A nurse is collecting a health history from a patient that is taking Levothyroxine for hypothyroidism. Over the past 12 months, the dose of the medication has been increased twice. Which of the following statements made by the patient could be the reason the medication is not effective:

"I realize I will be taking this medication for the rest of my life"

"I will not skip doses of my medication"

"I take my medication as soon as I awake with a cup of coffee with cream and sugar"

"I take my medication as soon as I awake, and wait 30 minutes before I eat or drink anything"

"Flush the toilet at least 3 times after each use"