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Stacking them requires specific caution because GLP-1 drugs alter gastric motility, insulin signaling, and appetite regulation

Professional baseline establishment Comprehensive eye examination before starting: Visual acuity testing (Snellen chart, standardized lighting), refraction determining prescription, intraocular pressure measurement, dilated fundus examination (detailed retinal view), optical coherence tomography (OCT) measuring retinal layer thickness, visual field testing for glaucoma suspects, fundus photography documenting retinal appearance, macular pigment optical density if AMD concern

BAC water is commonly used because it is sterile and safe for mixing

Determine concentration: - For 1 mg vial + 2 mL bacteriostatic water = 500 mcg/mL - Each 0.1 mL = 50 mcg - For 20 mcg dose: draw 0.04 mL - For 40 mcg dose: draw 0.08 mL 2