Regarding white coat hypertension, the shot isn’t always necessary. Some people’s blood pressure just goes up from the stress of the clinical setting.
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Once, I had to give my spouse an injection, and I almost passed out and threw up, once when they took the cap off the syringe and accidentally poked themselves in the finger, and then when I actually had to administer the injection.
I know I'd get used to it, but there's a decent chance that if I had to give myself insulin shots, I'd just fucking die.