Shadowing Practice: How-to Overview: Repatha® SureClick® Autoinjector - Learn English Speaking with Video
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This video does not replace the instructions for use, which provide important information describing how to use your Repatha SureClick.
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Prior to using your Repatha SureClick,
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it's important that you review the instructions for use in full and call your doctor or 1-844-REPATHA if you have any questions.
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Hi, I'm Misty.
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I've been a Repatha patient for three years, and today I'm going to show you how to take your Repatha injection using a SureClick auto-injector.
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When you receive your Repatha, you should put it in the refrigerator right away.
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When you're ready for your injection, you need to remove your Repatha SureClick auto-injector for at least 30 minutes.
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This is important for administering the entire dose and helps minimize discomfort.
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Some people like to use the timer on their phone, but you can actually leave it out for up to 30 days.
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So I like to take mine out of the refrigerator the night before
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so that it's ready and waiting for me first thing in the morning.
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Either way, it's important to let it come to room temperature naturally.
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Don't rub it or put it in the microwave or under running water.
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So now let me show you the auto-injector.
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When you open the carton, you'll find that there are instructions for use right inside.
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You can refer to these.
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But today I'm going to show you.
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Once you remove the injector from the carton, take a look at it.
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This is the gray start button.
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This is the expiration date.
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This is the window where you can see the medicine.
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This is the bottom with the orange cap covering the yellow needle guard.
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Make sure that the cap is secure.
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Then take a look at the auto-injector for any cracks or breaks.
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Do not use the auto-injector if any part appears cracked or broken.
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Do not use the auto-injector if it has been dropped.
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Do not use the auto-injector if the orange cap is missing or not securely attached.
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And finally, inspect the window to make sure that the fluid is clear.
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Do not use the auto-injector if the medicine is cloudy or discolored or contains particles.
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If it's slightly yellow, that's okay.
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When you're ready to begin your injection, wash your hands thoroughly with soap and water.
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You're going to need alcohol wipes, gauze pads or cotton balls, bandages, and a sharps container.
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You also need to decide where you want to give the injection.
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There are three different locations that you can use to give the injection.
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Your thigh, your stomach except for the two inch area around your belly button, or your upper arm.
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Remember that if you want to do it in your upper arm you need to have somebody else give you the injection.
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So I like to give the injection in my stomach.
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So the first thing that you need to do is is clean the injection site with an alcohol pad.
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Then when you're ready to inject, you take the cap off.
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Remember that after you take off the cap, you have to give the injection within five minutes.
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If you don't, the needle may dry out and the injection may not be successful.
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So when you're ready, take off the cap.
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You may see a drop of liquid on the yellow needle guard or on the tip of the needle.
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That's okay.
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When you're ready to inject, pinch an area of skin about 2 inches wide.
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Place the auto-injector on your skin at 90 degrees.
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The needle is inside the yellow safety guard.
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Do not touch the gray start button yet.
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Position it in your hand so that you can see the window.
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This is how you'll check to see if the injection is complete.
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Firmly push down the auto-injector onto the skin until it stops moving, or else the gray start button will not activate.
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When you're ready, press the gray button.
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You're going to hear a click.
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You may hear a second click, or you can count to 15, but the best way to know that the injection is complete is to watch the yellow window.
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Once the window is completely yellow, you can remove the auto injector from your skin.
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If you see a drop of blood, you can use the gauze or a cotton ball, press it on your skin.
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You can use a bandage if you want.
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Then it's time to discard the auto injector.
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Place it in the sharps container along with the orange cap.
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And that's it.
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You're all done.
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Important safety information.
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Do not use Repatha if you are allergic to eviolacumab or to any of the ingredients in Repatha.
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Before you start using Repatha, tell your healthcare provider about all your medical conditions, including if you are allergic to rubber or latex,
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are pregnant or plan to become pregnant, or are breastfeeding or plan to breastfeed.
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Repatha is available as pre-filled single-dose SureClick auto-injectors and pre-filled single-dose syringes that either contain dry natural rubber,
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a derivative of latex in the needle cover, or are not made with natural rubber latex.
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The carton and instructions for use in the carton will state
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if your pre-filled single-dose SureClick auto-injector or pre-filled single-dose syringe contains dry natural rubber.
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The single-dose pushtronic system on body infuser with pre-filled cartridge is not made with natural rubber latex.
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Tell your healthcare provider or pharmacist about any prescription and over-the-counter medicines, vitamins, or herbal supplements you take.
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What are the possible side effects of Repatha?
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Repatha can cause serious side effects including serious allergic reactions.
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Stop taking Repatha and call your healthcare provider or seek emergency help right away if you have any of these symptoms.
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Trouble breathing or swallowing, raised bumps, hives, rash or itching, swelling of the face,
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lips, tongue, throat or arms.
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The most common side effects of Repatha include runny nose, sore throat, symptoms of the common cold,
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flu or flu-like symptoms, back pain, high blood sugar levels, diabetes,
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and redness, pain, or bruising at the injection site.
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Tell your health care provider if you have any side effect that bothers you or that does not go away.
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These are not all the possible side effects of Repatha.
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Ask your health care provider or pharmacist for more information.
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Call your health care provider for medical advice about side effects.
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You are encouraged to report negative side effects of prescription drugs to the FDA.
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Visit www.fda.gov slash MedWatch or call 1-800-FDA-1088.
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Indications What is Repatha?
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Repatha is an injectable prescription medicine used to reduce the risk of major adverse cardiovascular CV events,
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such as death from cardiovascular disease, heart attack, stroke, certain types of chest pain conditions,
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unstable angina requiring hospitalization, or certain types of heart surgery, in adults at increased risk for these events.
