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In many patients, the pigment is restricted to the gingiva
Clinicians have gained experience managing patients who transition from other GLP-1 receptor agonists to tirzepatide, noting that prior tolerance of GLP-1 therapy generally predicts better tolerance of Mounjaro, though gastrointestinal effects may still occur
According to NICE guidance (NG129) and the British Society of Gastroenterology guidelines, first-line therapy often includes corticosteroids (e.g., prednisolone or budesonide) for acute flares, followed by immunosuppressants such as azathioprine or methotrexate for maintenance
There's no wrong answer here
Others prefer starting directly with tirzepatide for its superior efficacy data
At Spa Blue Skin Care & Laser Center, we encourage our clients to make informed decisions about their anti-aging treatments
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