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Rotation schedule example: Week 1: Abdomen, upper right quadrant Week 2: Abdomen, upper left quadrant Week 3: Right thigh Week 4: Left thigh Week 5: Abdomen, lower right quadrant (Continue pattern) This schedule ensures no site is used more than once per month, which is the threshold below which lipohypertrophy risk becomes clinically significant (Frid et al., Mayo Clinic Proceedings , 2016)