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\frac{\left(z^{2}-64\right)\left(z+4\right)}{z\left(z+4\right)}+\frac{\left(z+8\right)z}{z\left(z+4\right)}
To add or subtract expressions, expand them to make their denominators the same. Least common multiple of z and z+4 is z\left(z+4\right). Multiply \frac{z^{2}-64}{z} times \frac{z+4}{z+4}. Multiply \frac{z+8}{z+4} times \frac{z}{z}.
\frac{\left(z^{2}-64\right)\left(z+4\right)+\left(z+8\right)z}{z\left(z+4\right)}
Since \frac{\left(z^{2}-64\right)\left(z+4\right)}{z\left(z+4\right)} and \frac{\left(z+8\right)z}{z\left(z+4\right)} have the same denominator, add them by adding their numerators.
\frac{z^{3}+4z^{2}-64z-256+z^{2}+8z}{z\left(z+4\right)}
Do the multiplications in \left(z^{2}-64\right)\left(z+4\right)+\left(z+8\right)z.
\frac{z^{3}+5z^{2}-56z-256}{z\left(z+4\right)}
Combine like terms in z^{3}+4z^{2}-64z-256+z^{2}+8z.
\frac{z^{3}+5z^{2}-56z-256}{z^{2}+4z}
Expand z\left(z+4\right).
\frac{\left(z^{2}-64\right)\left(z+4\right)}{z\left(z+4\right)}+\frac{\left(z+8\right)z}{z\left(z+4\right)}
To add or subtract expressions, expand them to make their denominators the same. Least common multiple of z and z+4 is z\left(z+4\right). Multiply \frac{z^{2}-64}{z} times \frac{z+4}{z+4}. Multiply \frac{z+8}{z+4} times \frac{z}{z}.
\frac{\left(z^{2}-64\right)\left(z+4\right)+\left(z+8\right)z}{z\left(z+4\right)}
Since \frac{\left(z^{2}-64\right)\left(z+4\right)}{z\left(z+4\right)} and \frac{\left(z+8\right)z}{z\left(z+4\right)} have the same denominator, add them by adding their numerators.
\frac{z^{3}+4z^{2}-64z-256+z^{2}+8z}{z\left(z+4\right)}
Do the multiplications in \left(z^{2}-64\right)\left(z+4\right)+\left(z+8\right)z.
\frac{z^{3}+5z^{2}-56z-256}{z\left(z+4\right)}
Combine like terms in z^{3}+4z^{2}-64z-256+z^{2}+8z.
\frac{z^{3}+5z^{2}-56z-256}{z^{2}+4z}
Expand z\left(z+4\right).