Barb I wish you lots of luck this time around.
The manual worked best for me. I never used the auto-injector, and I never had one IPIR ever, in 3 1/2 years. I am not on the drug anymore because it just stopped working for me.
At the cost of the drug, a $24.00 a month co-pay is excellent. Having a nurse restart you is a great idea too. They have smaller needles now.
Lady