Hard twist

[TigerDroveAgain]

Could someone explain this to me in very basic words please? I had my fourth dose last week (well, eighth actually) and wouldn't mind getting the bonus dose out if I can

You can get an extra dose out, the pen feels like it won't turn all the way to 1 but if you keep trying with a firm hold it will.

However you probably have more than one dose left. If you want to use the extra bit (about a quarter or third of a dose) you will need an insulin syringe

Hello Tiger! It's your old penguin pal here!

Hard twist is just that. I was all confused at first but it's literally forcing the twist action until the pen literally won't go round any further. Teeth if you're like me and don't mind using them as tools

You'll feel the pen kind of go slack at the end and then you'll know it's absolutely done

Some people talk about using extra needles to 'extract' the liquid but that all seemed complicated to me so I prepared pen as usual and added a needle as usual and then just force it to twist

I'm almost at the end of the journey now - good luck with yours!

Thank you both

And hello BatFaced!!! I was thinking about the penguin escapade only the other day and how bonkers it was!

Well done on your journey - I am a quarter of the way there aka 1.2 stone down, 3 and a half to go....

@TigerDroveAgain it certainly was bonkers! Ahh the memories eh?

Good luck with the journey - you'll be there in no time. I'm back to 10 st 7 now with about 8 lbs to go - started in April so it's not been too bad at all, time wise

I tried a hard twist & broke the twist bit of the pen right off.

Anyone know what equipment I nned to buy to extract the last dose? I had a look on amazon but it was all very confusing.

@RobinEllacotStrike oh what a bloody nightmare! I bought these and they've been fine!

I had to use a wrench to hold one side of the pen, and also do it with the cap still on to give me more purchase on it. So I did the hard twist and got it all the way out, and then took the cap off and screwed a needle on. I think I will just ask DH next time as he definitely has more hand strength.

Though perhaps not as strong as you @RobinEllacotStrike - that must have been so frustrating when it broke!

I didn't want to break the pen so I just bought some syringes from Chemist4U (like the ones linked above). I then injected the needle through the rubber, withdrew the dose and injected it. Super straightforward and nothing wasted.

Thanks for the needle recommendations.

Is the 1ml size big enough to withdraw the remaining solution? I thought it would be more than 1ml left in there?

Also can you use one needle to withdraw the med, and then replace the needle before injecting it? Or did you use the same needle?

TIA!

Yes, 1ml syringe is plenty. I think the most K have heard of people getting is 0.8ml.

I used the same needle to draw the medication and to one t. Don't honk you can change needles on these syringes. I made sure I cleaned the seal well.

thank you - hopefully I'll have better luck getting that extra dose next time!

Yes 1ml is plenty. A usual dose is 0.6ml.
The needles on the syringes are fixed on so just use the same one to draw and inject.
Good luck next time.

I only used one syringe - there was plenty of room to draw up the remaining liquid - and I then injected it straight in. I swabbed the seal (as I do with the needles provided anyway).

Well success with the hard twist - thanks for all the tips!

Thanks for the information and the link for the syringes. When I first started someone shared a link for extra needles to fit on the pens. Does anyone have a link for those please or a description for what I am searching for...still a newbie. Week 3 of my journey. Mumsnet has been a mine of information!

Please ignore my request for extra needles link. I looked in various places and found it in a list of helpful tips for newbies..link to the the external page is in the header of main thread Starting Mounjaro. Link is wattnext.notion.site/Pointers-for-Newbies-f069dca500354841a1b73f11f68158e2