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Had sort of assumed it was to do with risks of cross contamination but thinking about how others have described the process of doing an intra-muscular injection I think different sized needs are used to draw the fluid in to the syringe - probably a wider one - and then a finer one to inject

doi: 10.1016/j.celrep.2020.02.049 43 MastroberardinoPGHoffmanEKHorowitzMPBetarbetRTaylorGChengDet al

Yes, it is commonly used in fertility and IVF treatment protocols to trigger ovulation and support reproductive therapy

doi:10.1086/341914 Kennedy G, Spence VA, McLaren M, Hill A, Underwood C, Belch JJ (September 2005)

During median follow-up 6.4-years (IQR 3.68.9-years) and 652 scans (median 5 scans per patient), 23 aneurysms grew