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A 45 year old female presents with the chief complaint of fatigue.

A 45 year old female presents with the chief complaint of fatigue.

What are the differential diagnoses?

Upon physical exam you note pallor of her nailbeds and tongue and mild tachycardia.

What is the most likely diagnosis?
How can you confirm or deny your diagnosis?
What is the treatment plan, include medications, lifestyle modifications, and follow up labs

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