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The upper arm is the third approved site

Irvine N, England-Mason G, Field CJ, Dewey D, Aghajafari F

Zinc: Aids in wound healing and clotting

The most likely explanation is that GLP-1 receptor activation on vascular endothelium, atherosclerotic plaques, and inflammatory pathways drives most of the cardio benefit and that benefit doesn't scale linearly with weight loss