A missed dose, and how to write it down honestly

A missed dose, and how to write it down honestly

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The temptation when a weekly dose slips is to backdate it, take it late and pretend the schedule held. That is the one move that reliably makes the next four weeks confusing, because the interval you actually experienced no longer matches the interval in your notes.

Write what happened. If the dose went in on day nine, the entry says day nine. The next dose then either holds the original weekday, which means a short interval of five days, or resets the schedule from the late dose, which means the weekday moves. Both are defensible. Neither is defensible if you cannot see which one you chose three weeks later.

The reason accuracy matters here is that side effects follow the interval far more closely than they follow the dose. A five day gap after a nine day gap is a real change in exposure, and if you then attribute the resulting nausea to a titration step you took at the same time, you have learned the wrong lesson and will avoid the wrong thing.

Practically: record the actual date and time, record the gap in days, and add one line saying why. When you review a rough month, the pattern shows up in the interval column rather than in your memory. Any tool that computes the gap for you is doing the useful part. Mine sits in a peptide tracker with interval maths, which mostly saves me from counting on my fingers and getting it wrong.

Honest records are not about virtue. They are about not sabotaging your own data.

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