Welcome to thalpal.
Thal Intermedia is a complex condition and usually needs to be managed by the doctor with clinical symptoms. I would urge you to read and print Chapter 18 related to Thalassemia (Intermedia) - Page 27 from the thalassemia handbook
The link is -
http://www.thalassemia.com/documents/thalhandbook2008.final.pdfIt is vital that people with thalassemia intermedia be monitored closely throughout life. Unlike thalassemia major, where the
level of anemia makes transfusion mandatory, thalassemia intermedia patients may not have hemoglobin levels low enough to warrant mandatory blood transfusion and regular care. However, progression of both the anemia and ineffective erythropoiesis may eventually result in serious complications. This important group of patients suffers immeasurably due to an unpredictable degree of anemia and course of treatment; therefore, following standards of care is of utmost importance.
Has her Ferritin level been checked? Being an intermedia, she might be absorbing more Iron in the gut from the food. It will be benificial for her to drink tea along with meal. This quote is from Page 25 of the same thal handbook
Drinking black tea with meals is recommended to reduce iron absorption from food.
Also, read Chapter 15 (on Page 25) of the handbook. It gives important information for Nutrition. Multivitamins are recommended for thals due to hemolytic anemia.
It is good that you are taking the step to learn more about her condition and try to give her the best care. Do ask as many questions as possible and the members are always trying to help.