Cheat sheet

Injection Rotation Grid

April 30, 2026
injection-rotationsubcutaneouslipohypertrophycheat-sheetoperator-reference

At-the-bathroom-mirror reference. For why rotation matters, lipohypertrophy detection, and the infection-prevention basics, see the Injection Rotation article. The grids below operationalise the two principles: don’t inject within ~2 cm of a previous spot for at least 7–14 days, and don’t inject the same broad zone twice in a row.

The four zones

ZoneCodeCellsUse for
Abdomen leftAL7Default; fastest absorption.
Abdomen rightAR7Default; fastest absorption.
Outer thigh leftTL7Forgiving for daily use; large surface.
Outer thigh rightTR7Forgiving for daily use; large surface.
Upper outer hip leftHL5Slower release; ideal for GH-axis or BPC-157 systemic.
Upper outer hip rightHR5Slower release; ideal for GH-axis or BPC-157 systemic.
Upper outer arm leftUL3Occasional only; small surface.
Upper outer arm rightUR3Occasional only; small surface.

Cells are spaced ~2 cm apart in a rough grid within each zone. Number them yourself with a fine-tip skin-safe marker once, then re-check the dots weekly - they last about that long with daily showering.

Daily cadence - 14-day rotation

Each zone gets revisited every ~7 days, each cell every ~14. Compounds at daily cadence: tesamorelin, low-dose semaglutide on tighter cadence, systemic BPC-157.

DayZone-cell
1AL-1
2AR-1
3TL-1
4TR-1
5HL-1
6HR-1
7UL-1 (alternate UL ↔ UR each week)
8AL-4
9AR-4
10TL-4
11TR-4
12HL-3
13HR-3
14UR-1 (alternate)

BID cadence - paired-zone schedule

Two injections per day. Compounds at BID cadence: Mod GRF + Ipamorelin stacks (pre-bed and post-workout), high-frequency BPC-157 healing protocols.

DayAM zone-cellPM zone-cell
1AL-1AR-1
2TL-1TR-1
3HL-1HR-1
4UL-1UR-1
5AL-4AR-4
6TL-4TR-4
7HL-3HR-3
8UL-2 (or skip if irritated)UR-2 (or skip)
9AL-7AR-7
10TL-7TR-7
11HL-5HR-5
12UL-3UR-3
13AL-2AR-2
14TL-2TR-2

Weekly cadence - four-zone monthly rotation

Compounds at weekly cadence: semaglutide, tirzepatide, retatrutide, CJC-1295 (DAC). Each zone gets a full month of recovery between visits.

WeekZone-cell
1AL-1
2TL-1
3AR-1
4TR-1
5AL-4
6TL-4
7AR-4
8TR-4

For weekly compounds with 0.5–1 mL volumes (tirzepatide pen, larger- volume CJC formulations), pinch a generous skinfold and stay perpendicular to the surface. Avoid the small-surface UL/UR/HL/HR zones for these high-volume injections.

Cell-numbering convention

Zones are subdivided into a rough 2 cm grid. The cell numbers are a positional shorthand - pick a corner once and number outward. For abdominal zones, that’s usually:

  • Cell 1 = upper inner (closest to navel, two finger-widths away)
  • Cell 2 = upper middle
  • Cell 3 = upper outer
  • Cell 4 = middle inner
  • Cell 5 = middle outer
  • Cell 6 = lower inner
  • Cell 7 = lower outer

Same logic translates to the other zones (proximal vs distal for thigh, etc.). The convention only has to be consistent for you - the cell number is just an indexing aid for the day-to-cell mapping above.

Quick palpation reminder

Once a month, palpate each zone at a clean (non-injected) site and compare to where you’ve been injecting. Any firmness, rubberiness, or nodularity in injected areas is early lipohypertrophy - pause that zone for 8–12 weeks. Detail in the Injection Rotation article.

Cross-references