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look at the Avonex pen and check that itamp;#39;s not damaged. Make sure that the cap is intact and has not been opened. If it looks like itamp;#39;s been tampered with, do not use the Avonex pen. If the Avonex pen looks undamaged hold it upright and bend the cap at a right angle so it snaps off. Do not touch the exposed glass tip. Place the Avonex pen on the table before beginning your next step Peel off the foil from the base of the needle cover. Attach the needle by pressing it onto the glass Avonex pen tip. Keep the Avonex pen upright and gently turn the needle clockwise until itamp;#39;s firmly attached. Do not remove the needle cover. Make sure the needle is firmly attached to the syringe otherwise it might leak and you may not get your full dose. Hold the body of the Avonex pen firmly with one hand. Point the needle cover downwards and away from you use your other hand and with one quick motion extend the injector shield over the needle until the needle is fully covered. The