@@impudelle you are welcome

@stanceworks7995 the best practice is to keep it stored in fridge... on the door of fridge to maintain temperature of 2 to 8 degrees centigrade... This is best practice

@TFS0096 that's completely Normal because there is more loose tissue on abdominal wall than on top of thigh. You have injected properly if no fluid left in pen and nothing dropped outside like a jet of fluid

@@Endo-Diabetes-Simplified thanks 😅

@@LoveFalmouth best practice is to keep it in fridge as weather is very warm

​@@Endo-Diabetes-Simplifiednot in the uk it isn't. We are told to keep at room temperature after first dose

@GuilhermeSertorio-nx8ei that's correct and one pen will last 8 weeks unless you change dose from 7.5mg to higher or lower

Actually you will have 10 doses. There is a fifth dose as a rest in the pen. Just use e.g. a Diabetes syringe

@@deyaniraospina8699 it's usually 9 clicks. Can you confirm what's the total number of clicks on your device

@@Endo-Diabetes-Simplified 72

@@deyaniraospina8699 9 clicks should give 0.25mg approximately

If I want to go up to 0.5 ?

@@deyaniraospina8699 18 clicks for 0.5mg

Thank Dr for everything 🙏

009647812297991

@HTHGF-r4t ... no worries. I have requested drug directly from company for 1 patient. Let me see how it goes. If I can arrange for that patient then I'll let you know. Currently as we speak, it's not directly available... What's the age of your son?

Thank you Dr for everything 8 years ​@@Endo-Diabetes-Simplified

@theresastressman147 starting dose is 0.25mg but if tolerance issues being faced, you may try 0.125mg by 9 clicks on 0.25mg pen

@@Endo-Diabetes-Simplified I did not know my pen clicked I mean I had to listen to it when I pushed it but by 9 clicks are you meaning I turn it? I have usa pens if that makes a difference.

​@@theresastressman147 Yes, I mean turning the dial and counting the clicks.

@viperfanatic13 as long as the skin is clean and the person is aware that there's no contamination like has taken shower etc, it's fine to inject on clean dry skin...

@MohamedIbrahim-hj9li it has been used for longer than 6 weeks by some patients. But be careful about efficacy of molecule and speak to your endocrinologist if response not appropriate or any injection site reaction

@@Endo-Diabetes-Simplified thxx very much

@@milosnenadovic9086 yes it does

Thank you for the quick answer ​@@Endo-Diabetes-Simplified! After my first dose yesterday (which was half a dose of the 5mg Kwikpen), I started getting pains today accros my body. It is nothing that stops me from moving or doing any other function so i dont feel bad but i have a hypersensitivity in my body (for example the weight of the shirt that i am wearing on my sholders hurts). Is this a regular effect of taking mounjaro? Of course I will consult with my doctor, but I wanted to check if you have any insight into this situation as well. Thanks!

@verlaryder it's unlikely to be a wasted dose because the injection dose has plenty of fluid and if no fluid seen outside, the dose has gone to the proper site under the skin

@@m.phoenix1399 not that much but yes a prick is felt with the spring mechanism

@fatmehahmed9546 yes, you can. But ensure you are changing site for each injection.

@@Endo-Diabetes-Simplified thank you so much for replying. It would be fine to take it right after each other on the same day or do you suggest I take one dose on one day and the next dose on the following day.

@fatmehahmed9546 I personally discourage two injections same day as patients need to spare the sites and use alternate sites each week. Sometimes, I recommend taking 0.25 mg every 3 days to get steady state of 0.5mg per week. But that's only in exceptional cases. Why should one do it when taking 0.5mg once weekly would be a cheaper option if that's the recommended dose. The only reason I could think would be tolerance issues with full dose of 0.5mg in one go and then I split the dose. But that's of licence advice for strict supervision under an endocrinologist. You can't take youtube as your endocrine advice as there's no responsibility in such conversations

@@Endo-Diabetes-Simplified thank you!

If a break longer than 8 weeks happened from high dose then you may trial lower dose because it might be a good chance to get same response with lower dose. This also avoids unnecessary side effects with sudden starting off high dose

@cuentaalberto5376 kzbin.info/www/bejne/nIOvn3eMrc6Ma6s here you go, Alberto... it's a common question. In order to ensure that my patients don't get into hands of counterfeit products, I made this box opening video. There are no needles but check the above video to be sure

You can easily buy from pharmacy 4mm size insulin pen needles either NOVOFINE or BD needles 4mm

@@Endo-Diabetes-Simplified Thanku so much! This really helped me!! ❤️❤️

Fully agree

@GodsWriterSeven it's one a week long acting drug so timing doesn't matter. Choose a time and day that's easier for you to follow. Most of my patients take it at bedtime for their own convenience.

@80Gunes80 you may or may not see a blood drop... Blood drop is not a criteria to check. You medication had gone

@DinasUmhassn any extra dose left in the pen should be used with new needle. The pen is usually perfectly fine to be used till 6 weeks Ensure child chain is maintained and you have endocrinologist supervision for ongoing usage with correct dosing regime

@@Endo-Diabetes-Simplified sure doctor I have extra new needles and I’m following with my doctor, I mean how to get use of the extra dose according to the clicks as you explained in this video?

@DinasUmhassn your dose will be decided by your doctor and adjusted as per response. I try to get maximum response from minimum dose to avoid side effects and prevent relapsed weight gain. It's best to always have starting dose of 0.25mg and go as per your response. It's best to discuss this with your endocrinologist. This demonstration was for someone who couldn't tolerate high dose and needed to take lower dose from the high dose pen. Later on they went on their higher dose as clinically needed

@@Endo-Diabetes-Simplified I really appreciate your response , Thank you doctor

@@alexausberlin this is not recommended due to risk of cross contamination

descobriu? achei uma tabela e segui ela… dizia que 16 clicks no de 2.4 equivale aos 36 clicks do ozempic

@@peterlukacs that's why I showed you how the liquid comes out because you normally don't see this when it goes under the skin

@vivianvalencia7867 please have look at this video for clarity about how long each ozempic pen should last kzbin.info/www/bejne/pGawZoZ5eNl-jas

@vivianvalencia7867 if you are only on 0.25mg then the cheapest option would be using 0.25mg pen as it will give you 8 doses. Watch the video below for clarity kzbin.info/www/bejne/hqvOmquom8iWeqc

@@Endo-Diabetes-Simplified Thank you Dr. The only problem is that in Colombia they only have pens of 0.5mg or 1mg. That is why I was wondering if the 0.5mg pen would give me 8 dosis of 0.25mg or less since I know the 1mg pen has 16 dosis of it. Please help 🙏 also thanks for your quick response.

@@vivianvalencia7867 in that case, 1mg pen device would be most cost effective

@@Endo-Diabetes-Simplified Thank you so much Dr. You are the best 🙌

The autoinjector device does have the advantage of keeping needle concealed. The spring mechanism can be a bit daunting for some but most people love it. You may switch to Mounjaro Kwikpen device if you like having more control on needle insertion under your visibility. The Mounjaro Kwikpen is somewhat like ozempic pen kzbin.info/www/bejne/fqHZnWZtjq6Bfqc

@queenandprincessg7516 this would be equal to 0.75mg... that's fine if going up from 0.5 and don't want to take 1mg

@deolian1 just ask pharmacy for insulin pen BD needle 4mm or flexneedles for pen device

@@SallM-x1p 36 clicks for 7.5mg and 48 clicks for 10mg on the Mounjaro Kwikpen 12.5mg device