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Adverse reactions after discontinuation of serotonergic antidepressants, particularly after abrupt discontinuation, include: nausea, sweating, dysphoric mood, irritability, agitation, dizziness, sensory disturbances (e.g., paresthesia, such as electric shock sensations), tremor, anxiety, confusion, headache, lethargy, emotional lability, insomnia, hypomania, tinnitus, and seizures

Tirzepatide is an injectable medication that is a dual agonist of the GLP-1 GIP receptors

The distinctive feature observed was deposition of fine black granules in the basement membrane of eccrine secretory coils [Figure - 4], blood vessels wall, around pilosebaceous units and along the elastic fibers of the papillary dermis [Figure - 5]

(ALT, AST)