Thank you for your clear instructions Dr. Bashir!! so very helpful especially when paying out of pocket. What is the max a pen of Wegovy can be kept in the fridge once opened?? I read 6-8 weeks
I tried this on the 0.25mg pen. It was 36 clicks to the full dose. I've been concerned about side effects so only took 0.12mg. Feel fine so far so taking the rest midweek but think it'll order a bigger pen for my next dose and do this as its very pricey
Very cool. But would’ve been nice to see you installing an insulin needle on the pen, since you’ll be needing to do that for 12 of the 16 0.25mg doses you’re trying to get out of it.
What a great video! Have a question, I have bought a 2.4mg pen- counted 73 clicks in total. to inject 0.8 from 2.4 mg I have counted 24 clicks, can you confirm? And another one, what about the expiry date? It says 6 weeks once the pen is opened. Since I use 0.8 from 2.4 , I can use the pen for 12 weeks. ((0.8*3 ) * 4 dosages = 12 injections
Starting dose is 0.25mg. 0.8 is bit high for first dose Yes it's 24 clicks 6 weeks is recommended. If cold chain maintained you might use longer till 8 weeks, but efficacy may be lost... that's why endocrinologist supervision must Never use if boxed expiry date crossed
Yes the efficiency drops after 6 weeks. The expiry date on box should never be ignored which is when even the closed pen has to be discarded The 6 weeks opening window is for efficacy which is maximum in this period. Proper storage and cold chain maintenence is also important plus ensuring that the fluid is clear colourless. If you are escalating dose every 4 weeks, you might finish it in 8 weeks which is usually perfectly fine. Ensure you have supervision of your endocrine consultant
So if this is a way to make the wegovy last longer especially if my starting dose is 0.25mg (18 clicks), that will give me 16 doses of 0.25mg - correct? Is it ok to keep the medication once used for the first time, for 4 months in the fridge? I thought it had to be thrown out after being open for 6 weeks. Can you please confirm? Thanks!!
@renaewood693 usually dose is increased over time, and the pen does gibbous sooner than 16 weeks. Your endocrinologist should evaluate your response to ongoing therapy. During COVID, pens were used longer than 6 weeks. But those were unprecedented times so exceptions were made. If responses are blunted after 6 weeks then it might suggest either dose increase or changing device
Hi, I recently asked my boots doctor how many clicks I would need to get a 0.25 mg dose from my 0.5mg pen as I took a week off due to sickness. They replied back to say that the product is not designed to be used this way and they cannot confirm how much wegovy is in one click, which can lead to inaccurate dosing. Are they just saying this as they’re realising there’s a loop hole into getting the product cheaper monthly this way? Or is that correct? No where online states anyone has had issues from click counting and I haven’t either as that’s what I’ve been doing. I was just interested to see their response. What do you think? 😊
@JasmineFitzsimons yes that's off licence way of using drugs... only for times of shortages during COVID If you can afford and have the correct pen and have endocrinologist supervision, you can use the normal pens. Even the click count should be under the supervision of your endocrinologist, not the boots' doctors, as they are not speciality trained The click count techniques were initially advocated and informally taught to me by Novonordisk medical representatives during COVID times. They worked quite well during shortages of Ozempic and helped a lot of patients in lock down. Hence techniques are fine to use as long as you have careful supervision of your endocrinologist.
@@Endo-Diabetes-Simplified thank you for your response. I was just concerned that I may be taking less than 0.25mg and if I was to up my dose to 0.5 I’m scared I will have really bad side effects. They haven’t helped me at all and keep saying I need to buy a 0.25mg pen and won’t help me adjust my dose meaning I have to spend hundreds more and disrupt the process. Do you think I will be okay if I go to 0.5mg after click counting?
Hi, All; from my experience with Wegovy, please take the doctor's advice and start from the lowest dose. Especially if you suffer from anxiety and panic attacks, I took 1ml today. The first few hours, I was ok, then I suddenly started vomiting even though I only ate Breadsticks and drank water every hour. Also, this has worsened my anxiety. I regret that I didn't follow the instructions.
Please never take the drugs without your doctor's supervision! I'm sorry to hear your experience. Please go to emergency for safety if your health. Hope all is well
@Endo-Diabetes-Simplified Dear Doctor Bashir, how many clicks is 0.12? I did my 1ml last Sunday, and I couldn't even dare to try 0.25ml due to the side effects, so I would like to know if it is better to do 0.12 ml every three days.
Yes it's in UAE, it's sold under prescription here. I'm not sure about exact prices these days as i don't deal with them. These are just educational patient videos. You might check with pharmacies.
