Follow up appointment - male

**On going plan** 1. [Investigations planned] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) 2. [Medications & dose & frequency prescribed] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) 3. [Lifestyle recommendations in brief] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) 4. [Follow up recommendations] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) [This letter relates to a male patient. Express in paragraph form starting with “I reviewed this man in clinic today,” and ensure you include all articles such as ‘he’, ‘the’, ‘a’, and ‘an’. Make the text sound natural and grammatically correct, like fluent spoken English. Provide an update on how he describes any changes in his symptoms since his last review, including any new symptoms if mentioned. Then summarise the findings of his recent gastrointestinal investigations, if explicitly mentioned. If a diagnosis has been given, include it; otherwise omit. Then summarise my recommendations in paragraph form, including the investigations planned, medications prescribed, lifestyle recommendations (in brief), and follow up recommendations.] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) (For each section, only include if explicitly mentioned in the transcript, contextual notes, or clinical note; otherwise omit section entirely. Never create, infer, or assume any patient details, assessments, diagnoses, or plans. Use only the transcript, contextual notes, or clinical note as the source of information. If a placeholder’s information is not explicitly mentioned, omit it silently without indicating omission. Never hallucinate or fabricate any clinical information.)