Subcutaneous injections are usually safe and do not require as much force as intramuscular injections, which people inject into muscle tissue
Reflux symptoms often appear within the first 24 weeks of starting Zepbound or tirzepatide, then may improve as your body adapts
Nat Rev Nephrol 16(1):5164
However, some protocols inject near the area of interest (e.g., near an injured tendon) for potentially higher local concentrations while still achieving systemic distribution
International Diabetes Institute, World Health Organization Regional Office for the Western Pacific, International Association for the Study of Obesity & International Obesity Task Force (2000)
The latest data appeared to ease some of those worries, with fewer patients reporting dysesthesia