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Blind and Visually Impaired Community

Full History - 2020 - 02 - 20 - ID#f72rmf
7
Seeking Tips on self administered intramuscular injections (self.Blind)
submitted by Unlucky-Water
Particularly for someone with very unsteady hands. I've used aira to get help with filling the syringe and making sure there were no air bubbles. The difficulty is in keeping the needle steady both while drawing up the medascin and injecting it. I am also interested in any tips you have for administering injections as a blind person— not just tips regarding keeping my hands steady. Currently I’m going to my pharmacy to have them done, but I'd like to learn to do them myself because I'm transmasculine and will hopefully be doing them for the rest of my life—unless of course science finds a way for me to manufacture enough testosterone on my own☺️ Thank you for taking the time to read this.
TK_Sleepytime 4 points 3y ago
I give these to myself and i am legally blind with no depth perception. The great thing about intramuscular shots is that you can jab it in, you don't have to be steady for long you just need the angle to be right. There are helpful youtube videos if you look up B12 shot.
Unlucky-Water [OP] 1 points 3y ago
Awesome, I will look up the videos. Thank you.
Texas_doge2021 2 points 1y ago
This is exactly what I'm running into now. I'm not trans, but I am having to take T for replacement therapy. I was using and auto-injector but my insurance stopped covering that. What have you found works? Any tips for measuring out doses? I'm pretty comfortable injecting, just don't know how to measure and am scrambling to figure this out
Unlucky-Water [OP] 1 points 1y ago
I'm sorry that you are also running into this problem and that your insurance stopped covering the auto-injecters. Are you able to get your t prescribed in the larger multi-use vials, or are you only able to get it in the 1 ml vials? My insurance only covers the little ones, and unfortunately I haven't found any tricks for measuring the dose myself with those. If you are able to get it prescribed in the larger vials though, you wouldn't have to worry about making sure the needle tip was submurged and you could just have someone cut a notch in the plunger of the syringe, just at the point where you would need to pull it back to. When you're drawing it up you would put your fingernail against the plunger so that it catches in that notch. Then you flick the needle a bunch of times to get out any air bubbles. I haven't tried this method myself, but my fiance and her ex used it when administering medicin to their children and it worked great. If you are in the US, I'm hearing talk of a new testosterone pill being approved. I haven't looked into it yet, but wanted to mention it in case you're interested.
scaram0uche 2 points 3y ago
Is it possible to put it in a "pen"? My dad (visually impaired) uses insulin and they have an option for it to be in a pen form - it clicks to tell you the dosage and has a little one time use screw on needle tip. The pharmacist may know if it's available or could be put into a generic pen.
Unlucky-Water [OP] 1 points 3y ago
Having it in a pen would make things so much simpler. I'm going to look into this to see if it's possible. Thank you for the suggestion.
scaram0uche 1 points 3y ago
My dad can also have unsteady hands due to other medications. The pen is easy enough with a short needle so he can inject insulin with one hand into his arm. I hope they can do this for you!!!
Unlucky-Water [OP] 1 points 3y ago
I'm sorry to hear that your dad also has unsteady hands, and I'm glad the pen helps him. ""i'm impressed that it helps so much as to enable him to inject into his own arm. Thank you so much for your well wishes, I appreciate it.
Ramsettpark 2 points 3y ago
Not blind but I am trans!

UnionMedico has a line of auto injectors that folks seem to have success with. Additionally, if you're comfortable with SubQ you could talk to your doc about that. I do subq bc according to multiple doctors it's almost impossible to mess up. I have great levels and they stay steady. Emerging research is even showing that levels may have fewer peaks and valleys with SubQ.

Edit to add: You can also look into T pellets. More and more folks are doing these. They are inserted and dissolve overtime so you go in every 4 to 6 months to get more put in. Something to think about.
Unlucky-Water [OP] 1 points 3y ago
Thank you. I will be looking into all of this. My doc had told me that subq had more peaks and valleys, and I just took her word for it and didn't look into it, but it would be great if I could do subq, they sound much easier. The pellits would be really awesome.
Ramsettpark 2 points 3y ago
Let me see if I can find some research for you!

I personally love SubQ. I used to do the gel but I found it too cumbersome, messy, etc. You can also look into prefilled syringes if your insurance will cover you going to a compounding pharmacy.
Unlucky-Water [OP] 1 points 3y ago
Thank you. Yeah, the gel was a bit cumbersome, especially when traveling. Pre-filled syringes would be great, I will look into that.
Greatwhitesharkbait 2 points 3y ago
Testosterone can be done in the far as well. I find that much easier. I’m the muscle isn’t bad to do on the legs but I found it bugged my legs over time so I’m the far of the belly works for me. A steady hand does help yes. Keep your hand out of the way when you go to inject as well. I don’t jab, I slowly put it against my skin then push it in. Find that easier for me. In the far you just do it wherever you can pinch an inch. It goes in about half an inch or less and gets injected. But of course talk to your doc about this. It’s a new way of injecting testosterone and has been studied and is effective but it’s technically off label. So some doctors may not be aware of it or condone it. But I do find it easier than aiming for a muscle. And if you miss the spot theres no consequences because your usually in a fatty area anyways. When pulling out of the vile the hardest thing I find is aiming for the bottle top. Sometimes I miss and have to get another clean needle. I put my two fingers on either side of the top of the bottle and use my pinky finger of the hand holding the needle to guide it down. If that make sense. I touch the pinky to my finger on the side of the bottle. But you may find it easier to keep all fingers out of the way and hold the bottom of the vial and use the pinky of your needle holding hand to guide downward by placing it on the side of the vial top. That way your one hands out of the way. If your worried about hitting yourself hand while injecting, them only use one hand and use the pinky of your needle holding hand again to guide downward. Once it’s against your skin then you can use your other hand to pinch an inch or pull the skin taught off your doing it into the muscle. I hold close to the needle tip and once it’s in I move my hand up to inject.

Hope that helps a bit.
Unlucky-Water [OP] 1 points 3y ago
Thank you, this is all very helpful. Do you use a service like aira or BeMyEyes to help with drawing up the right amount?
Greatwhitesharkbait 2 points 3y ago
I don’t think it would be appropriate to use be my eyes as they are volunteers. But Aira might be able to help. I’ve never done that. I use a magnifier to draw up. But you’d hope aira could direct you to the right amount. Problem is, I’m still not sure they would do it because of the safety and liability. They aren’t medical professionals. You could call aira and ask. That would fall under 5 mins and would be free.
sphericaldiagnoal 2 points 3y ago
Maybe you could talk to your doctor about a topical preparation for it, instead of injections? I know they make a gel that you just rub into your skin
Greatwhitesharkbait 2 points 3y ago
Topicals are ridiculously expensive and many times not covered by insurance. So yes it’s more accessible and you would think it’d be covered for someone who’s blind or visually impaired but insurance doesn’t care.
Unlucky-Water [OP] 1 points 3y ago
Yeah, I was actually using the topical for awhile, but unfortunately the shots seem to work better for me—well really I'm glad something works, but it would be more accessible if it was the gel. Thank you for your suggestion.
Mesh1202 1 points 10m ago
Hi! I know it's been very long, but have you figured out a solution? In the same boat
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