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c/reconstitution·posted 4 days ago by u/dilara_szabo

foam means you shook it. do not shake it

Correction Well Actually ×8 Slow Clap ×1

foam means you shook it. do not shake it. I have gone back and forth on this for months.

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.

The arithmetic in full: concentration is mass over volume, so 10mg into 1mL gives 10mg/mL. A U-100 syringe is graduated at 100 units per millilitre, so 1.5mg is 1.5 divided by 10 millilitres, which is 15 units.

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.

Would rather be corrected in public than confident in private.

2,224 up / 820 down73% upvoted30 commentsid kbmcc425 Jul 2026

30 comments

19 in this archive, depth 4

best — the order this archive was captured in

u/niels_roos214 points·3 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/dilara_szaboOP99 points·3 days ago

bacteriostatic water has the preservative, sterile water does not

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u/dilara_szaboOP0 points·3 days ago

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

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u/rosa_mensah47 points·2 days ago

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

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u/ismael_nwosu38 points·2 days ago

swirl, never shake

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u/santiago_ndiaye182 points·3 days 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/dilara_szaboOP213 points·3 days 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/ilias_cabrera101 points·2 days ago

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

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u/piotr_bruun62 points·2 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/emil_wojcik91 points·3 days ago

reconstituting at a round concentration makes every later dose easy

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u/wanjiru_varga76 points·2 days ago

reconstituting at a round concentration makes every later dose easy

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

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u/tomas_kimani48 points·2 days ago

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

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u/units_not_mgMOD149 points·3 days ago

Reminder: this board does maths, not dosing. Nobody here tells another member what amount to take.

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u/marta_weiss99 points·2 days 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/hedda_adeyemi73 points·3 days ago

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

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u/kavya_radich65 points·3 days ago·edited

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/ledger_modmod · vetting36 points·3 days ago

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

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u/india_generic_g21 points·3 days ago

Cosigning the round-number approach. Reconstituting to something awkward is how you end up drawing 27.5 units at six in the morning.

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u/clara_weiss-6 points·3 days 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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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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