FAQ

SLIMJECT (liraglutide) injection 3 mg is an injectable prescription medicine that may help some adults with excess weight (BMI ≥27) who also have weight-related medical problems or obesity (BMI ≥30) lose weight and keep the weight off. SLIMJECT should be used with a reduced-calorie meal plan and increased physical activity.

• SLIMJECT should not be used with other GLP-1 receptor agonist medicines
• It is not known if SLIMJECT is safe and effective when taken with other prescription, over-the-counter, or herbal weight-loss products
• It is not known if SLIMJECT changes your risk of heart problems or stroke or of death due to heart problems or stroke
• It is not known if SLIMJECT can be used safely in people who have had pancreatitis
• It is not known if SLIMJECT is safe and effective in children under 18 years of age. SLIMJECT is not recommended for use in children

Reducing your waistline isn’t the only impact of weight loss. Taking off weight and keeping it off may help improve conditions such as high blood pressure and high cholesterol levels. Annlynnsolutions will discuss this with you and advise on lifestyle changes

SLIMJECT is not indicated for the treatment of high blood pressure or high cholesterol. It is not known if SLIMJECT changes your risk of heart problems or stroke or of death due to heart problems or stroke

Chronic diseases like obesity usually require long-term treatment. Annlynnsolutions will create a plan tailored to your weight-management goals. You’ll need to have regular contact with Annlynnsolutions. we will speak with you one week after you start your injection and we will then review you at monthly intervals at a minimum via telephone or virtual to help to keep you on track. We will renew your prescription regularly depending on your individual needs and dosing schedule. If SLIMJECT is not working for you will advised you and will no longer be able to prescribe the medication.

To work out your body mass index (BMI) you will need your height and weight then use our calculator on the front page. This will help you to assess if the medication can be prescribed.

Calculate your BMI

SLIMJECT is a self-injectable medicine that comes in a prefilled pen. It is injected just under the skin. Your nurse will teach you how to inject SLIMJECT before you use it for the first time. You will be given clear written Instructions for Use and a contact number should you be having problems. We will always be here to help you. Never share your SLIMJECT pen or needles with another person. You may give an infection to them, or get an infection from them

Inject your dose just under the skin (this is called a subcutaneous injection) in your stomach area (abdomen), upper leg (thigh), or upper arm as instructed by Annlynnsolutions. The needles are very small so you will not be injecting into a vein or muscle.

The starting dosage is 0.6 mg per day for 1 week. Annlynnsolutions will advise you if and when your dose needs to be increased. The maximum daily dose you can reach in one day is 3mg’s – however you should slowly increase the dose as advised by the nurses. The dosing schedule is designed to help minimize gastrointestinal side effects. It is possible to achieve your weight loss goals at a lower dose and you may also be maintained on that dose and not necessarily move up the ladder. Below shows how a schedule can be escalated – your schedule will fit with your needs

Many clients do not need to go to a 3mg dose and can achieve their goals at a much lower dose – which in turn means you will need less pens and it is more affordable – Annlynnsolutions will always try to ensure you get value for your money

Annlynnsolutions CANNOT support this practice. After many years of working with this medication they are able to skilfully advise you when it is time to increase/decrease the dose and indeed if this is needed.

There is no specific information regarding the CLICKS in the pen – the CLICKS are generate by the mechanism of the pen. We do not know if the clicks create an increased does or indeed if it is safe to inject in between doses. This may create different levels in the exposure to the medication and side effects may vary and may be come intolerable. This in turn could cause you to discontinue treatment when you may of succeeded by following our guidance.

SLIMJECT can be taken at any time, independent of meals. Once on SLIMJECT, it is good practice to take it at the same time daily as it will help you to remember and it will be more convenient for you.

After your injection is complete, carefully remove the needle from the pen. To avoid needlesticks, do not put the needle cap back on the needle. Immediately place the needle in a sharp’s container provided on your private prescription. Put the pen cap back on your pen after each use to protect SLIMJECT from light. NEVER throw used needles in household rubbish or recycling bins

Store new, unused SLIMJECT pens in the refrigerator between 2°C to 8°C. After first use, you can store at room temperature between 15°C to 30°C. Pens in use should be emptied and disposed of after 30 days even if they still have SLIMJECT left in them. DO NOT ALLOW SLIMJECT TO FREEZE (eg near freezer compartment or stick to back of the fridge wall) as it cannot be used after thawing. Always ensure the pen is stored with the lid on

Annlynnsolutions will prescribe the smallest needles for you which are 4mm. They should only be used once and disposed of using correct procedure. DO NO REUSE NEEDLES

