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In this chapter, a systematic approach to the physical examination and subsequent decision-making will be discussed as means by which to distinguish non-melanocytic from melanocytic causes of nail pigmentation

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Benefits: collagen & elastin production, firmer skin, wound healing, reduced inflammation, and hair growth

Patients may need a more careful discussion if they have a history of: Previous NAION in one eye Significant optic nerve crowding Diabetes with vascular complications Sleep apnea, especially untreated sleep apnea High blood pressure or low nighttime blood pressure Cardiovascular disease Sudden unexplained vision loss in the past This does not automatically mean a GLP-1 medication is unsafe, but it does mean the patient should have a personalized risk-benefit discussion with their medical provider