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Which one of the following would be the most appropriate next step in the treatment of this patient's hypothyroidism during her pregnancy?
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* For patients with creatinine clearance <15 mL/min, luvox 50mg side effects reduce daily dose in proportion to creatinine clearance (e.g., patients with a creatinine clearance of 7.5 mL/min should receive one-half the daily dose that patients with a creatinine clearance of 15 mL/min receive).
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A 36-year-old male presents with pain over the lumbar paraspinal muscles.