My best explanation of the rule:
* The designated hitter's spot in the lineup cannot change, i.e. it is impossible to double switch the DH.
* If the DH moves to the field, the pitcher must bat in the spot of the replaced player.
* If the pitcher moves to the field, he must bat in the spot of the replaced player, and the DH is out of the game unless he simultaneously moves to the field.
* If a fielder or the DH moves to pitcher, the DH rights are forfeited, so if a new pitcher comes in he will have to bat for himself barring a pinch hitter.
* The pitcher is allowed to bat or run for the DH, and take the DH's spot in the lineup, provided the DH has batted at least once or the opposing team has changed pitchers.
OOTP doesn't allow some of the more obscure methods of DH forfeiture, and in fact didn't allow it at all until a few years ago.
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