An Older Patient with Hypothyroidism Asks Why Her Daily Dose

An older patient with hypothyroidism asks why her daily dose of thyroid hormone, which she has taken for 15 years, has been reduced.What is nurse's best rationale when explaining what the decreased dose is related to?

A) Improved efficacy of the thyroid preparation
B) Age-related reduction in metabolic rate
C) Drug-related hypertrophy of the thyroid
D) Changes in your diet and activity level

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