Essay
Aisha is a 21 year-old, long-distance runner. She is underweight and has stopped menstruating. Her total energy intake is 500 kilocalories below her recommended intake. Her average calcium intake is 800 mg/day and her average vitamin D intake is 5 ug/day. Aisha also has lactose intolerance. Provide a likely explanation for why Aisha is no longer menstruating. Explain how this can impact her long-term bone health. Provide Aisha with some dietary suggestions to improve her nutrient intakes. Include a discussion on the bioavailability of nutrients in your dietary recommendations. If Aisha were to consider supplements, which would be the best choice?
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