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They are located at the back (top) of the hand and make an optimal choice when inserting an IV in the hand, as infiltration is easiest to notice

[DOI] [PMC free article] [PubMed] [Google Scholar] Waeg G, Dimsity G, Esterbauer H

Additional instructions for use: Adjust the pen doser by turning it to 16 or 20 (1 unit equals 1 of the divisions on the doser) and inject into the abdominal area or the front of the thigh
& Kawamoto, T

The tight budget argument, when used, is often a blanket statement referring to the overall pressure on NHS resources, not the specific cost of a single appointment