Problem:
Catherine decided to see a registered dietitian after watching a news story about the new 2006 CDC Preconception Health Initiative (p. 65), including the recommendation that each person should make a reproductive life plan. Currently 29 years old, she has been on oral contraceptives for 10 years. She would like to have children some day, possibly in her mid-thirties, after she has established her career. Her height is 5'6" and her weight is 175#. She considers herself fairly active, exercising for about 30 minutes three times per week. Due to being a busy professional, she admits to drinking close to 40 ounces of coffee most days and only occasionally drinks alcohol. Her personal health history includes iron-deficiency anemia at age 25, although she thinks this has resolved; her family history includes heart disease and type 2 diabetes; both of her parents are still living. No recent lab work is available.