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Interestingly, this raises important points in regard to the need to hold GLP-1 RAs prior to concurrent EGD and colonoscopy procedures and the number of days needed to hold these agents, if necessary

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Clinical clues suggesting atypical TN include: weak or short-lived response to carbamazepine (Tegretol), younger age of onset, gradual onset instead of sudden attacks, persistent pain without pain-free intervals, pain beginning after dental procedures, pain provoked by chewing or talking, and absence of vascular compression on MRI

Because individual response and risk can vary, and pigmentation changes can affect mole/freckle appearance, this topic is best framed as educational context rather than a step-by-step protocol, with an emphasis on skin monitoring and professional guidance