do the pen nibs wear out quickly?

I've used a couple of surface sheets in my 7 years using Wacom products - the rougher side apparently results in more wear than the standard or smooth papers. That said, I feel like it will be years before I come close to running out of the provided nibs since it's once every many months - if not more - that I notice wear on my nib. A note: I use Wacom as an all-day, mouse replacement. So, I'm constantly using it (you can sort of see where the scroll bar is on my tablet). While I am regularly using the nib, I'm not doing a lot of fill-in or illustration so it may be those drawing / painting more with it see wear more quickly. Tl;dr - There's nib wear, but my workload has at least 2 nibs / year lasting. If I needed a rougher surface to enjoy the pencil-on-paper feel, expect to trade off that feeling for reduced wear.

Does it come with extra nibs?

I assume, by nibs, you mean pen tips? If so, then yes, there are several inside the pen base. Basically, you unscrew the bottom of the pen base to take it a part and there are several extra pen tips in side of it.

Is this tablet compatible with Windows 10?

Yes. Currently using it with Windows 10 Anniversary Edition and Photoshop CC 2017 without issue.

I'm a lefty, can i use the tablet with the controls on the right side? ie upside down i guess

Yes, I'm a lefty and use it just fine. You can flip the controls under mapping in the settings. You can't just turn it upside down or your lines will go the wrong way

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Wacom Intuos Pro Medium Bluetooth Graphics Drawing Tablet, 8 Customizable ExpressKeys, 8192 Pressure Sensitive Pro Pen 2 Included, Compatible with Mac OS and Windows

Product ID: 37587802

Details

Brand
Wacom
Connectivity Technology
Bluetooth
Operating System
Windows and
Pressure Sensitivity
8192 levels
Special Feature
Bluetooth

📶Bluetooth wireless

🔋battery-free pen tech

✍️8192 pressure levels

Description

🎨 Elevate your digital canvas with pro-grade precision and freedom — don’t just create, dominate.

CUSTOM WORKFLOW MASTERY - 8 Express Keys, Touch Ring, and multi-touch gestures put your shortcuts and navigation at your fingertips.
ERGONOMIC SLEEK DESIGN - Slim, lightweight tablet crafted for all-day comfort and effortless portability between workspaces.
EXCLUSIVE CREATIVE BOOST - Get 3 months of Capture One and MASV file transfer included—power your projects with premium software perks.
SEAMLESS WIRELESS FREEDOM - Compact Bluetooth design lets you create untethered, reducing desk clutter and boosting mobility.
UNMATCHED PRECISION CONTROL - Experience ultra-responsive 8192-level pressure sensitivity with the Pro Pen 2 for flawless digital artistry.

The Wacom Intuos Pro Medium is a professional-grade graphics tablet featuring the battery-free Pro Pen 2 with 8192 pressure sensitivity levels and tilt recognition. Its compact, slim design supports Bluetooth wireless connectivity and customizable Express Keys, Touch Ring, and multi-touch gestures for an optimized creative workflow. Compatible with Mac and PC, it includes a 3-month trial of Capture One and MASV file transfer, making it a top choice for serious digital artists and designers.

Specifications

ASIN	B01MQU5LW7
Active Surface Area	8.82" x 5.83"
Additional Features	Bluetooth, Expresskeys
Best Sellers Rank	#193 in Computer Graphics Tablets
Brand	Wacom
Built-In Media	Wacom Intuos Pro Pen Tablet Small Wacom Pro Pen 2 (battery-free) Pen stand (includes 6 standard nibs, 4 Felt nibs) 2m (6.6ft) USB cable Quick start guide
Color	Black
Compatible Devices	USB port Windows 7 or later, Mac OS X 10.10 or later Bluetooth Classic for wireless connection Internet connection to download driver* and software
Connectivity Technology	Bluetooth, Wi-Fi
Customer Reviews	4.6 4.6 out of 5 stars (4,034)
External Testing Certification	ID 00782-17-01796, ID 00782-17-01796
Global Trade Identification Number	00753218988270
Item Dimensions L x W	8.6"L x 13.3"W
Item Type Name	Wacom Intuos Pro, Medium, Black (PTH660)
Item Weight	1.5 pounds
Manufacturer	Wacom Technology Corporation
Mfr Part Number	PTH660
Model Name	Wacom Intuos Pro, Medium, Black (PTH660)
Model Number	PTH660
Native Resolution	1920x1080
Number of Items	1
Operating System	Windows and Mac Compatible
Pressure Sensitivity	8192 levels
Screen Size	132
Software Update Supported to Date	unknown
Specific Uses For Product	business, personal
Target Audience	Teacher
UPC	753218988270
Warranty Description	2 years

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