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Acceptable timing adjustments include: Missed dose recovery : If a missed dose is remembered within four days (96 hours) of the scheduled injection time, patients should administer the dose as soon as possible and then resume the regular weekly schedule

Plan around known disruptions If you know a vacation, work trip, or medical procedure is coming, adjust your schedule proactively

Common justifications include allergy or sensitivity to an inactive ingredient in the commercial product, need for a specific dose not available commercially, or documented medical need for the additional niacinamide component

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