and for gentleness, a solid 5/5
Lighting, posture, angle, hydration, sodium intake, and clothing can dramatically change how a body looks in two images taken days apart, and none of that is physiology
Pinch a fold of skin at the injection site with your non-dominant hand Hold the syringe at a 90-degree angle to the skin surface Insert the needle fully into the pinched skin fold in one smooth motion Release the skin pinch Push the plunger slowly and steadily until all medication is delivered Wait 5 to 10 seconds before removing the needle (this prevents medication from leaking back out) Remove the needle and apply gentle pressure with a clean cotton ball or gauze if needed Dispose of the syringe in a sharps container immediately Do not rub the injection site
The choice between brand-name at $349 and compounded at $199 involves weighing the $150 monthly savings against preference for FDA-approved medication with pre-filled pen convenience
And what I've learned working with patients is if you take away the easily enticed eater and they don't have to count calories all the time, and they can start eating healthier because they're not driven to eat, they have the psychological and mental bandwidth to start tackling these other phenotypes that they have been unable to conquer, because they have the other ones under better control
References Mischley LK, Conley, KE, Shankland EG et al