Today's Case A 20-year-old female presents to her primary care doctor over summer break complaining of worsening fatigue for the past 6 months. She is constantly tired and lacks the energy to do her usual summer activities with her friends. She denies associated weight loss, heat/cold intolerance, anhedonia, drug use, menorrhagia, unprotected sexual contacts, shortness of breath, skin rashes, or joint swelling. She does report mild episodes of diarrhea but it is well controlled with loperamide as needed. She states that she is a vegan since she started college to avoid the “freshman 15.” Fruits, vegetables, cereals, and pastas are now the cornerstones of her diet. Today's Reader Kada Fehlman is an Internal Medicine Resident at Huntington Health Cedars-Sinai. About Dr. Raj Dr Raj is a quadruple board certified physician and associate professor at the University of Southern California. He was a co-host on the TNT series Chasing the Cure with Ann Curry, a regular on the TV Show The Doctors for the past 7 seasons and has a weekly medical segment on ABC news Los Angeles. More from Dr. Raj ⁠⁠⁠The Dr. Raj Podcast⁠⁠⁠ ⁠⁠⁠Dr. Raj on Twitter⁠⁠⁠ ⁠⁠⁠Dr. Raj on Instagram⁠⁠⁠ Want more board review content? ⁠⁠⁠USMLE Step 1 Ad-Free Bundle⁠⁠⁠ ⁠⁠⁠Crush Step 1⁠⁠⁠ ⁠⁠⁠Step 2 Secrets⁠⁠⁠ ⁠⁠⁠Beyond the Pearls⁠⁠⁠ ⁠⁠⁠The Dr. Raj Podcast⁠⁠⁠ ⁠⁠⁠Beyond the Pearls Premium⁠⁠⁠ ⁠⁠⁠USMLE Step 3 Review⁠⁠⁠ ⁠⁠⁠MedPrepTGo Step 1 Questions⁠⁠⁠ ⁠⁠⁠MedPrepTGo Step 2 Questions⁠ Learn more about your ad choices. Visit megaphone.fm/adchoices

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“What did the council decide on item 42?” — answered with the speaker and the moment.

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