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Small Cell Melanoma Undifferentiated small cell melanomas are most frequently encountered in the setting of a malignant melanoma that has arisen in a giant congenital nevus (Figure 35), the characteristic clinical herald of which is the development of a protuberant and/or ulcerating nodule
The maximum dose typically reaches 15 mg per week, matching the FDA-approved upper limit for brand-name tirzepatide products
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