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A study by Chan showed that only 32% of patients received the correct dose of intramuscular injection, the reason being that needles could not penetrate the muscle due to excessive fat in patients buttocks caused by obesity (Anonymous 2005)

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Shoulder Injury Related to Vaccine Administration (SIRVA) occurs when a vaccine injection is given too high or too deep in the deltoid muscle (upper arm), causing nerve damage, inflammation, or joint injury

Bariatric surgery patients already face lifelong risks of protein malnutrition and micronutrient deficiencies due to reduced intake capacity and, in malabsorptive procedures, impaired absorption