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You cannot just skip to a completely different time without considering the gap between doses

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Injection site reactions on tirzepatide Injection site reactions redness, swelling, itching, or a small bruise at the site occurred in 3.2% of Mounjaro users versus 0.4% of placebo participants in the SURPASS trials, per the prescribing information

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Because both medication types influence different physiological systems, careful consideration is necessary when they are used together