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c/reconstitution·posted 10 days ago by u/sigrid_kaufmann

[Math] someone check my arithmetic before i draw this up

Math Clean Column ×6

Thinking out loud about this: someone check my arithmetic before i draw this up.

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.

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 1.5mg is 1.5 divided by 5 millilitres, which is 30 units.

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.

Ask me anything specific. Anything general I will probably get wrong.

1,040 up / 211 down83% upvoted41 commentsid inoq6a19 Jul 2026

41 comments

24 in this archive, depth 5

best — the order this archive was captured in

u/bac_water_banditreconstitution59 points·9 days ago

The whole calculation, once, with real numbers.

You have a 10mg vial. You add 1mL of bacteriostatic water. Concentration is mass over volume: 10mg/mL. A U-100 insulin syringe is graduated at 100 units per millilitre, so one unit is 0.01mL.

To draw 2mg you need 2 divided by 10 millilitres, which is 20 units on the barrel. Write "10mg/mL" on the vial in marker before you put it away, and you never have to do this again for that vial.

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[removed]43 points·9 days ago

[removed by moderator]

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u/sleep_apnea_sam10 points·9 days ago

That only works if the fill weight is exactly the label weight, and it usually is not exactly anything.

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u/kenji_kimani3 points·8 days ago

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

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u/kavya_radich1 point·8 days ago

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

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u/cesar_ivaturi48 points·8 days 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_nwosu0 points·8 days ago

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

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u/yusuf_nakamura1 point·7 days 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/sigrid_kaufmannOP1 point·8 days ago

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

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u/andres_sorensen1 point·7 days ago

label the vial with the date as well as the concentration

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u/reflux_report1 point·8 days 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/vito_beaulieu36 points·9 days 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/georgi_adebayo29 points·9 days 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/vial_math_veraMOD11 points·9 days ago·edited

Working has to be shown on arithmetic posts. Added a note asking for it rather than removing this one.

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u/georgi_adebayo6 points·8 days ago

What is written on the vial right now?

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u/dexa_twice_yearlybody comp5 points·8 days ago

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

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u/karim_ilunga4 points·8 days ago

reconstituting at a round concentration makes every later dose easy

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u/andres_sorensen5 points·9 days ago

a U-100 syringe reads 100 units to the millilitre, every time

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u/quarter_dose_queenlow and slow19 points·9 days ago

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

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u/arne_restrepo11 points·10 days 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/sigrid_kaufmannOP5 points·10 days ago

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

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u/rosa_mensah2 points·9 days ago

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

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u/marta_weiss3 points·9 days ago

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

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u/vito_beaulieu2 points·9 days ago

bacteriostatic water has the preservative, sterile water does not

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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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