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One month later, the patient became pregnant and tapered off clarithromycin and nystatin but stayed on low-dose hydrocortisone (2.5 milligram BID) and Armour thyroid (dosage of 90 mg/day) as per her endocrinologist, along with Bicillin and azithromycin (Zithromax)

The solution was then transferred to a Teflon lined stainless steel autoclave (Parr acid digestion vessel, 45 mL) and heated in an oven to 180 C for 20 h