Yes, every time you inject 0.25mg, you dial till the pink line without counting... When you inject, the dial goes back to zero... ua-cam.com/video/p9KOaKiG3tE/v-deo.html Watch this other video for clarity on injection and dial movement
Hey guys, just a quick update. I took my first 1ml dose of Wegovy without consulting with my doctor last Sunday. I have vomited nonstop for four days, and I have a headache, abdominal pain, cramps, an aching body, and 0 energy. Please make sure that you do this injection under your doctor's supervision; otherwise, you will end up at the A&E. Now, I am beyond petrified to take the 25ml dose on Sunday and have second doubts about whether I should use it or not after experiencing a week of hell. Please take a lesson from my experience.!
I'd suggest starting dose as 0.25mg not 1mg because you never know the response. I have had patients ending up in emergency department with vomiting after first dose and others not feeling anything till the final dose... We can't generalise these observations to all. Please eat slowly and have small portions of food with plenty fluid, fiber and must importantly, ensure you have supervision of your endocrinologist Start properly low dose and then escalate as per clinical response
@Endo-Diabetes-Simplified Hi, thank you ever so much for your prompt response. Unfortunately, I just saw your answer. I used my first dose of 1ml about 3 hours ago. Hopefully, there will be no side effects. My current BMI is 34.4, and I am 5ft5. In case of any side effects, such as nausea, I have taken herbal ginger capsules. I felt no pain while injecting the pen, but an hour later, it started stinging a bit. If I did have a side effect, how long does it take to start showing? Thank you so much for your kind information in advance.
@optimisticnoname4507 it can take 3 days. Hopefully you will be OK but ensure you seek endocrinologist supervision. Take ondansetron for nausea, eat slowly and only small portions, more fluids and fiber intake.
@Endo-Diabetes-Simplified Thank you. I just started feeling a little burning sensation inside my palms and also a slight pain behind my neck. Is it normal? As for eating, I have never been a big eater. I gained my weight by using antidepressants in the past, taking contraception pills and a lack of exercise. I will stick to my breadsticks tonight and might have a bit of Israeli couscous if it's necessary. I hope I will be ok 😬
@sejjang-p6i the next dose step is 0.5mg but I tend to preserve dose of response is excellent. It totally depends on the clinical indication whether we need to go up or not. Please ensure you have supervision of your endocrinologist
Thank you for this! Been using wegovy for 4 months now and moved up to the 1mg pen. So far I am down 12kgs! :D
@@JinxsyTV good luck
Great explanation, very informative
@@vanessalagunas thank you for feedback
Thank you for your clear instructions Dr. Bashir!! so very helpful especially when paying out of pocket. What is the max a pen of Wegovy can be kept in the fridge once opened?? I read 6-8 weeks
Thanks for turn all the pen. Noboddy did this, I had doubts about it
Would you go from 0.50 to 0.75 or to 1 mg. I tried previously but was sick, so went back to 0.50.. However the weight loss has plateaued..thank you.
I tried this on the 0.25mg pen. It was 36 clicks to the full dose. I've been concerned about side effects so only took 0.12mg. Feel fine so far so taking the rest midweek but think it'll order a bigger pen for my next dose and do this as its very pricey
You can take 0.12mg as half dose every 3 days to ensure your tolerance is OK
Where to get the extra needles? I just got the 0.25 mg and am also concerned about the effects. I would like to lower it.
@@naiarmootos2688 you can buy 4mm sized insulin pen needles... there are multiple brands like BD, Novofine etc
@Endo-Diabetes-Simplified
Dear Doctor Bashir, how many clicks is 0.12?
9 clicks will give you 0.12mg@@optimisticnoname4507
Thank you! I was wondering whether you could buy 1mg as .25 pen is same price. So I get more for my money and you confirmed this! Thanks
Thank you for feedback
Wish I'd seen this before buying 😂
@@Ellapair watch out for the upcoming videos with more useful tips 👌
So if I have 1 mg and want to take 1 mg, then I put the counter until I see number 1 in the counter??
Correct!
Very cool.
But would’ve been nice to see you installing an insulin needle on the pen, since you’ll be needing to do that for 12 of the 16 0.25mg doses you’re trying to get out of it.
I have already shown this in another video
ua-cam.com/users/shortsmtG1pXyCl7k?si=XSdhm5edEWe3bnxx
ua-cam.com/users/shortsmtG1pXyCl7k?si=XSdhm5edEWe3bnxx
Thanks, that helps. ✅
Hello! Can you help how to count dose if I have autoinjector 2.4 mg but need to use just 1 mg? How many clicks it shoud be?
