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Document the new Generate keys button in notifications.md as the easiest Web Push setup path, demoting the CLI to an alternative. Note that clientManaged medication-reminder suppression is an iOS-app-only contract so a PWA-only operator does not go hunting for a web toggle. Add the VAPID env-var names and APNS_KEY_B64 to .env.production.example (the loader and APNs sender read them, but the example omitted them), both as commented placeholders, with a note that Web Push needs no Apple account and that these vars are not in the compose whitelist. Add a Backup and restore section to getting-started.md: a local pg_dump one-liner and the load-bearing warning that the ENCRYPTION_KEYS / ENCRYPTION_KEY must be backed up alongside the dump or the encrypted data is unrecoverable, cross-linking the off-host backup and key-rotation runbooks. Add troubleshooting entries for the compose env-var whitelist and pull_policy: always.