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Deane AM, Chapman MJ, Horowitz M

If you're uncertain about commitment, confirm the cancellation terms before your prescription is issued - not after

For example, women taking oral contraceptives should take them at least one hour before an exenatide injection to maintain their effectiveness

Minimum between doses: 72 hours Flexibility window: Must maintain 3-day minimum gap Missed dose window: 4 days One day early risk level: Low (as long as 72+ hours maintained) Compounded tirzepatide follows the same rules

It is important to note that while injecting above the belly button is permissible, patients should avoid the immediate periumbilical area (the region directly surrounding the navel)