You may take 36 clicks to receive 1.2 mg dose. Could you please confirm how may total clicks you have when you dial till the end of 2.4 mg ?
@@Endo-Diabetes-Simplified Yes, will will start it on the next week!
What a great video! Have a question,
I have bought a 2.4mg pen- counted 73 clicks in total.
to inject 0.8 from 2.4 mg I have counted 24 clicks, can you confirm?
And another one, what about the expiry date? It says 6 weeks once the pen is opened. Since I use 0.8 from 2.4 , I can use the pen for 12 weeks. ((0.8*3 ) * 4 dosages = 12 injections
Starting dose is 0.25mg.
0.8 is bit high for first dose
Yes it's 24 clicks
6 weeks is recommended.
If cold chain maintained you might use longer till 8 weeks, but efficacy may be lost... that's why endocrinologist supervision must
Never use if boxed expiry date crossed
Hola , tengo wegovy de 1,7mg , ¿cuantos clics son 0.25 ? Gracias
Yes the efficiency drops after 6 weeks.
The expiry date on box should never be ignored which is when even the closed pen has to be discarded
The 6 weeks opening window is for efficacy which is maximum in this period. Proper storage and cold chain maintenence is also important plus ensuring that the fluid is clear colourless.
If you are escalating dose every 4 weeks, you might finish it in 8 weeks which is usually perfectly fine.
Ensure you have supervision of your endocrine consultant
@@Endo-Diabetes-Simplifiedna caneta de 1.7...qto equivale a dose de .025?
After using 0.25mg *4 , how can i go
0.5mg??!!
So if this is a way to make the wegovy last longer especially if my starting dose is 0.25mg (18 clicks), that will give me 16 doses of 0.25mg - correct?
Is it ok to keep the medication once used for the first time, for 4 months in the fridge? I thought it had to be thrown out after being open for 6 weeks.
Can you please confirm?
Thanks!!
@renaewood693 usually dose is increased over time, and the pen does gibbous sooner than 16 weeks. Your endocrinologist should evaluate your response to ongoing therapy. During COVID, pens were used longer than 6 weeks. But those were unprecedented times so exceptions were made. If responses are blunted after 6 weeks then it might suggest either dose increase or changing device
fter using 0.25mg *4 , how can i go
0.5mg??!!
very clear discussion. Thank youi
A de 1.7 e 2.4 tambem dara para vontar cliques?
How much would it be for 0,5mg?
36 clicks will give you 0.5mg dose from the 1mg pen of Ozempic or wegovy
Hello , I have pen of 1,7 mg , how many clicks for 0,25 mg? Thanks
Não conseguiu resposta ne
How much would it be for o,5mg?
Thanks a lot Doctor you have answer all my questions!!!!❤
Thank you!
Hi, I recently asked my boots doctor how many clicks I would need to get a 0.25 mg dose from my 0.5mg pen as I took a week off due to sickness.
They replied back to say that the product is not designed to be used this way and they cannot confirm how much wegovy is in one click, which can lead to inaccurate dosing.
Are they just saying this as they’re realising there’s a loop hole into getting the product cheaper monthly this way? Or is that correct? No where online states anyone has had issues from click counting and I haven’t either as that’s what I’ve been doing. I was just interested to see their response. What do you think? 😊
@JasmineFitzsimons yes that's off licence way of using drugs... only for times of shortages during COVID
If you can afford and have the correct pen and have endocrinologist supervision, you can use the normal pens.
Even the click count should be under the supervision of your endocrinologist, not the boots' doctors, as they are not speciality trained
The click count techniques were initially advocated and informally taught to me by Novonordisk medical representatives during COVID times. They worked quite well during shortages of Ozempic and helped a lot of patients in lock down. Hence techniques are fine to use as long as you have careful supervision of your endocrinologist.
@@Endo-Diabetes-Simplified thank you for your response.
I was just concerned that I may be taking less than 0.25mg and if I was to up my dose to 0.5 I’m scared I will have really bad side effects. They haven’t helped me at all and keep saying I need to buy a 0.25mg pen and won’t help me adjust my dose meaning I have to spend hundreds more and disrupt the process. Do you think I will be okay if I go to 0.5mg after click counting?
Thank you for this video! So helpful!
Hi, All; from my experience with Wegovy, please take the doctor's advice and start from the lowest dose. Especially if you suffer from anxiety and panic attacks, I took 1ml today. The first few hours, I was ok, then I suddenly started vomiting even though I only ate Breadsticks and drank water every hour. Also, this has worsened my anxiety. I regret that I didn't follow the instructions.
Please never take the drugs without your doctor's supervision!
