Only video I could find that includes an explanation of the pinching process. I was unsure of whether or not I should let go of my skin after the needle is in, and this video showed/explained the whole process clearly.
Oddly, ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-LNXOFKjTPJc.html says to release the pinched skin before injecting, and it doesn't say to press firmly to get in an inch deep. I wish doctors had a more rigid standard on their methods.
yeah, but it's better to do a smaller dosage, like 0.1ml, and then daily. And even better use test propionate, because it acts faster and keeps other hormone levels in check. 0.5 ml is a big dosage for subq.
You're the best! I've been confused for months and in just a few minutes of your explanation of how to administer self injections, I'm a thousand times more confident I'm doing it correct! Thank you!
Thank you for this instructional video. Just switched from oral to injection methotrexate, and was very anxious about doing it myself even with the instructions provided to me in person. Your video helped alleviate my anxiety, and I helped me with my first injection. So, thank you! :-)
What a helpful video after I received no info from the doctor or drug package itself. The pharmacist only gave me instruction after I asked for information. I will not got to CVS again. When you first get a diagnosis that you need twice daily shots, a calm teacher is very helpful. Thank you
I know there are dozens of comments like mine, but thank you for this video. It was my first time with a subQ injection, and I've been searching for tips, pieces of training, and advice from everywhere to try and prepare myself for it. Your video, combined with what my provider told me about it, helped immensely with giving me the confidence to do it myself. Despite dedicating hours of research to it, I never saw the tip about using the cap to make a target for the injection; honestly, that made me feel much safer doing it myself. Thank you for making this so approachable and easy to understand, whether for veteran subQ injectors, or first-timers!
THANK YOU SO MUCH! I was doing my injections in my leg before this time, and it got to a point that I couldn’t even do it because I was so nervous every time. I just did my first every subcutaneous shot with the guidance of this video, and it helped me not only feel better anxiety wise but made me way more confident! This video is wonderful! Thank you again!
@@halilibrahimkocoglu5899 size of the needle may make a difference. I've been using my abdomen and sort of want to go for the thigh. It's weird though that I was more confident to begin with but now as I'm almost at a year and am getting more nervous each time =S
@@halilibrahimkocoglu5899 i notice one thing in IM injection...little needle: if u move too much, more pain. Big needle: if u move, not so much pain. In subcoutaneus injections, try to put ice on skin for 1-2 minutes...You will notice anything....better: no pain at all that u must check if the needle is inside!
So you get to inject yourself. Ok, that's cool. I'm down with that. Wasn't even a IV user or anything. Just like needles. I figured they had to give it to you at the office each month
Thank you for this. My legs and my belly are sore and bruised from blood thinner injections. I’ve been doing it for 15 days and I still have 25 more to go. The last 2 bled and I wasn’t sure I was doing it right anymore. I’ll perfect my pinching technique with this video. ❤
I'm going with my kid today to learn how to give them their T shot because they hate needles and haven't been able to work up the nerve to do it themselves lately. I'm nervous, but this was a very good introduction. Thank-you.
Dr Hatfield, very useful video that I'm actually referring patients to. By chance do you have a video demonstrating intramuscular injection of testosterone?
So as a TRT lifer and as someone who studies mycology, the drawing the air part bothers me because of random things floating in the air. I like to be working near a flow hood or a warm open oven in a pinch. I understand this is not feasible for most but I have done thousands of injections and have never had an infection, PIP, or any other discomfort using these methods.
Thank you so much for this video. I was on Aimovig which I posted for ppl. Now dr sd great promise in Anjovy for migraines and getting listed for fibromyalgia. I wanted to assure I understood subcutaneous since this one is an actual needle. I'm not even 90 wet and 41 this yr. So finding spots..usually top of thigh. I'm thinking the pinch on the belly will help the brain not recognize the 🤯🤯🤔😅😅 I know I don't have to do all u did. I'm just here for proper depth and angle. Thank you Doctor!!! Blessings to you, staff and family at this time also! 💖🙏
I'm not sure if it's obvious or not but what do you do with the needle you use to fill the syringe? Do you throw that in the sharps box as well? Or can you re-use it?
Interesting video, I do IM every week and it's not fun. With regards to pulling air to the medication quanitity, pushing it into the vial, then drawing out, would that not make the vial lose it's sterility faster than drawing from vial directly?
