C10022190 / invoice 10000

Repeat prescription
History/Current Medical Conditions: cough and HQ OA 
Usual case manager: Rosh
Medication required: levothyroxine
Current medications and doses given:
melox 0.35ml WOD 
zylkene 
100mg gaba pre consult 35mg sid 
Date of last consultation: 3/26
Date of last blood tests:  3/26
Date last prescription repeat sticker applied: 
Comments:
SCRIPT FOR LEVOTHROXINE 100 mcg x 100 give 1 and 1/4 twice daily. NEW medication text o when ready rj

Repeat prescription
History/Current Medical Conditions: cough and HQ OA 
Usual case manager: Rosh
Medication required: levothyroxine
Current medications and doses given:
melox 0.35ml WOD 
zylkene 
100mg gaba pre consult 35mg sid 
Date of last consultation: 3/26
Date of last blood tests:  3/26
Date last prescription repeat sticker applied: 
Comments:
SCRIPT FOR LEVOTHROXINE 100 mcg x 100 give 1 and 1/4 twice daily. NEW medication text o when ready rj

Dear Joy
Sorry for delay ! It may be that lack weight loss reflective of her hypothyroid state and the cold intolerance. 
Hopefully she feels a bit better with medication on board. Please  monitor for side effects noted in article I sent
See you in about 6-8 weeks

Take care of yourself





best regards

Roshan






________________________________________
From: Adrian Blackberry <adrianb07@gmail.com>
Sent: Sunday, 8 March 2026 4:12 PM
To: Roshan Jungalwalla <rjungalwalla@hotmail.com>
Subject: Re: Billie
 
Hello again Roshan
No other questions needed .
We have had a talk, and Adrian will pick up Billies new meds.
We have dropped her food quantity and she did not loose weight. She loves having a knitted coat on so she may have had some symptons.
Thanks again

Regards to you
Joy

On Sun, 8 Mar 2026, 9:00?am Adrian Blackberry, <adrianb07@gmail.com> wrote:
Thank you Roshan 
I am in tthe Clinic
Thank you fkr your care, phone
 call , text and email
I have just read the email once.
I agree with all things you stated
I will be in touch wifh Adrian soon and he will pick up meds Tues
I will send another email soon, as i will reread your email and touch base with any other questions.

With regards
Joy


On Sat, 7 Mar 2026, 8:59?pm Roshan Jungalwalla, <rjungalwalla@hotmail.com> wrote:


Dear Joy and Adrian
I hope you are both well. We have results back for the thyroid function test and is is very suggestive of hypothyroid disease for Billie. Normally dogs with hyopthyroid disease feel the cold, are slower than they used to be, can get skin conditions, gain weight can develop nerve issues. While Billie does not have all these I think the tests are suggestive enough to commence treatment.
There is a tablet to be given twice daily ( for life) and we check blood thyroid levels 4-6 hours after morning tablet given in about 6-8 weeks. I will send you some information on this disease in dogs and if you would like to treat then let me know  - I will add her to the scripts to be made up on tuseday,
Aside from this her blood test show low creatinine  ( she has had this before probably as she lacks muscle) and slight increase in one liver values. Ideally we should consider abdominal utrasound but as she is clinically well and liver value not increased from last visit I think it reasonable to commence treatment for thyroid and re check in 6-8 weeks, If higher then we can think about ultrasound.

Please continue all medications as you have been  and collect and commence thyroxine if you are happy to do this.

Please let me know if you would like call to discuss first
I will include some information with side effects on medication for you to read also

Best regards
ROshan