Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I will try to explain to you everything that your friend needs to be done to find a solution for her symptoms. You mentioned that she had gall stones as a teen. If this is true, then the stones are still there in the gallbladder and maybe that is the reason why she has pain. She needs to do an ultrasound of her abdomen to check for the gallbladder stones. If confirmed,she needs to do some blood tests like liver enzymes, white blood counts,pancreas enzymes, ect to determine if these stones are affecting the liver/pancreas.She needs to do some other blood tests to determine the reason why she is anemic. For example, if she has Iron deficiency anemia which is a common type of anemia — a condition in which blood lacks adequate healthy red blood cells due to insufficient iron. In this case, increasing the intake of iron can cure this problem. Maybe changes in diet, having extra iron with pills etc. She needs to consult a doctor for these case. For her weight problem, well not always lowering the amount of food can help you lose the weight. In this case I would recommend exercise. It will help her with the weight problem and also it will keep her heart and her body in shape. Hope I have answered your query. If you have any other question, feel free to ask me. Regards, Dr. Endri Katro