Thank you so very much for this video! I am a female who is 46 years old and has low testosterone. The clinic I go to gave me subcutaneous injections the first couple of times. But they told me that when my testosterone arrives in the mail, I need to start doing it intramuscularly. They sent me home with four syringes to get through until mine arrives. They are the small 5/8 or less syringe. My boyfriend has given me the shots and he knows exactly the place to give the shot in the glue because I give him testosterone shots. For some reason, I have been getting very sore with the intramuscular injections. I already have sciatica and I don’t want to irritate those muscles anymore. Is there someway that I could obtain subcutaneous needles and do it subcutaneously instead? Mine will be testosterone cypionate in MCT oil. It is thinner than most, and that is exactly what they gave me subcutaneously in the clinic. So I am confused as why they are telling me I have to do it intramuscularly. I felt so much better when I did it subcutaneously. Sorry for the very long comment but I would appreciate a doctors opinion. the people at the clinic are difficult to reach now to ask any questions about it. I would actually choose another clinic if there were more places to go around here. They also gave me surprise charges that I wasn’t expecting. So now I have paid a fortune and I am about to receive something that I dread doing. I am prescribed a very small dose twice per week. thank you so very much!
I’ve had 2 injections and never had the dr use 3 alcohol wipes nor wait 5 seconds for the injections. I don’t understand why no one has mentioned the burning as it goes it and why I bruising and a knot at the injection site. It’s been 2 months and still feels really hard at injections site will they go away ?
Damn what a well explained process and your bedside manner would probably be reflected upon this video and is likely top notch. No BS, just facts, what's wrong, what you're gonna do to help and some positive reinforcement. I wasn't expecting such professionalism to be honest nor did I expect to learn much. I knew a little about air in the needle but not how to perform some cool medical needle maneuvers. You did a really good job on this Doc
Quick question. If you switch to a smaller needle for the injection, doesn't that mean it holds less of the "extra" liquid and therefore you inject slightly more than the needed dose? Or is the needle just thinner and longer, but holds the same volume as the previous, larger needle?
Counting to 5 before withdrawing the needle allows the just injected medicine to disperse into the body and then less will leak back out from the puncture site. A little leakage is still normal.
If you are skinny and you enter the skin at 90 degrees you might have the needle touch the belly muscle underneath and this may hurt more and could cause more bruising as well. If you have an easy time pinching up ample belly fat . . the angle of the needle entry is much less important. -Kevin Hatfield, MD
Wow, I have watched other videos regarding subq injections...but there were still details I didn't know. I never drew up the med & then backed the plunger down to draw the med from the tip/needle & I've also never pushed the plunger up to push out a drop. I give myself my T & E injections & no issue...I give my hubby his T injection & he always gets a little lump for about 2-3 days. Is an allergy to the compounding oil that's used - the typical reason for such a reaction? I use 18g for drawing & 27g for injection. I was told by other bhrt users that a 31 g needle would eliminate his lumps from occurring... could this be an issue?
Been doing subq belly shots for a while now.. I done one as normal on Tuesday (2 days ago) and today there's a painful swollen area of injection site. There's no redness or warmth tho, but very painful. Do you recommend doing my next shot on the other side and see if the same thing happens? If so, what would be your recommendation? Thanks
Thank you, this was incredibly helpful! ive had issues in the past where IM injections resulted in a fait bit of leakage. Is Z-tracking necessary for subQ injections or is that not common problem for this site and technique? Regards, Chase Patterson
So I've been doing the Sub-Q in the tummy area and I love it it works great with test. My question is can I also put tren & Deca in there or should I keep that intramuscular?
hi doctor...im at my third injection of dupixent..first one i was supervised by a pharmacist second on i did around my bellybutton and it made a litle bump that lasted for about 10 seconds...third on i redid it on my hip and did a litle bump again but for about 3sec...is it normal? i weigh only 120 pounds its hard to find fat on my body....is it because its not deep enough?
You generally do not need to aspirate in the belly fay. The vessels are too small to worry about. Muscle injections are a different story. -Kevin Hatfield, MD
I nicked a vessel the other week and I went very light headed and dizzy this was in my belly fat so you can still get it in there so be careful still. I pull back now just to check.
Thanks, just one question. I currently already get a monthly injection in the abdomen (Sublocade) which forms a small knot naturally, and releases the medication slowly. So I already alternate between areas. Is it ok to be injecting this in the abdomen as well?
