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LABS/Diagnostic: Na 142 mEq/L; K 4.4 mEq/L; Cl 101 mEq/L; CO2 27 mEq/L; BUN 22 mEq/L; SCr 1.5 mEq/L; AST 35 U/L; ALT 28 U/L; Alk phos 88 mEq/L; GGT 106 IU/L; T. bili 0.6 mg/dl; T. prot 6.7 g/dl; Ca 9.7 mg/dl; Mg 1.9 mEq/L; Phos 4.2 mg/dl; Uric acid 8.7 mg/dl; FBG 172 mg/dl; Lipid Profile: T. chol 290 mg/dl; HDL 29mg/dl; LDL 181 mg/dl; TG 400 mg/dl. Urinalysis: Color clear, appearance amber, SG 1.010, pH 5.0, protein(-), RBC 0/hpf, WBC 1-2/hpf, no bacteria. ECG: Bradycardia, regular rhythm. Echocardiogram: Mild LVH with EF of 45%; evidence of mild mitral regurgitation. A: HTN, Hyperlipidemia, Increased BS. BPH. P: Refer to Dietician for diet recommendations for Pre-Diabetes, Hyperlipidemia, and HTN. Encourage daily exercise. Start on with Jayln or generic equivalent 0.5mg/0.4mg po daily, for treatment of BPH. Lab recheck and F/U in clinic in 3 months. TOTAL TIME SPENT WITH PATIENT: 42 minutes

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