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Any provider prescribing compounded GLP-1 formulations should be tracking your progress with periodic bloodwork and, ideally, body composition measurements (DEXA scan or bioimpedance) rather than relying solely on scale weight

If you are able to tolerate them then some anti-inflammatory pain relieve in the form of Ibuprofen, or such like, should help

Patients who receive a combination of anesthetic and steroid medication may notice a slight increase in pain after the injection as the numbing medicine wears off and the cortisone starts to take effect

Your dose may need to go up

The muscle is deep inside the buttock, so the injection requires X-ray guidance with a fluoroscope, a CT scanner, or an open MRI machine