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Recommended steps include: Comprehensive cardiovascular risk factor optimization Blood pressure management, avoiding excessive nocturnal hypotension Evaluation and treatment for obstructive sleep apnea if suspected Consideration of aspirin therapy based on individual cardiovascular risk assessment and USPSTF guidelines Regular ophthalmologic monitoring of the unaffected eye The decision regarding Zepbound continuation should involve shared decision-making between the patient, prescribing provider, and ophthalmologist

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