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Lesions evolve with age, the initial lesion being macular with nests of proliferating melanocytes confined to the dermoepidermal junction

Label warnings to know: Thyroid C-cell tumor warning (avoid if personal/family history of medullary thyroid carcinoma or MEN2) Pancreatitis riskseek immediate care for severe abdominal pain Gallbladder disease Dehydration/acute kidney injury risk with persistent vomiting or diarrhea Drug interactions: Birth control (tirzepatide): Oral contraceptives may be less effective around initiation and each dose increase

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Adjust implementation based on results and tolerability