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Original Question

A 26-year-old woman presents to the clinic with complaints of watery diarrhea. She states that her symptoms began a couple of weeks ago. She reports having 3 to 4 loose bowel movements daily. There is no blood or mucus in her stool. Past medical history and family history are non-contributory. She reports that she is a medical student currently studying for her board exams and has been under a lot of stress lately. She includes in her history that she has had stomach pain for the same duration of time and has been taking magnesium hydroxide for her symptoms. Her stomach pain has been well-controlled with magnesium hydroxide. Vital signs show blood pressure 110/75 mm Hg, pulse 95/min, respiratory rate 16/min, and temperature 37.0 °C (98.6 °F). Which of the following is the next best step in the management of this patient? A. Stop magnesium hydroxide B. Increase dose of magnesium hydroxide C. Change magnesium hydroxide to as needed calcium bicarbonate D. Add aluminum hydroxide

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