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Wide is determined by an alveolus position lateral to the desired alar base position (i.e., with lip closure the alar base is medial to the alveolus and thereby sitting in the cleft)

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You dont want to go through all that and then miss something because you werent cleaned out enough. Simple, clear phrasing helps patients understand why were asking them to do more than the handout says

GLP-1 RAs are highly recommended in patients with CVD or high CV risk or those who need to lose weight [13]