GLP-1 Injection Sites
Where you inject matters for comfort and absorption. Here's the complete guide to choosing and rotating injection sites for semaglutide and tirzepatide.
Approved Injection Sites
GLP-1 medications are subcutaneous injections—they go into the fatty tissue just under the skin. Three areas are approved:
ABDOMEN
The most popular choice. Use the area at least 2 inches (5 cm) away from your belly button.
Pros: Easy access, typically more fat tissue, least painful for most people
THIGH
Front or outer thigh, in the middle third between knee and hip.
Pros: Easy to reach, good for rotation, convenient when sitting
UPPER ARM
Back of upper arm, between shoulder and elbow.
Pros: Out of sight, works well for some. May need assistance.
Why Site Rotation Matters
Injecting in the same exact spot repeatedly can cause:
- Lipodystrophy: Changes in fat tissue—lumps or dips at injection sites
- Reduced absorption: Scar tissue can affect how medication is absorbed
- Increased discomfort: Overused areas become more sensitive
ROTATION STRATEGY
Move at least 1 inch (2.5 cm) from your previous injection site. Consider a clockwise pattern: right abdomen > left abdomen > right thigh > left thigh > repeat. Or simply alternate between two main areas.
Which Site Works Best?
Absorption is equivalent across all three sites, so choose based on comfort and convenience:
Choose abdomen if: You want the easiest access, typically lowest discomfort, and most tissue to work with. Most users prefer this site.
Choose thigh if: You prefer not to lift clothing, want to inject while sitting, or need another option for rotation.
Choose arm if: You have someone to help, prefer it out of sight, or find it most comfortable for your body type.
Areas to Avoid
- Within 2 inches of the belly button
- Areas with bruises, cuts, or skin irritation
- Scar tissue
- Stretch marks (reduced absorption possible)
- Areas with prominent veins
- The same exact spot as previous weeks
Tips for Lagos Users
A few practical considerations for our climate:
- Sweat: Make sure the injection site is clean and dry. Wipe with alcohol and let it dry completely.
- Clothing: Abdomen works well when you need to inject discreetly without fully undressing.
- Travel: If moving around Lagos, thigh injections work well when you need to inject in transit (car, office bathroom).
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Medically Reviewed by Dr. Chukwuemeka Okonkwo
MBBS, FMCP - Endocrinology
Content reviewed by qualified healthcare professionals for accuracy.