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8. GONAL-f pre-filled pen Treatment Diary
1
Treatment
Day
Number
2
Date
3
Time
4
Pen Volume
450 IU/0.75 mL
5
Prescribed
Dose
6
7
8
Dose Feedback Window
Amount Set
to Inject
Amount Displayed After Injection
/
:
450 IU
if "0",
injection complete
if not "0", need second injection
Inject this amount ...........using new pen
/
:
450 IU
if "0",
injection complete
if not "0", need second injection
Inject this amount ...........using new pen
/
:
450 IU
if "0",
injection complete
if not "0", need second injection
Inject this amount ...........using new pen
/
:
450 IU
if "0",
injection complete
if not "0", need second injection
Inject this amount ...........using new pen
/
:
450 IU
if "0",
injection complete
if not "0", need second injection
Inject this amount ...........using new pen
/
:
450 IU
if "0",
injection complete
if not "0", need second injection
Inject this amount ...........using new pen
/
:
450 IU
if "0",
injection complete
if not "0", need second injection
Inject this amount ...........using new pen
/
:
450 IU
if "0",
injection complete
if not "0", need second injection
Inject this amount ...........using new pen
/
:
450 IU
if "0",
injection complete
if not "0", need second injection
Inject this amount ...........using new pen
/
:
450 IU
if "0",
injection complete
if not "0", need second injection
Inject this amount ...........using new pen