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Sarah is a 20-year-old female who is a student-athlete. She is 5' 3" tall and weighs 112 pounds. She participates in varsity swimming, practicing two hours a day, six days a week. Her main source of nutrition is the dining hall of the college, but she occasionally snacks on reduced-fat cookies while studying. Sarah states that she rarely eats breakfast, except on days of competition, but eats lunch and dinner daily with her friends. These meals usually consist of cereal, a salad, or a sandwich. Because Sarah started swimming this semester, she reports losing about 15 pounds over the past 3 months. She would like to resume her earlier weight but is concerned about the risks of eating high-fat foods. What may have contributed to Sarah's loss of weight? What are the risks of continued weight loss? What dietary strategies might help Sarah regain the weight lost? How could you respond to her concern about eating foods high in fat?
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