MRD / Regn No. : 20250000855 Date : 20/07/2026
Patient Name : Roshankumar Sundaresan Age & Gender : 31 Yrs. / Male
Contact No. : 9840132194 UHID :
Ht / Wt / BMI : 182 / 135 / 40.76 BP S / BP D : /
Allergies : NKA Referred By :
   
Problem List : OBESITY (30/Oct/2020) | HYPOTHYROIDISM (20/Jul/2026) |
Subjective : THYROID DYSFUNCTION FOR 6 YEARS,HAS STARTED TIRZEPATIDE,NO APPETITE
Objective : ACANTHOSIS
Analysis : OBESITY,VITAMIN D DEFICIENCY,SUBCLINICAL HYPOTHYROIDISM
Plan : SEE ME IN 1 MONTH,INCREASE TIRZEPATIDE TO 12.5 MG,ADD LT4 50 MCG  
Salient Investigations : FREE T4 : 1 ng/dL | TSH : 15.4 mIU/L
S# Generic (Trade) Name Route Dosage Usage Duration
1 TABLET THYROXINE 50 MCG
THYRONORM 50 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 MULTIVITAMIN
RICONIA
Medicine For MULTIVITAMIN 		PO 0-0-1 AT BEDTIME
 TILL NEXT VISIT
MAY CAUSE YELLOW DISCOLORATION OF URINE
3 INJECTION TIRZEPATIDE 12.5 MG
MOUNJARO
Medicine For OBESITY DIABETES 		SQ ONCE A WEEK AS DIRECTED NO RELATION TO FOOD
 TILL NEXT VISIT
MAY CAUSE NAUSEA VOMITING DIARRHEA OR AVERSION TO CERTAIN FOODS
       
Refill : 0 / Substitution:    
Education :
Next Visit : 19/Aug/2026
Tests Suggested For Next Visit : CBC 25 (OH) VITAMIN D VITAMIN B!2
   
   

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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