MRD / Regn No. : 20190000390 Date : 08/07/2026
Patient Name : Rajalakshmi Venkatraman Age & Gender : 67 Yrs. / Female
Contact No. : 9884717699 UHID :
Ht / Wt / BMI : 150 / 107.1 / 47.60 BP S / BP D : 115 / 70
Allergies : NKA Referred By :
   
Problem List : HYPOTHYROIDISM, UNSPECIFIED (01/Jan/1998) | LIPODYSTROPHY (22/Jun/2019) | OBESITY (01/Jan/1998) | PREDIABETES (20/Jun/2019) | HYPOTHYROIDISM (13/Sep/1998) | NAFLD (22/Feb/2023) |
Subjective : HAS TAKEN LOWER DOSE OF THYROXINE,WANTS TO CHANGE TO ORAL GLP1RA
Objective : FURTHER WEIGHT GAIN
Analysis : OBESITY,HYPOTHYROIDISM,INCREASED FIB4 / NAFLD SCORE,S1-S2F0 NAFLD,VITAMIN D INSUFFICEINCY,ATROPHIC VAGINITIS
Plan : CHANGE TO SEMALIX ORAL,DECREASE LT4 TO 100 MCG  
Salient Investigations : BUN BLOOD UREA NITROGEN: 9.2 mg/dL | FASTING PLASMA GLUCOSE (FPG): 68 mg/dL | GLYCOSYLATED HEMOGLOBIN (HBA1C): 5.4 % | POST PRANDIAL GLUCOSE (2HPP): 74 mg/dL | CREATININE: 0.6 mg/dL | EGFR EGLOMERULAR FILTRATION RATE: 106.75 mL/min/1.73m2 | UREA: 19.6 mg/dL | URIC ACID: 19.6 | BICARBONATE: 24 meq/L | CHLORIDE: 109 meq/L | POTASSIUM: 5 meQ/L | SODIUM: 144 meq/L | TOTAL T3: 92 | TOTAL T4: 10.1 mcg/dL | TSH : 0.2 mIU/L
S# Generic (Trade) Name Route Dosage Usage Duration
1 DAPAGLIFLOZIN 10 MG METFORMIN XR 500 MG
UDAPA /M
Medicine For DIABETES OBESITY 		PO 1-0-0 BEFORE FOOD
 TILL NEXT VISIT
COMBINATION OF METFORMIN AND DAPAGLIFLOZIN MAY CAUSE GU INFECTIONS AND STOMACH UPSET
2 CAPSULE CHOLECALCIFEROL 2000 IU
D RISE
Medicine For VITAMIN D 		PO 0-0-1 AT BEDTIME
 TILL NEXT VISIT
3 ROSUVASTATIN 10 MG
ROSEDAY 10 MG
Medicine For CHOLESTEROL 		PO 0-0-1 AT BEDTIME
 TILL NEXT VISIT
MAY CAUSE FATIGUE AND MUSCLE PAIN
4 TELMISARTAN CTD 40 MG
ERITEL CH 40 MG
Medicine For HYPERTENSION KIDNEY PROTECTION 		PO 0-0-1 AT BEDTIME
 TILL NEXT VISIT
5 CREAM ESTRIOL CREAM
EVALON 		PV TWICE A WEEK AS DIRECTED
 TILL NEXT VISIT
6 TABLET SEMAGLUTIDE
SEMALIX 7 MG
Medicine For DIABETES OBESITY 		PO 1-0-0 EMPTY STOMACH NO INTAKE FOR 30 MINUTES
MAY CAUSE NAUSEA VOMITING OR CONSTIPATION
7 TABLET THYROXINE 100 MCG
THYRONORM 100 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...
       
Refill : 0 / Substitution:    
Education :
Next Visit : 06/Oct/2026
Tests Suggested For Next Visit : FBS 2HPP FREE T4 TSH HBA1C
   
   

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

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