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You can take your shot two days early as long as at least 72 hours have passed since your last injection

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The clinical question isn't "Does this patient on Zepbound have neck pain?" but "Is this neck pain pattern consistent with tirzepatide, or is it unrelated cervical pathology that happens to be concurrent?" The distinguishing features are timing (onset within 2-6 weeks of medication start or dose change), bilateral distribution, absence of neurological symptoms, and correlation with nausea