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c/reconstitution·posted 3 months ago by u/julia_erdogan

genuine question about concentration that I am slightly embarrassed to ask

PSA Receipts ×6 Sourced ×1

genuine question about concentration that I am slightly embarrassed to ask. If this has been answered properly somewhere, link me and I will delete.

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.

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

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

Not medical advice, obviously, and nothing here is approved for human use. One person with a spreadsheet.

2,695 up / 433 down86% upvoted38 commentsid 73qk2s13 Apr 2026

38 comments

25 in this archive, depth 5

best — the order this archive was captured in

u/quiet_reader_99-31 points·3 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/batch_number_bertievetting-37 points·3 months 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/julia_erdoganOP1 point·3 months ago

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

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u/julia_erdogan1 point·3 months ago

Show the arithmetic — where did the unit figure come from?

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u/tomas_kimani1 point·3 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/bac_water_banditMOD156 points·3 months ago

Corrected the concentration in the title, which contradicted the body. Nothing else touched.

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u/vito_beaulieu73 points·3 months ago

Agreed — units are volume. Once that lands, the rest of the arithmetic is one division.

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u/katrin_marchetti52 points·3 months ago

What concentration did you actually reconstitute at, rather than what did you intend to?

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u/georgi_adebayo84 points·3 months ago

Careful — that arithmetic is wrong. 5mg in 1mL is 5mg/mL, so 5mg draws to 100 units, not what you wrote.

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u/julia_erdoganOP45 points·3 months ago

Correction: that gives 50 units, not what you have written. 10mg into 1mL is 10mg/mL and the division follows from there.

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u/julia_erdoganOP84 points·3 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/liv_nkemelu97 points·3 months ago

Research-use-only material is not approved for human use, so treat everything in this thread as arithmetic about solutions rather than instructions for a person.

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u/santiago_ndiaye0 points·3 months ago

Research-use-only material is not approved for human use, so treat everything in this thread as arithmetic about solutions rather than instructions fo

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

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u/gradient_goblin1 point·3 months ago

Bacteriostatic or plain sterile water?

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u/lyophile_lou72 points·3 months ago

the powder cake sits at the bottom, the volume you add is the volume that counts

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u/honest_syringe_maybe28 points·3 months 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/sock_puppet_spotter9 points·3 months ago

dead space in the needle hub is real and it is small

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u/oskar_kaufmann3 points·3 months 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/signe_grimaldi1 point·3 months ago·edited

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

Disagreeing with this line only: adding more water is not a safety margin, it is a different divisor.

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u/anya_antonsen2 points·3 months 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/nadia_kjaer0 points·3 months ago

Did the maths give you a whole number of units, or a fraction?

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u/reflux_report1 point·3 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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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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