I forgot to add that I take out of the fridge 5 days at a time for my shots. Put it in the handy dandy bag they gave me for the AI. I found the 24 hour warm up period to be less painful than than the one hour prior to injection, at least for me.

I've had one really bad experience with dull needles. Luckily it was my arm. The needle was so dull it wouldn't penetrate the skin even with the AI. I had to keep the injector against my arm and head for someplace I could release it without the Copax going all over the room. Then scrub the med off my arm so it wouldn't burn the skin.

I'm with the others of doing a wide wipe down with the alcohol pad and letting it dry.

I take my needles out for the week, stick them in the travel case, in my cabinet. Then I don't have to worry about forgetting to warm it up ahead of time.

The only reason why I can find we should give at room temp is because otherwise it can be very painful.

As far as dull needles. If you are using the Auto-Inject, I suppose there's no way to really know. For those of us manually injecting, you can look at the tip of the needle. Now I've yet to see a dull needle, and I'm close to my 1 year milestone.
When you look at these needles, it's easy to see why one would suspect there are dull needles. The tip of the needle is angled.

I just think sometimes some of the areas of skin that we try to penetrate are tougher than others.

If you are going to continue to give yourself a cold shot, I'd reconsider hot packing the area prior to shot.

Sounds like you are having a hard time following the suggested rules for injection? Might be something you want to speak with your doctor about?

I know it's tough to be young, have kids, and suddenly have this tough disease tossed into your lap. Remember, compliance with the medical how-to could be what saves your health in the long run. I don't feel that playing around with this type of med could be good for the long-run of your health. MS is no joking matter.

Best of Luck to you as you figure out how to best give yourself your medicine.