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While tirzepatide does not require dose adjustment for renal impairment, gastrointestinal side effects (nausea, vomiting, diarrhea) could potentially lead to dehydration and acute kidney injury, particularly in patients taking renally excreted beta blockers like atenolol

27 In dermal nevi the melanocytes often develop spindled cell and Schwann cell-like characteristics (neurotization), such as a fibrillar appearance with pale eosinophilic cytoplasm and wavy nuclei (type C nevus cells) (Fig