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Women who have absorbed the cultural ideal of thinness pursue it because they have come to associate being thinner with psychological rewards like confidence and happiness, and social ones like better relationships and professional success

doi: 10.1016/j.neurobiolaging.2011.10.015

For the push, I routinely stick (pun intended) to a 23 gauge needle, though your doctor or pharmacist may have their own opinions on needle gauge or even syringe volume