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\frac{4h}{h\left(x+h\right)}-\frac{4\left(x+h\right)}{h\left(x+h\right)}
To add or subtract expressions, expand them to make their denominators the same. Least common multiple of x+h and h is h\left(x+h\right). Multiply \frac{4}{x+h} times \frac{h}{h}. Multiply \frac{4}{h} times \frac{x+h}{x+h}.
\frac{4h-4\left(x+h\right)}{h\left(x+h\right)}
Since \frac{4h}{h\left(x+h\right)} and \frac{4\left(x+h\right)}{h\left(x+h\right)} have the same denominator, subtract them by subtracting their numerators.
\frac{4h-4x-4h}{h\left(x+h\right)}
Do the multiplications in 4h-4\left(x+h\right).
\frac{-4x}{h\left(x+h\right)}
Combine like terms in 4h-4x-4h.
\frac{-4x}{hx+h^{2}}
Expand h\left(x+h\right).