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Primary endpoints included cataracts, oculomotor binocular dysfunction, visual impairment and blindness, visual disturbances, dry eye disease, and ametropic accommodative dysfunction, all identified through ICD-10-CM coding (Supplementary Data 3)

This may lead to a new MDL that focuses on these conditions

Monitoring adverse event reports and maintaining communication with healthcare providers important for identifying problems

Limited access to certain ingredients: Due to regulatory restrictions, 503B facilities often cannot access certain active ingredients that compounding pharmacies can source, limiting their options for patient-specific formulations

These changes are not just about weight loss