cravings are referred to as pica. They usually can come from having extreme anemia, which is de facto low iron. This might be due to your heavy bleeding out of your fibroids. Let’s run some bloodwork and see. We’ll additionally examine your vitamin D ranges.

Per week later …

Annie is again on the physician in several garments

Meals heavy in iron:




Iron-fortified bread & cereal

Fruit & dried fruit

Darkish leafy inexperienced greens


Physician: Properly Annie, your bloodwork exhibits that you simply’re severely anemic and low on vitamin D. 

I’m going to prescribe an iron capsule and a vitamin D complement to assist get your ranges again up. If the iron drugs don’t work, we will refer you to a hematologist to debate different choices. Additionally, remember to add iron-rich meals to your weight-reduction plan.

Annie: Thanks. I’ll begin taking these right now. Is there the rest I ought to know? 

Physician: Typically taking iron could make you constipated so remember to get sufficient fiber.

I might help with the anemia for now, however you need to discuss to your OB-GYN about your heavy bleeding and fibroids. There are therapy choices that would enable you.

3 Months Later …

Annie is on the fridge extending a glass of water with 2 cubes of ice in it to her mother and has 2 cubes in her personal glass as properly. 

The mother and Annie clink glasses. 

Annie: I’m feeling so significantly better — and look, mother, I’m again to 2 ice cubes! 

Mother: I’m so glad. Cheers to wholesome iron ranges! 

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This useful resource was created with monetary assist from Myovant Sciences GmbH and Pfizer.