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c/reconstitution·posted 11 months ago by u/soren_zamora

[Discussion] the reconstitution advice in here is 3 years out of date

Discussion Clean Column ×7 Slow Clap ×3

the reconstitution advice in here is 3 years out of date, and I am aware this is a minority view on this board.

3 years. Those are measured, not estimated, and not rounded up in my favour.

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

The dead space question sent me down a rabbit hole for a week. It is a fraction of a unit and it is the same every draw.

That is everything I have. The rest is opinion and I have tried to keep it out.

1,464 up / 339 down81% upvoted31 commentsid 175w2n9 Aug 2025

31 comments

22 in this archive, depth 6

best — the order this archive was captured in

u/aleksi_lehtinen96 points·11 months 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/soren_zamoraOP39 points·11 months ago

Spent 4 weeks confused about this until somebody drew the table for me. 5mg, 3mL, 1.67mg/mL, 0.5mg is 30 units. That is the whole thing.

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u/soren_zamoraOP22 points·11 months ago·edited

How many mg in the vial and how many mL are you adding?

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u/reflux_report72 points·11 months 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/vial_math_veraMOD37 points·11 months ago

Left up and flaired Explainer — the numbers in this one check out.

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u/karim_ilunga45 points·11 months ago

write the concentration on the vial in marker, that is the whole post

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u/anjali_tamm59 points·11 months ago

I keep a laminated card in the drawer with the arithmetic on it. Looks ridiculous. Has never once let me draw the wrong volume.

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u/emil_wojcik16 points·11 months ago

Reconstituted at 3mL when I meant to use a different volume. Caught it because the units looked wrong on the barrel. Now I write 5mg/mL on the glass before I put the cap back.

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u/aurel_boateng-14 points·11 months 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/escrow_evangelist0 points·11 months ago

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.

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u/ismael_nwosu1 point·11 months ago

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.

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u/signe_grimaldi1 point·11 months ago

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/soren_zamoraOP1 point·11 months ago

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

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u/britta_nakamura19 points·11 months ago

The arithmetic in full: concentration is mass over volume, so 20mg into 2mL gives 10mg/mL. A U-100 syringe is graduated at 100 units per millilitre, so 5mg is 5 divided by 10 millilitres, which is 50 units.

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u/aurel_boateng5 points·11 months ago

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.

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u/britta_nakamura3 points·11 months ago

Correcting myself above: I wrote the concentration the wrong way up. Mass over volume, not volume over mass.

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u/ahmed_rasmussen1 point·11 months ago

more water is not more drug, it is the same drug in a bigger volume

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u/units_not_mgsyringe math1 point·11 months ago·edited

more water is not more drug, it is the same drug in a bigger volume

ahmed_rasmussen has the units point exactly right. They are a volume on the barrel and nothing else.

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u/kavya_radich1 point·11 months ago

Careful — that arithmetic is wrong. 5mg in 2mL is 2.5mg/mL, so 1mg draws to 40 units, not what you wrote.

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u/ledger_modmod · vetting6 points·11 months ago

units are a volume on a U-100 syringe, not a dose

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u/india_generic_g8 points·11 months ago

The arithmetic in full: concentration is mass over volume, so 20mg into 2mL gives 10mg/mL.

Right, and the arithmetic behind it: 15mg in 3mL is 5mg/mL, so 0.75mg is 15 units.

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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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