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While Zepbound can be used in patients with renal impairment without dose adjustment, the FDA recommends monitoring renal function in patients with renal impairment who report severe gastrointestinal adverse reactions

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Stage 3 is characterized by recurrence of vomiting (mostly in pediatric population) due to gastric outlet or small bowel obstruction from gastrointestinal scarring of mucosal ulcers several weeks after the poisoning (2-6 wks)

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