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c/reconstitution·posted 1 months ago by u/tl_dr_tina

the bacteriostatic water thing finally clicked for me and I want to write it down

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Posting this as a discussion rather than a claim: the bacteriostatic water thing finally clicked for me and I want to write it down.

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.

The whole calculation, once, with real numbers.

You have a 5mg vial. You add 3mL of bacteriostatic water. Concentration is mass over volume: 1.67mg/mL. A U-100 insulin syringe is graduated at 100 units per millilitre, so one unit is 0.01mL.

To draw 0.75mg you need 0.75 divided by 1.67 millilitres, which is 45 units on the barrel. Write "1.67mg/mL" on the vial in marker before you put it away, and you never have to do this again for that vial.

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

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

3,615 up / 163 down96% upvoted50 commentsid 15igfl19 Jun 2026

50 comments

30 in this archive, depth 4

best — the order this archive was captured in

u/vito_beaulieu195 points·1 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/dilara_szabo149 points·1 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/adaeze_cabrera89 points·1 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/gradient_goblin35 points·1 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/rosa_mensah22 points·1 months ago

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

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u/janek_ferrari8 points·1 months ago

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

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u/marisol_frisk0 points·1 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/vial_math_veraMOD1 point·1 months ago

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

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u/mateusz_achebe130 points·1 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/adaeze_cabrera78 points·1 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/hub_opssite staff26 points·1 months 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/tl_dr_tinaOP15 points·1 months ago

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

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u/tl_dr_tina5 points·1 months ago·edited

label the vial with the date as well as the concentration

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u/ines_lindqvist7 points·1 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/lyophile_lou-10 points·1 months ago

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

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u/tl_dr_tinaOP16 points·1 months ago

Correction: that gives 5 units, not what you have written. 30mg into 1mL is 30mg/mL and the division follows from there.

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u/tl_dr_tinaOP47 points·1 months ago

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

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u/emil_wojcik63 points·1 months ago

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

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u/anjali_tamm93 points·1 months ago

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

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u/tomas_kimani27 points·1 months ago

swirl, never shake

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u/bac_water_banditreconstitution17 points·1 months ago

Bacteriostatic or plain sterile water?

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u/runa_cabrera0 points·1 months ago

Spent 23 weeks confused about this until somebody drew the table for me. 20mg, 2mL, 10mg/mL, 2mg is 20 units. That is the whole thing.

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u/tl_dr_tina1 point·1 months ago

I would not round that figure. At 2.5mg/mL a rounding error of two units is a real fraction of the intended amount.

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u/rina_bergstrom1 point·1 months ago

reconstituting at a round concentration makes every later dose easy

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[removed]1 point·1 months ago

[removed by moderator]

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u/gradient_goblin40 points·1 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/adaeze_cabrera33 points·1 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/lurker_for_years8 points·1 months ago

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

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u/wanjiru_varga29 points·1 months ago

What is written on the vial right now?

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u/ines_ekstrom21 points·1 months ago·edited

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

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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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