I think that most pharmacies supply the pens with needles, I know there are a couple who don’t. The ones received are usually 4mm and 31/32g but I was watching a doctor explain about how the medication is absorbed and had mentioned that sometimes 4mm isn’t the right length and maybe 6mm or 8mm would be a better choice. Which got me wondering, has anyone bought additional pen needles at 6/8mm and have you noticed a difference in how effective you are finding your injections at all?