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Problem
DR is a 55-year-old female with a past medical history of HF, atrial fibrillation (diagnosed two months ago at a cardiologist's office), post-menopausal x8 years, and hypothyroidism. She presents to your office complaining of increased fatigue, memory loss, and weight gain. You review her medication list and order a TSH level along with other standard lab work. Her TSH level returns at 10 mIU/L; other labs are normal. A physical exam showed some increased edema and slow reflexes. Her previous TSH level three months ago was 4 mIU/L. She states she has been taking all her medications as prescribed. Upon reviewing her medication list with the pharmacist, you note that which of the following was added to treat her atrial fibrillation, which could interact with levothyroxine?
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