Tirz + creatine = increased creatinine levels?

I've been on a low dose of tirzepeptide since January and stopped for 4 weeks before colonoscopy. I take around 1.8 - so under the 2.5 therapeutic starting dose. I'm also on HRT (0.1 patch, 200 progesterone, and 3 testosterone) and have been supplementing with creatine powder since January.

Recently had blood work and my kidney levels are abnormal. I have definitely not been as good about hydration as I should be. (Chugging water as we speak)

I'm going to pause on the creatine powder until I chat with my Dr and retest. Anyone else experience this?