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Case: A female patient on your primary care panel has been on levothyroxine dosing for several years. She is now planning on having a baby. She wants to know how to "taper off this medication" because she does not want to expose the developing fetus to any risky chemicals.
Question 1. How do you respond?
Question 2. What is the typical dose adjustment made for a pregnant woman who is already diagnosed with hypothyroidism?
Question 3. Your patient responds that she does not want to stay on the standard medication but switch to a more natural product such as Armour. How do you respond?
Question 4. The patient states she still plans to switch and asks you to do so. You are not an endocrine nor OB specialist. You do not have experience in monitoring pregnant women on thyroid supplements. How do you reply?
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