Can you reuse the same syringe (not the needle) went to the chemist today and picked up 20 syringes not sure if I can use a syringe more than once ? Will be injecting testosterone
So I am very confused. First of all this was an excellent explanation!!! Beginning to end. But what I don’t understand what you injected. It went in so fast. Was that water? I’m injecting Cypionate through a 5/8 25g needle and it takes me approx 3 minutes to inject 3/4 cc into my fat. And sometimes it hurts. What size gauge needle did you use and was that oil because I don’t see how that went in so fast.
Did this for the first time today, a little closer to the belly button and passed out shortly after 🙈🙊 I’m a lean guy with not much fat/flub to pinch. Anybody else have a first time experience go not so smoothly?
Thanks Doc. I’ve been doing sub-Q injections into my belly, 1/2 cc a week for the last 4 months alternating sides. I e started to develop little lumps that i can feel under the skin where I injected. Any idea what they are ? Nervous to keep injecting in those spots. Thank you.
Same thing is happening with my partner, we are going to try to rotate injection sites, I'm nervous as I administer his shots (tinzaparin). But the thigh seems like a good place to start as it's almost as fatty as the stomach as well. I would recommend that, as that is what his doctor had told us to do since he started developing the lumps in the stomach injection site. I believe you just do it at a 45° angle instead of 90° on the stomach area. I would maybe call your local health line as well if you need anymore advice, that's what I'm doing tomorrow for the first rotation!
David Lingner No that’s a terrible idea and not sanitary. Your chances of infection go significantly up. Always use a fresh needle and syringe - they’re cheap
@@josephs.7496 where to buy em from ? And whats that syring called ? Jnsulin syring ? And the needle is 1 or 2 inch ? Does the needle come with the syring ?
In the belly fat the blood vessels are generally so small that it is very unlikely that you will be injecting directly into them. That is why we simply skip that step. It isn't wrong to pull back first . . . just not really needed.
No you do it at a 45 degree angle if you don’t have that much body fat. Never inject a subcutaneous medication into the muscle as it can lead to your body absorbing that medication much more quickly.
Using gloves for your own injection is actually not required. Certainly you should have clean hands and as you see in the video . . . care is taken to assure that sterility of the needle and excellent cleaning of the skin entry site is assured. You could still glove if you want to. If you are doing SOMEONE ELSE'S injection then gloves are REQUIRED! :-) -Kevin Hatfield, MD
Can you reuse the same syringe (not the needle) went to the chemist today and picked up 20 syringes not sure if I can use a syringe more than once ? Will be injecting testosterone
Use a fresh needle and syringe each time you inject testosterone. You should receive fresh syringes and needles each time you pick up a new bottle. I personally receive 4 syringes with a needle tip already on them, that is to inject with, and 4 needle tips to interchange and to use for withdrawing. Please confirm with your provider.
Don't ever re-use the Syringes (or needles) ... it is just too risky from a possible infection and contamination standpoint. Use clean and sterile supplies each time. It may cost a little more but YOU ARE WORTH IT!!! :-) - Kevin Hatfield, MD
As perfect a technique as I've seen or been taught. Thank you, sir. My only critique: I never do anything with my other hand(Like opening up a bandaid) while you have an open needle in the other. I always place the spent needle syringe into the Sharps container first, before doing something, even as simple as peeling open a Bandaid. I do this to prevent accidentally sticking myself.
Thank-you for showing how to prep the needle! I've been given injectable Buscopan since the tablets are on shortage and I've been super anxious about air bubbles
@@libertasautmors8995 Movies always depict injecting air into a blood vein which can form an 'air embolism' which actually can be deadly or at least damage whatever has its blood supply cut off by the air bubble. Injecting a tiny amount of air into fat or muscle isn't generally a problem.
Thank you! As a visual learner, your vid was so easy to follow. I’ve dreaded switching over from cream, which just ran out. Watched 10+ vids and nothing gave me confidence. Came across you and did first injection witching 10 min of watching. Super easy! Super painless! Thank you so much!
This is the best advice video I could find! I have been doing injections in my thighs and it progressively got more difficult. Being able to watch you do it and copy the movements finally made me comfortable enough to do it in the stomach, thank you!
Before I administered my first shot, I feared it was going to be excruciatingly painful. I pushed the needle in expecting it to hurt, but instead I was shocked that I barely felt anything. My first thought was of the Wizard of Oz behind the curtain, all bark, no bite.
