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In that case, the patient should skip the missed one and continue on the regular schedule
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The standard cycle consists of 8 weeks on treatment followed by 4 weeks off
The next injection could be moved up in the protocol. But if it was a depot medroxyprogesterone acetate, for example, the significance of treatment failure could be higher
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This is a critical error, as macrocytosis typically only appears in the final stage, when it may already be too late
