What I did was hole saw a 4.5 inch hole near the header and hand fill the insulation. I hole sawed the dry wall so the hole I cut couldn't fall down into the wall. Then I filled the void and used 1 sheet rock screw to hold the circle I previously cut and mudded it back into place.
Do the first ones inside a closet so if it looks funky no one will notice.
I used cellulose based insulation.
Then up top I added a layer or r13 fiber glass then went back over it with r19 fiber glass.
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