This will depend on what dose you are on – see table below  

0.6 mgs	4 weeks
1.2 mgs	2 weeks
1.8 mgs	9 days
2.4 mgs	7 days
3mgs	6 days

Nausea is the most common side effect when first starting SLIMJECT, this should decrease over time in most people as their body gets used to the medicine. If you do experience nausea, here are some things that may help:

• Eat bland, low-fat foods, like crackers, toast, and rice
• Eat foods that contain water, like soups and gelatin
• Don’t lie down after you eat
• Reduce your portion size
• Reduce fat intake as much as possible

Annlynnsolutions work with you to try and minimise any side effects that is why the dosing schedule is individual and designed to reduce the likelihood of gastrointestinal symptoms. Annlynnsolutions will be in regular contact with you to ensure your comfort. You will have already filled in the extensive Health Form and the nurses will be able to discuss any potential interactions that may occur from medication you are already taking if it has been prescribed by your GP. Please inform Annlynnsolutions should your medication change whilst on the treatment regime.

SLIMJECT will not work alone you will need to work with it. Annlynnsolutions will provide dietary support by using The Carbs and Cals method used in diabetes to support your dietary changes. Depending on your local area there may be activities and facilities that you can access free of charge to complement your action plan. Annlynnsolutions can also recommend you to other private professionals such as a Cognitive Behavoural Therapist or Dietician at your request.

SLIMJECT has not been evaluated in combination with other prescription weight-loss medicines or weight-loss supplements. SLIMJECT has the potential to change how other medicines are absorbed. Use caution when taking SLIMJECT with oral medicines (these were asked for on your Health Form before you were prescribed this medication to ensure safety). Tell Annlynnsolutions about all the medicines you take including prescription and non-prescription medicines, vitamins, and herbal supplements.

Your SLIMJECT can stay out of the fridge for up to 30 days – you must take your medication and needles through customers with you do not pack it into your suitcase. It is advised to take this in a separate bag. Annlynnsolutions will give you a letter regarding travel with this type of letter for a small charge to allow a smooth process when going through customs

Serious side effects may happen in people who take SLIMJECT, including: Possible thyroid tumors, including cancer. Please inform your GP. Tell Annlynnsolutions if you get a lump or swelling in your neck, hoarseness, trouble swallowing, or shortness of breath. These may be symptoms of thyroid cancer. In studies with rats and mice, SLIMJECT and medicines that work like SLIMJECT caused thyroid tumors, including thyroid cancer. It is not known if SLIMJECT will cause thyroid tumors or a type of thyroid cancer called medullary thyroid carcinoma (MTC) in people. Do not use SLIMJECT if you or any of your family have ever had MTC, or if you have an endocrine system condition called Multiple Endocrine Neoplasia syndrome type 2 (MEN 2).

• you or any of your family have a history of MTC
• you have MEN 2. This is a disease where people have tumors in more than one gland in their body
• you are allergic to liraglutide or any of the ingredients in SLIMJECT. Symptoms of a serious

allergic reaction may include: swelling of your face, lips, tongue, or throat, fainting or feeling dizzy, very rapid heartbeat, problems breathing or swallowing, and severe rash or itching Talk with Annlynnsolutions if you are not sure if you are pregnant or planning to become pregnant. SLIMJECT may harm your unborn baby

• possible thyroid tumors, including cancer
• inflammation of the pancreas (pancreatitis). Stop using SLIMJECT and call your GP right away if you have severe pain in your stomach area (abdomen) that will not go away, with or without vomiting. You may feel the pain from your abdomen to your back
• gallbladder problems. SLIMJECT may cause gallbladder problems, including gallstones. Some gallbladder problems need surgery. Call your GP if you have any of the following symptoms: pain in your upper stomach (abdomen), fever, yellowing of your skin or eyes (jaundice), and clay-coloured stools
• increased heart rate. SLIMJECT can increase your heart rate while you are at rest. Annlynnsolutions may check your heart rate while you take SLIMJECT. Tell your GPif you feel your heart racing or pounding in your chest and it lasts for several minutes when taking SLIMJECT
• kidney problems (kidney failure). SLIMJECT may cause nausea, vomiting, or diarrhoea leading to loss of fluids (dehydration). Dehydration may cause kidney failure, which can lead to the need for dialysis. This can happen in people who have never had kidney problems before. Drinking plenty of fluids may reduce your chance of dehydration. Call your GP if you have nausea, vomiting, or diarrhoea that does not go away, or if you cannot drink liquids by mouth
• serious allergic reactions. Serious allergic reactions can happen with SLIMJECT.
• depression or thoughts of suicide. You should pay attention to any mental changes, especially sudden changes, in your mood, behaviours, thoughts, or feelings. Call your GP right away if you have any mental changes that are new, worse, or worry you