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These may indicate rare but serious complications such as ileus or bowel obstruction

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The key rule is maintaining minimum spacing between doses: Semaglutide: minimum 48 hours (2 days) between doses when shifting injection day Tirzepatide: minimum 72 hours (3 days) between doses when shifting injection day Retatrutide: follow your research protocol spacing, typically weekly If you fly east (losing hours), your injection day arrives sooner than expected