46  years old female pateint 
kidney donor   2019   to her  brother 
creatinine after   operation     normal   1.05   recently but before   that it was  0.8 
she  is  gaining  weight   before kdiney donation 
tsh    4.75 

she has   persistant high blood pressure 
bp 140/100   and  sometime increased 

no  major  joint pain 
she has     epigastric paina dn she  has  persistat    pain 
she is s/p  gall bladder  resection

plan
metfomin   x2 
carvidelol  1x2 
pqantover   40 
rtc after one months
