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Add the fact that no large randomized trial has compared the combination against either agent alone, and there is no clean way to attribute anyone's outcome to the pairing

Do not exceed a daily intake of 400 mg of caffeine from all sources and 200 mg of caffeine in a single dose

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El-Daly M, Pulakazhi Venu VK, Saifeddine M, Mihara K, Kang S, Fedak PWM, Alston LA, Hirota SA, Ding H, Triggle CR, Hollenberg MD (2018) Hyperglycaemic impairment of PAR2-mediated vasodilation: prevention by inhibition of aortic endothelial sodium-glucose-co-Transporter-2 and minimizing oxidative stress

This means semaglutide users often add more water (2-3mL) to keep lower doses measurable, while retatrutide users at higher doses may prefer less water (1mL) to keep injection volumes manageable