A 20-year-old female gymnast returns from summer break, having lost 15 lb (6.8 kg) to reach a current weight of 85 lb (38.6 kg). Current body mass index (BMI) (k g/m2 is 15.6, well below the typical B:MI of gymnasts, which is 19-20 kg/m2• She has not menstruated for 4 mo. After 2 weeks of preseason conditioning work, she comes to the training room with right shin pain. She reveals that she has been restricting her energy intake to 500-800 kcal/cl and thinks the ideal body weight for her 62-in. (157.5-cm) frame is 75 lb (34.1 kg) (BMI = 13.75 kg/m2. Her coach, trainer, and team physician. however, believe that her ideal body weight is closer to 100-105 lb (45.5-47.7 kg). She ·reports that she had menarche at the age of 15 and has had fairly regular menstrual periods from age 16 until 4 mo ago. She has no history of bone or overuse injury. Her physical exam reveals she is quite thin, but she has stable vital signs and facial and body lanugo (fine, soft hair that often appears in anorexia nervosa/starvation). An extremity exam reveals local tenderness to palpation on the midshaft of the tibia. Her laboratory results are normal except for low follicle stimulating hormone (FSH) and low estradiol, which are consistent with hypothalamic amenorrhea. A bone scan is positive for a b. What recommendations should be made regarding micronutrients? i. Which micronutrients should she pay particular attention to? Why? ii. Provide rich dietary sources for each
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[Expert Solution]: A 20-year-old female gymnast returns from…