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[Expert Solution]: ER is a 5’6” female that is 35 years old…

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ER is a 5’6” female that is 35 years old and weighs 155 lbs. She presents with the complaint, “I’ve been feeling really down and tired for months. I can’t concentrate at work, and I just don’t enjoy anything anymore.” She has hypothyroidism x 3 years and is currently on levothyroxine 50 mcg daily. Blood pressure is 115/75 and labs include BG 99 mg/dL, A1c 5%, B12 415 pg/mL, vitamin D 60 ng/mL, TSH 2.8 mIU/L. What would you prescribe for this patient? Include a complete medication order. What additional information would assist your medication selection for ER? What patient education would you provide?

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