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Narrative reviews are inherently limited in relation to systematic reviews, having a lower rigor in the selection and inclusion of all available studies and in the quantitative synthesis analyses that can be performed [171]

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Procedure Steps Preoperative Preparation and Clinical Assessment Before initiating specific investigations, clinicians obtain a detailed history of symptom onset, triggers (e.g., meals, caffeine, alcohol, latenight eating, obesity), and associated conditions such as asthma, allergic rhinitis, or obstructive sleep apnea

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That service context does not change whether a medication is approved, appropriate, or clinically monitored