I was excited about getting an automatic injector, particularly because it would help my older family member. But every automatic device I've tried has proven inconsistent after short use. I purchased a couple of the side-button types and one with the button at the end. Right after unpacking, they all measured doses correctly. Yet once put to work with the medication kept chilled, they all began failing to deliver the full amount properly. On the side-button versions, it ended up requiring me to press the button while rotating the adjustment knob myself, needing both hands and making the automatic feature pointless. For the end-button one, repeated presses on the button were necessary to complete the injection. Discussions with others indicated these devices dislike low temperatures. Letting them warm up didn't resolve the issues much, and I'm not keen on repeatedly changing the storage temperature anyway. Attempting to oil the insides also didn't fix anything. At some point I might experiment with other cartridges that have special coated stoppers, though I'm hesitant to spend more on these since the devices cost quite a bit already. This is just sharing what happened with the four automatic units I tried. The simple manual injector has been far more dependable and affordable. I also own a couple of the newer manual versions which work okay, but the original slim manual ones have become my preferred choice.