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For solo injection at this site, a 4-5 mm needle with a gentle pinch at 90 degrees is the recommended approach

Nausea is the most common side effect, which generally subsides as a persons body adjusts to the medication

and round and round it goes

Potential Link Between Zepbound and Eye Twitching: Electrolyte Imbalances: Zepbound can cause gastrointestinal side effects such as nausea, vomiting, and diarrhea, leading to electrolyte imbalances and deficient magnesium levels, which can trigger muscle spasms, including eye twitching

10.2337/db13-0368 47 HardieD

The right question isnt which is better? but which makes sense for my case?, and thats answered by a clinician who knows your history