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c/reconstitution·posted 1 year ago by u/zaid_balogun

[PSA] units are not what most of this community thinks it is

PSA Cold Box ×9 Well Actually ×1

units are not what most of this community thinks it is — with the reasoning, because a rule without a reason gets ignored.

If your calculation produces a fraction of a unit, the concentration is wrong for your dose. Change the water volume until the numbers land on whole units.

Bacteriostatic water contains benzyl alcohol as a preservative, which is what makes repeated entry into the same vial reasonable. Plain sterile water has no preservative.

The lyophilised cake displaces a small volume, so the true concentration is very slightly lower than the arithmetic suggests. It is a fraction of a percent and it is dwarfed by fill tolerance.

I will update this if the picture changes rather than quietly leaving it up.

3,367 up / 1,050 down76% upvoted64 commentsid 14e01p12 Jun 2025

64 comments

29 in this archive, depth 5

best — the order this archive was captured in

u/yusuf_nakamura306 points·1 year ago

Aim the stream down the wall of the vial rather than into the cake. Reconstitution is a solubility problem, not a mixing problem, and mechanical shear does nothing helpful.

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u/spain_receta0 points·1 year ago·edited

That is sterile water, not bacteriostatic. Same appearance, different product, and it matters for a multi-draw vial.

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u/iman_falk178 points·1 year ago

The arithmetic in full: concentration is mass over volume, so 15mg into 3mL gives 5mg/mL. A U-100 syringe is graduated at 100 units per millilitre, so 1.5mg is 1.5 divided by 5 millilitres, which is 30 units.

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u/aleksi_lehtinen99 points·1 year ago

bacteriostatic water has the preservative, sterile water does not

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u/lurker_for_years107 points·1 year ago

The failure modes I have actually seen posted here, in order of frequency.

One: reconstituting at a different volume than intended and not writing it down, so the next draw is based on a remembered concentration. Two: treating units as a dose rather than a volume, which breaks the moment the concentration changes. Three: assuming a syringe is U-100 when it is not.

All three are solved by the same two habits — do the arithmetic before the water goes in, and write the result on the glass. Neither costs anything and between them they cover almost every question this board gets.

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u/rina_bergstrom35 points·1 year ago

Right — the volume you add is the only variable you control here, and the cake does not change it meaningfully.

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u/zaid_balogun24 points·1 year ago

That only works if the fill weight is exactly the label weight, and it usually is not exactly anything.

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u/runa_grimaldi105 points·1 year ago

Disagree with the "more water is safer" framing. It is not safer, it is just a different number to divide by.

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u/anjali_tamm72 points·1 year ago

Started reconstituting everything to a round concentration and the six-in-the-morning error rate went to zero.

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u/alcohol_aversion26 points·1 year ago

Wrote the date on the vial as well as the concentration after losing track of which one was opened first.

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u/niels_roos11 points·1 year ago

label the vial with the date as well as the concentration

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u/priya_guerrero72 points·1 year ago

I would not round that figure. At 10mg/mL a rounding error of two units is a real fraction of the intended amount.

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u/aurel_boateng47 points·1 year ago·edited

Pushback on the syringe advice: a U-100 barrel reads units of volume. Calling them "doses" is how the confusion starts.

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u/cardio_endpoint_c-23 points·1 year ago

Why "more water" keeps confusing people, including me for a month.

The vial contains a fixed amount of peptide. Water changes nothing about that amount. What it changes is concentration, and concentration is the divisor between the dose you want and the volume you draw.

So doubling the water halves the concentration and doubles the units for the same dose. Nothing is diluted in any sense that matters; you are simply reading a bigger number off the same barrel. Pick the water volume that puts your usual dose on a whole number of units and life gets easier.

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u/iman_falk1 point·1 year ago

Shook the first vial because nobody told me not to. It was fine, but I have swirled every one since.

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u/swirl_dont_shakereconstitution27 points·1 year ago

Adding more water does not change how much peptide is in the vial. It changes the concentration, which changes the volume you draw for the same amount. That is the entire relationship.

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u/vial_math_veraMOD15 points·1 year ago

Working has to be shown on arithmetic posts. Added a note asking for it rather than removing this one.

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[removed]18 points·1 year ago

[removed by moderator]

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u/zaid_balogunOP14 points·1 year ago

Small fix — a U-100 syringe is 100 units per mL. If yours is marked differently it is not U-100 and the whole calculation changes.

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u/kavya_radich9 points·1 year ago

Correction: that gives 10 units, not what you have written. 10mg into 2mL is 5mg/mL and the division follows from there.

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u/zaid_balogunOP6 points·1 year ago

Asked QYB what volume they reconstitute to for their own stability testing and they answered in one line. Useful thing to know.

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u/gradient_goblin3 points·1 year ago·edited

Asked QYB what volume they reconstitute to for their own stability testing and they answered in one line.

This is the sentence that makes the rest unnecessary. Write it on the vial and the problem is gone.

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u/emil_wojcik5 points·1 year ago

reconstituting at a round concentration makes every later dose easy

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u/karim_ilunga6 points·1 year ago

the number you write down is the number you will trust at 6am

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u/britta_nakamura22 points·1 year ago

do the arithmetic before you reconstitute, not while holding a syringe

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u/mateusz_achebe7 points·1 year ago

Yes. Writing 10mg/mL on the vial takes four seconds and removes the entire class of error this board exists to fix.

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u/adaeze_cabrera6 points·1 year ago

Cosigning the round-number approach. Reconstituting to something awkward is how you end up drawing 27.5 units at six in the morning.

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About c/reconstitution

The arithmetic and the technique. Bacteriostatic versus sterile water, reconstitution volume as a concentration choice, converting mg/mL into insulin-syringe units, dead space, swirl-not-shake, stopper coring, and how long a reconstituted vial is actually good for. Math errors get corrected fast and politely.

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