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Stands like this have to be paired with an external keyboard.

Raising the monitor so that the top is as close to eye level as possible (while maintaining a straight back) is better orthopedicly.

It's impossible to achieve this and a good keyboard posture, so you must introduce an external keyboard.

Without an external keyboard, there is no value in using a stand, you might as well just keep the laptop in a neutral position.

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I use my glasses case to raise the back of the computer. It adds a gap between table and computer. The rubber nobben on the underside of the laptop prevent the glasses case from slipping. This raises the notebook to a nice angle and the keyboard is still usable for me.

Shouldn’t the monitor be centered at eye level? Or is it worse to look a little bit up than down?

I have had office desks professional adjusted by an occupational safety orthopedic person and that has always been the advice I was told.

Another piece of advice was that on a standing desk your forearms should not be parallel to the ground but slightly below your elbow.

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