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Along with diet and exercise to reduce low-density lipoprotein LDL or bad cholesterol
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in adults with high blood cholesterol levels called hypercholesterolemia and in adults with a type of high cholesterol called heterozygous familial hypercholesterolemia,
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HEFH, please see full prescribing information, including patient product information.
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If you have any other questions that I haven't answered today or that you can't find in your instructions for use,
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you can call 1-844-REPATHA or go to www.repatha.com.
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Thank you.
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Vocabulary and speaking notes for this lesson
This C1 speaking lesson is built on the video “How-to Overview: Repatha® SureClick® Autoinjector”. The speaker keeps coming back to these words: repatha, injector, auto, injection, cap. This video has 95 sentences and 1232 words to shadow. The speech runs for 9:00. The speaker talks at a steady 137 words per minute, a comfortable pace for shadowing. Only 79% of the words are among the 3,000 most common in English, so the vocabulary is demanding.
Key vocabulary in this video
The 15 most advanced words in the video, with pronunciation and meaning:
| Word | Pronunciation | Meaning |
|---|---|---|
| injector noun | /ɪnˈd͡ʒɛktɚ/ | One who injects (himself or herself with) psychoactive drugs. |
| automobile noun | /ˈɔː.tə.məˌbil/ | A type of motor vehicle designed to move on the ground under its own stored power and intended to carry a driver, a small number of additional passengers, and… |
| injection noun | /ɪnˈd͡ʒɛk.ʃən/ | The act of injecting, or something that is injected. |
| needle noun | /ˈniː.dəl/ | A long, thin, sharp implement usually for piercing as in sewing, embroidery, acupuncture, tattooing, body piercing, medical injections, sutures, etc; or a… |
| carton noun | /ˈkɑɹtn̩/ | An inexpensive, disposable box-like container fashioned from either paper, paper with wax-covering (wax paper), or other lightweight material. |
| latex noun | /ˈleɪˌtɛks/ | The milky sap of several trees that coagulates on exposure to air; used to make rubber. |
| symptom noun | /ˈsɪm(p)təm/ | A perceived change in some function, sensation or appearance of a person that indicates a disease or disorder, such as fever, headache or rash; strictly, a… |
| cholesterol noun | /kəˈlɛstəɹɒl/ | A sterol lipid synthesized by the liver and transported in the bloodstream to the membranes of all animal cells; it plays a central role in many biochemical… |
| allergic adjective | /əˈlɝ.d͡ʒɪk/ | Of or pertaining to allergy. |
| prescription noun | /pɹəˈskɹɪp.ʃən/ | A written order from an authorized medical practitioner for provision of a medicine or other treatment, such as (ophthalmology) the specific lenses needed for… |
| bandage noun | /ˈbæn.dɪd͡ʒ/ | A strip of gauze or similar material used to protect or support a wound or injury. |
| breastfeed verb | /ˈbɹɛs(t)fiːd/ | To feed (a baby) milk via the breasts; to suckle; to nurse. |
| gauze noun | /ɡɔːz/ | A thin fabric with a loose, open weave. |
| hypercholesterolemia noun | An excess of cholesterol in the blood. | |
| inject verb | /ɪnˈd͡ʒɛkt/ | To push or pump (something, especially fluids) into a cavity or passage. |
Phrasal verbs you will hear
| Word | Meaning |
|---|---|
| take off verb | To remove. |
| dry out verb | To cause moisture to be completely removed from; to make dry. |
| go away verb | To depart or leave a place. |
| push down verb | To force downwards (literally or figuratively). |
Grammar in this video
The structures the speaker uses most, with the exact words from the video:
| Structure | In the video |
|---|---|
| Passive voice be + past participle — the focus is on what happens, not who does it | has been dropped · are not made · is not made |
| Present perfect have/has + past participle — a past action that still matters now | I've been · has been dropped · haven't answered |
Pronunciation to watch
The speaker uses 19 contractions and reduced forms, such as you're, I'm, don't. Say them the short way, as you hear them.
- The “th” sounds: thigh /θaɪ/, thoroughly /ˈθʌɹ.ə.li/
- The “sh” and “zh” sounds: injection /ɪnˈd͡ʒɛk.ʃən/, prescription /pɹəˈskɹɪp.ʃən/, expiration /ˌɛk.spɚˈeɪ̯.ʃən/, hospitalization /ˌhɑ(ː)s.pɪ.tə.lɪˈzeɪ.ʃən/, rash /ɹæʃ/
- Long words — get the stress right: automobile /ˈɔː.tə.məˌbil/, cholesterol /kəˈlɛstəɹɒl/, refrigerator /ɹɪˈfɹɪd͡ʒ.əˌɹeɪ.tɚ/, cardiovascular /ˌkɑːdi.əʊˈvæskjʊlə(ɹ)/, expiration /ˌɛk.spɚˈeɪ̯.ʃən/
How to practise with this video
- Listen to the whole video once without speaking and note the words you do not know.
- Shadow it sentence by sentence at normal speed, repeating each one until your rhythm matches the speaker.
- Record yourself and compare with the original, paying attention to words like injector, automobile, injection.
What is the Shadowing Technique?
Shadowing is a science-backed language learning technique originally developed for professional interpreter training and popularized by polyglot Dr. Alexander Arguelles. The method is simple but powerful: you listen to native English audio and immediately repeat it out loud — like a shadow following the speaker with just a 1–2 second delay. Unlike passive listening or grammar drills, shadowing forces your brain and mouth muscles to simultaneously process and reproduce real speech patterns. Research shows it significantly improves pronunciation accuracy, intonation, rhythm, connected speech, listening comprehension, and speaking fluency — making it one of the most effective methods for IELTS Speaking preparation and real-world English communication.