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I thought about asking the doctor or nurse next time I saw them for their logic (but in todays environment the standard answer from them is if you ask questions, they consider that aggressive behaviour, so Ive been rather put off speaking up)

Inject Subcutaneously: Pinch the skin to create a small fold and insert the needle at a forty-five degree angle

[1] [5] These medications bind to GLP-1 receptors primarily in the pancreas, brain, and gastrointestinal tract, leading to increased insulin secretion, reduced glucagon release, and enhanced satiety