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[Question] reconstitution — what am I missing here

Question Long Haul ×4 Well Actually ×2

reconstitution — what am I missing here. If this has been answered properly somewhere, link me and I will delete.

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.

Spent 14 weeks confused about this until somebody drew the table for me. 10mg, 3mL, 3.33mg/mL, 1mg is 30 units. That is the whole thing.

The whole calculation, once, with real numbers.

You have a 10mg vial. You add 2mL of bacteriostatic water. Concentration is mass over volume: 5mg/mL. A U-100 insulin syringe is graduated at 100 units per millilitre, so one unit is 0.01mL.

To draw 5mg you need 5 divided by 5 millilitres, which is 100 units on the barrel. Write "5mg/mL" on the vial in marker before you put it away, and you never have to do this again for that vial.

Screenshot none of this. Read the whole thread, including the parts where I am told I am wrong.

1,805 up / 609 down75% upvoted49 commentsid 12pw4k11 Jan 2025

49 comments

30 in this archive, depth 5

best — the order this archive was captured in

u/batch_number_bertievetting81 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/vial_math_veraMOD43 points·1 year ago

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

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u/emil_zamora43 points·1 year ago

What is written on the vial right now?

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u/ines_lindqvist18 points·1 year ago

The arithmetic in full: concentration is mass over volume, so 5mg into 1mL gives 5mg/mL. A U-100 syringe is graduated at 100 units per millilitre, so 2mg is 2 divided by 5 millilitres, which is 40 units.

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u/cardio_endpoint_c10 points·1 year ago

label the vial with the date as well as the concentration

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u/arto_falk10 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/runa_cabrera7 points·1 year ago

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

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u/batch_number_bertieOPvetting0 points·1 year ago

Is that a U-100 syringe? The barrel markings change the answer completely.

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u/india_generic_g1 point·1 year ago

I would not round that figure. At 20mg/mL a rounding error of two units is a real fraction of the intended amount.

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u/escrow_evangelist36 points·1 year ago·edited

Not quite. Bacteriostatic and sterile water are not interchangeable for a multi-draw vial, and the difference is the preservative.

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u/elodie_grimaldi0 points·1 year ago

Not quite.

Right, and the arithmetic behind it: 15mg in 3mL is 5mg/mL, so 0.5mg is 10 units.

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[removed]1 point·1 year ago

[removed by moderator]

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u/dilara_szabo27 points·1 year ago

bacteriostatic water has the preservative, sterile water does not

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u/emeka_delgado11 points·1 year ago

Agreed on the swirl. There is no reason to shake it and a good reason not to.

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u/rasmus_mensah8 points·1 year ago

Agreed on the swirl.

Adding one thing — put the date on the label too. Concentration plus date and you can never mix two vials up.

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u/spain_receta22 points·1 year ago

bacteriostatic water has the preservative, sterile water does not

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

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u/escrow_evangelist17 points·1 year ago

if the maths gives you a fraction of a unit, change the concentration

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u/anjali_tamm9 points·1 year 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/emeka_delgado4 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/anjali_tamm11 points·1 year 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/emil_wojcik4 points·1 year 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/clara_weiss2 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/erez_perrin3 points·1 year ago

Careful — that arithmetic is wrong. 15mg in 3mL is 5mg/mL, so 0.75mg draws to 15 units, not what you wrote.

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u/batch_number_bertieOPvetting5 points·1 year ago

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

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u/hedda_adeyemi15 points·1 year 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/priya_weiss5 points·1 year ago

twice as much water halves the concentration and doubles the units for the same dose

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u/kenji_kimani14 points·1 year ago

Are you accounting for the powder volume, or is that where the confusion is?

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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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