I'm sorry to hear your experience. Please go to emergency for safety if your health. Hope all is well
@Endo-Diabetes-Sim Thank you. How long do these symptoms last for? I am still vomiting 😔
Could you teach how to dose with the 2.4mg pen?
@Endo-Diabetes-Simplified
Dear Doctor Bashir, how many clicks is 0.12? I did my 1ml last Sunday, and I couldn't even dare to try 0.25ml due to the side effects, so I would like to know if it is better to do 0.12 ml every three days.
where do I get extra needles? Are these a standard insulin needles?
@@mickwander8582 any pharmacy. Get 4mm size BD needles for insulin pen or Novofine needles 4mm or any standard insulin pen needles
@@Endo-Diabetes-Simplified I found it, thanks 👍
Thank you SO much for this video
Its written on it jn Arabic, Is it sold in Arabic region? Where? How much in your area?
Yes it's in UAE, it's sold under prescription here. I'm not sure about exact prices these days as i don't deal with them. These are just educational patient videos. You might check with pharmacies.
Muito obrigada pelo vídeo!!! 👏🏻
So on your second 0.25 mg dose will it go to that same pink line you have drawn?
Yes, every time you inject 0.25mg, you dial till the pink line without counting...
When you inject, the dial goes back to zero...
ua-cam.com/video/p9KOaKiG3tE/v-deo.html
Watch this other video for clarity on injection and dial movement
ua-cam.com/video/p9KOaKiG3tE/v-deo.html
This shows how dial goes back to zero
Ok i understand thank you for the reply.
Can I use the same needle for more than one time?
No you shouldn't...
There's risk of cross contamination and injection site reactions
Hey guys, just a quick update. I took my first 1ml dose of Wegovy without consulting with my doctor last Sunday. I have vomited nonstop for four days, and I have a headache, abdominal pain, cramps, an aching body, and 0 energy. Please make sure that you do this injection under your doctor's supervision; otherwise, you will end up at the A&E. Now, I am beyond petrified to take the 25ml dose on Sunday and have second doubts about whether I should use it or not after experiencing a week of hell. Please take a lesson from my experience.!
Same happened to me, now iam at 0.5 for the first day I feel a bit sick but that's all, after that I am fine!
Superb
Hi, does anyone know how long you can keep the Wegovy pen in the fridge after you use it once?
That's what I would like to know
Keep it back in the fridge till the day you want to use it again you bring it out 30mins before using
Na caixa fala 6 semanas
Where can I buy these needle from please
@deolian1 just ask pharmacy for insulin pen BD needle 4mm or flexneedles for pen device
Hi, I will start using my first dose of 1ml today. What are the worst side effects? Also, how much weight can you lose in four weeks? Thanks
I'd suggest starting dose as 0.25mg not 1mg because you never know the response.
I have had patients ending up in emergency department with vomiting after first dose and others not feeling anything till the final dose...
We can't generalise these observations to all.
Please eat slowly and have small portions of food with plenty fluid, fiber and must importantly, ensure you have supervision of your endocrinologist
Start properly low dose and then escalate as per clinical response
@Endo-Diabetes-Simplified
Hi, thank you ever so much for your prompt response. Unfortunately, I just saw your answer. I used my first dose of 1ml about 3 hours ago. Hopefully, there will be no side effects. My current BMI is 34.4, and I am 5ft5. In case of any side effects, such as nausea, I have taken herbal ginger capsules. I felt no pain while injecting the pen, but an hour later, it started stinging a bit. If I did have a side effect, how long does it take to start showing? Thank you so much for your kind information in advance.
@optimisticnoname4507 it can take 3 days. Hopefully you will be OK but ensure you seek endocrinologist supervision. Take ondansetron for nausea, eat slowly and only small portions, more fluids and fiber intake.
@Endo-Diabetes-Simplified
Thank you. I just started feeling a little burning sensation inside my palms and also a slight pain behind my neck. Is it normal? As for eating, I have never been a big eater. I gained my weight by using antidepressants in the past, taking contraception pills and a lack of exercise. I will stick to my breadsticks tonight and might have a bit of Israeli couscous if it's necessary. I hope I will be ok 😬
Hi,how can i go to 0,75?
@nadinekaigl8782 depends on your pen device.
On 1mg device is 54 clicks
Can’t hear you. Volume to low
fter using 0.25mg *4 , how can i go
0.5mg??!!
@sejjang-p6i the next dose step is 0.5mg but I tend to preserve dose of response is excellent. It totally depends on the clinical indication whether we need to go up or not. Please ensure you have supervision of your endocrinologist