MRD / Regn No. : 20260000346 Date : 29/06/2026
Patient Name : Swastik Rana Age & Gender : 23 Yrs. / Male
Contact No. : 8918952076 UHID :
Ht / Wt / BMI : 167 / 131 / 46.97 BP S / BP D : /
Allergies : NKA Referred By :
   
Problem List : OBESITY (25/May/2026) | OBSTRUCTIVE SLEEP APNEA (25/May/2026) |
Subjective : THYROID DYSFUNCTION FOR 4 MONTHS,WEIGHT GAIN FOR 10 YEARS
Objective : ACANTHOSIS
Analysis : OBESITY,OBSTRUCTIVE SLEEP APNEA,LOW VCDR HOWEVER OPHTHALMOLOGY OPINON SAYS LOW RISK FOR OPTIC NERVE PATHOLOGY
Plan : INCREASE TIRZEPATIDE 7.5 MG,SEE ME IN 1 MONTH  
Salient Investigations : TOTAL T3: 115.703 | TOTAL T4: 8.976 mcg/dL | TSH : 2.805 mIU/L
S# Generic (Trade) Name Route Dosage Usage Duration
1 TABLET THYROXINE 88 MCG
THYRONORM 88 MCG
Medicine For LOW THYROID
PO 1-0-0 EMPTY STOMACH
TILL NEXT VISIT
MUST BE TAKEN ON AN EMPTY STOMACH. COFFEE TEA OR B...
2 CAPSULE CHOLECALCIFEROL 2000 IU
D RISE
Medicine For VITAMIN D
PO 0-0-1 AT BEDTIME
TILL NEXT VISIT
3 INJECTION TIRZEPATIDE 7.5 MG
MOUNJARO
Medicine For DIABETES OBESITY
SQ ONCE A WEEK AS DIRECTED NO RELATION TO FOOD
TILL NEXT VISIT
MAY CAUSE NAUSEA VOMITING
       
Refill : 0 / Substitution:    
Education : RARE VERY RARE INSTANCES OF EYE DISTURBANCE WITH TIRZEPATIDE HAVE BEEN REPORTED IF YOU HAVE ANY EYE DISTRUBANCES PLEASE INFORM ME
Next Visit : 29/Jul/2026
Tests Suggested For Next Visit : NONE
   
   

Dr. Krishna G Seshadri
Sr. Consultant Endocrinology Diabetes and Metabolism
Tamil Nadu / 48748 HPRID: 71-0638-2075-7542

Disclaimer: This is an ONLINE consultation. The patient has not been physically examined. The prescription or advice is based on the patient's description of the problem which is given above and also explained over video consultation.
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