For reasons such as titrating the dosage by smaller amounts to reduce side effects, your prescriber may recommend "counting clicks" on your Ozempic pen to adjust the dosage dispensed by your semaglutide pen. The clicks are counted to deliver a dose in between the marked increments or the single dose indicated for the injector pen. Generally, there are 72 clicks in a pen, and 18 clicks would deliver 25% of the max dose, 36 clicks would deliver 50% of the dose, and 54 clicks would deliver 75% of the dose . These instructions are usually off-label and not recommended by the manufacturer and must be discussed with your healthcare provider. However, this practice has been widely adopted by clinics across Canada.