Joanne Gilmartin is a $21-$year$-$old patient, seen in your office for a routine visit. She informs you

that she has been following a strict vegan diet for the past year and plans on continuing to do

so$.$ She has recently been married and is looking forward to starting a family. Her diet consists

mainly of bread, rice, cereal, and fruits and vegetables, with little concern for protein sources.

She reports that she has lost $10$ pounds since initiation of the vegan diet and says she feels

great. She is planning on bringing up her future children as vegans as well, as she believes that

this is the most healthy eating approach. She is currently $5$ feet $3$ inches tall and weighs $121$

pounds