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Description
If more than four days have passed, skip the missed dose and take the next one on schedule

If you are using the correct number of units for 2.5 mg , side effects should be manageable regardless of timing

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If you are using a pre-filled pen, check the expiration date and ensure the medication hasn't been dropped or damaged during storage

Figure 2 illustrates the effect

You likely expect some initial nausea as your body adjusts to the new hormone levels
