She drinks 1-2 glasses of wine on weekends. She denies allergies. She is not taking any other medications. She used to exercise regularly, but now has no energy. Otherwise her review of systems is negative.
Family history is significant for some type of anemia.
She has no children. She and her whole family are Jehovah's Witnesses, who believe that it is wrong to receive any blood or blood products. On physical examination, the patient was a thin female seated comfortably in no distress. There was no adenopathy. There were no breast masses.