Cod, swordfish, salmon, tuna fish, eggs, orange juice, milk, yogurt, margarine, sardines, liver, ready-to-eat cereal, and cheese are all sources of what Vitamin? Lots of things impair this micronutrient including black tea and red wine (tannic acid), grains, fruit, and vegetables (oxalates), legumes grains, rice, leafy green vegetables (phytates) and other minerals including calcium, calcium phosphate salts, zinc, manganese, and nickel. A patient presents with sxs of amenorrhea, brady cardia, brittle hair and nails, bruising, cold intolernace, edema, extremity cyanosis, fainting, fatigue, hair loss, hypothermia, hypotension, lanugo, low bone density, and muscle wasting. What Dx is at the top of your Ddx? If a patient has decreased synthesis (liver disease, malnutrition, cancer), increases catabolism (nephrotic syndrome, malabosorption), or alteration in fluid distribution (inflammation, sepsis, surgery, burns, pregnancy, fluid overload), what would you expect the albumin to be?