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Human timing is unknown
Most successful practitioners develop systems to ensure nothing is missed and responses are documented
If more than five days have passed since your missed dose, skip it entirely and wait for your next regularly scheduled injection day
Weeks 13+: 12mg once weekly (if tolerated and needed)
Large randomized controlled trials, including the STEP trials, demonstrated consistent weight loss of 15-22% over 68 weeks using the standard once-weekly dosing protocol starting at 0.25 mg and titrating to 2.4 mg
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