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Hi Lynda, welcome to the community. Can you check with your Dr. or Pharmacist and ask them what you should do? Since you are taking the once-a-month dose I'm not sure what the recommendation is for missing a dose. Here's a link from Procter and Gamble that says what to do if you miss a dose, but I would also check with your Dr. since he or she would know for sure what to do. At the link just click on "If You Miss a Dose." Good luck...

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