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

someone explain mg/mL to me like I have not read a paper in years

PSA Long Haul ×3 Sourced ×2

someone explain mg/mL to me like I have not read a paper in years. I am not trying to be the "source?" guy. I would just like a source.

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.

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.

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.

Research-use-only material is not approved for human use and nothing here should be read as a recommendation to use it.

13,985 up / 12,265 down53% upvoted43 commentsid 143xai9 Mar 2025

43 comments

30 in this archive, depth 5

best — the order this archive was captured in

u/honest_syringe_2025226 points·1 year 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_banditMOD116 points·1 year ago

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

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u/sock_puppet_spotter53 points·1 year ago

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

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u/cesar_ivaturi156 points·1 year ago

reconstituting at a round concentration makes every later dose easy

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u/runa_grimaldiOP-5 points·1 year ago

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

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u/rasmus_kuipers47 points·1 year ago

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

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u/iman_falk14 points·1 year ago

swirl, never shake

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u/priya_weiss32 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/ines_ekstrom102 points·1 year ago

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

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u/dilara_szabo62 points·1 year ago

Agreed — units are volume.

Right, and the arithmetic behind it: 15mg in 2mL is 7.5mg/mL, so 1.5mg is 20 units.

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u/honest_syringe_202583 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/saskia_rahimi163 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/erez_perrin73 points·1 year ago

Same. I got this wrong once, caught it because the units looked absurd, and have written on every vial since.

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u/ines_lindqvist116 points·1 year ago

bacteriostatic water has the preservative, sterile water does not

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u/alcohol_aversion49 points·1 year ago

This. Showing the working is the fastest way for somebody else to spot the mistake.

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u/honest_syringe_maybe29 points·1 year ago

This.

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/RetaAndRegret29 points·1 year ago

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

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u/kavya_radich4 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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[deleted]18 points·1 year ago

[deleted]

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u/hedda_adeyemi14 points·1 year ago

label the vial with the date as well as the concentration

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u/arne_restrepo58 points·1 year ago

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.

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u/ruben_cabrera33 points·1 year ago

Bacteriostatic or plain sterile water?

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u/runa_grimaldiOP13 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/liv_nkemelu9 points·1 year ago

Spent 21 weeks confused about this until somebody drew the table for me. 15mg, 3mL, 5mg/mL, 0.25mg is 5 units. That is the whole thing.

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u/ines_ekstrom42 points·1 year ago

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/niels_roos11 points·1 year 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/units_not_mgsyringe math3 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/runa_grimaldiOP2 points·1 year ago

10mg into 3mL is 3.33mg/mL, and 1mg of that is 30 units

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u/hedda_ekstrom3 points·1 year ago·edited

Reconstituted at 2mL when I meant to use a different volume. Caught it because the units looked wrong on the barrel. Now I write 7.5mg/mL on the glass before I put the cap back.

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u/tuva_kirchner9 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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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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