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If you do need to take a dose early or late, note this in your log along with any side effects you experience, as this information can guide future dosing decisions and help your provider assess your treatment response

Retatrutide does not magically delete muscle

Contraception : Women of childbearing potential should use non-oral contraception or backup methods for 4 weeks after tirzepatide initiation and after each dose escalation

Neurol Clin Pract 2021;11:e504-7

The 28-day countdown begins when you open the vial for your first injection, not based on your injection schedule
Worsening symptoms or the appearance of new ones also warrant a conversation with your healthcare provider to rule out any other potential risks