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About the reviewerView full bio Dr Doug McKechnie, MRCGP Medical Writer MA, MBBS, MSc, DRCOG, MRCP(UK), MRCGP(2021), FHEA Dr Doug McKechnie is an NHS GP working in London

Jeff , who is the clinical nurse who does the treatment, was so charming and actually just pure delight

I don't know if this helps but I'v always found the upper deltoid far less painful than the thigh

However, the more honest metric is cost per effective dose , and here oral's lower and more variable systemic bioavailability complicates the picture: if a larger oral dose is needed to achieve a comparable systemic effect, the apparent per-milligram savings shrink