What follow-up is necessary for a 46-year-old male patient with a 4-year history of subclinical hypothyroidism and a consistent reticulocyte count of 2.6%?

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What is the best course of action for a 46-year-old male patient with a history of subclinical hypothyroidism (underactive thyroid gland), not currently on thyroid hormone replacement therapy, who presents with 2.6% immature granulocytes (immature white blood cells) on a complete blood count (CBC) without recent infections?

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