u/units_not_mg
Every dosing mistake I have seen came from confusing units with milligrams.
long-standing contributor · syringe math · joined 8 Nov 2023
Comments — page 2 of 3
comment on mg/mL — 16 things I got wrong before I got it right in c/reconstitution · 41 points · 6 months ago
Working has to be shown on arithmetic posts. Added a note asking for it rather than removing this one.
comment on titration is the most under-discussed thing on this board in c/semaglutide · 18 points · 6 months ago
Removed the dose recommendation. You can describe what you did; you cannot tell somebody else what to take.
comment on [Results] 89 weeks on 1.7mg, full numbers, ask me anything boring in c/semaglutide · 43 points · 7 months ago
Not convinced. You changed the dose and the week at the same time, so you cannot attribute the change to either.
comment on dead space is the most under-discussed thing on this board in c/reconstitution · 27 points · 8 months ago
Bacteriostatic or plain sterile water?
comment on someone explain goal to me like I have not read a paper in years in c/progresspics · 695 points · 8 months ago
Nothing on this board is medical advice, and rate, target and method are questions for somebody who knows your history.
comment on reading bacteriostatic water threads from 2024 and half of it aged badly in c/reconstitution · 1 points · 9 months ago
Not quite. Bacteriostatic and sterile water are not interchangeable for a multi-draw vial, and the difference is the preservative.
comment on [Lab] 8th independent test on MKM — 97.9% on a claimed 97.5%, and the trend is the interesting part in c/semaglutide · 17 points · 9 months ago
The mental model that finally made this click for me: there are two curves, and people watch the wrong one.
The first is exposure, which is set by the dose and smoothed by a week-long half-life. It changes when you change the dose and then settles over about a month. The second is body weight, which is exposure filtered through appetite, food, water, sleep, training and the scale itself, and which moves in steps rather than a line.
Almost every "it stopped working" post is somebody watching curve two over a fortnight and drawing conclusions about curve one. If the appetite effect is still there, exposure is fine. Wait the month.
comment on [Lab] 8th independent test on MKM — 97.9% on a claimed 97.5%, and the trend is the interesting part in c/semaglutide · 37 points · 9 months ago
The weekly interval comes out of the half-life — roughly a week — so you are on a smooth curve rather than a series of spikes. That is also why moving your day slightly does very little.
comment on [Lab] 8th independent test on MKM — 97.9% on a claimed 97.5%, and the trend is the interesting part in c/semaglutide · 159 points · 9 months ago
Not convinced.
Disagree with this specific line. A pause at 1.0mg is not evidence that 1.0mg has stopped working.
comment on [Lab] 8th independent test on MKM — 97.9% on a claimed 97.5%, and the trend is the interesting part in c/semaglutide · 346 points · 9 months ago
Removed the dose recommendation. You can describe what you did; you cannot tell somebody else what to take.
comment on unpopular opinion: most of what gets said here about mg/mL is guesswork in c/reconstitution · 58 points · 9 months ago
do the arithmetic before you reconstitute, not while holding a syringe
comment on unpopular opinion: most of what gets said here about mg/mL is guesswork in c/reconstitution · 75 points · 9 months ago
Correcting myself above: I wrote the concentration the wrong way up. Mass over volume, not volume over mass.
comment on reading MHRA threads from 2024 and half of it aged badly in c/glp1uk · -7 points · 10 months ago
Discharged at goal back to the GP, who would not continue it. Nobody had mentioned that this was how it ends.
comment on mg/mL is the most under-discussed thing on this board in c/reconstitution · 599 points · 10 months ago
The whole calculation, once, with real numbers.
You have a 10mg vial. You add 3mL of bacteriostatic water. Concentration is mass over volume: 3.33mg/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 3.33 millilitres, which is 60 units on the barrel. Write "3.33mg/mL" on the vial in marker before you put it away, and you never have to do this again for that vial.
comment on [Meta] proposal — a flair for NHS posts in c/glp1uk · 3 points · 10 months ago
Two years and four months on a tier 3 list. Referral date and every letter kept, which turned out to matter when the service reorganised.
comment on [Question] how do you actually verify units in c/reconstitution · 130 points · 10 months ago
Correction: that gives 30 units, not what you have written. 15mg into 3mL is 5mg/mL and the division follows from there.
comment on [Question] how do you actually verify units in c/reconstitution · 132 points · 10 months ago
Working has to be shown on arithmetic posts. Added a note asking for it rather than removing this one.
comment on unpopular opinion: most of what gets said here about dead space is guesswork in c/reconstitution · 2 points · 11 months ago
Corrected the concentration in the title, which contradicted the body. Nothing else touched.
comment on week 18 check-in — 5kg down, nausea manageable, one thing confusing me in c/progresspics · 1 points · 11 months ago
celebrate the boring milestones, they are the durable ones
comment on [Discussion] the reconstitution advice in here is 3 years out of date in c/reconstitution · 1 points · 11 months ago
more water is not more drug, it is the same drug in a bigger volume
ahmed_rasmussen has the units point exactly right. They are a volume on the barrel and nothing else.
comment on [Discussion] we are measuring food noise at the wrong time and calling it noise in c/semaglutide · 0 points · 11 months ago
Not convinced. You changed the dose and the week at the same time, so you cannot attribute the change to either.
comment on genuine question about bacteriostatic water that I am slightly embarrassed to ask in c/reconstitution · 134 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.
comment on [Question] how do you actually verify bacteriostatic water in c/reconstitution · 1 points · 1 year ago
Left up and flaired Explainer — the numbers in this one check out.
comment on [Question] how do you actually verify tier 3 in c/glp1uk · 10 points · 1 year ago
Push back: a private prescription is a separate route, not a shortcut through the NHS queue.
comment on genuine question about titration that I am slightly embarrassed to ask in c/semaglutide · 11 points · 1 year ago
the food noise going quiet is the effect people actually describe
comment on [Discussion] we are measuring plateau at the wrong time and calling it noise in c/semaglutide · 172 points · 1 year ago
Standard reminder: no personal titration plans for other members, and no medical advice. Everything else is fine.
comment on [Question] how do you actually verify NHS in c/glp1uk · 1 points · 1 year ago
This. The monthly pricing tracker is the most useful thing on this board and it works because nobody is allowed to link anything.
comment on the food noise question that gets asked weekly, answered properly in c/semaglutide · 62 points · 1 year ago
protein first, then everything else gets easier
comment on [PSA] write the concentration on the vial. that is the whole post. in c/semaglutide · 1.1k points · 1 year ago
Removed the dose recommendation. You can describe what you did; you cannot tell somebody else what to take.
comment on the Wegovy question that gets asked weekly, answered properly in c/semaglutide · 780 points · 1 year ago
Leaving this up. It is a check-in, it has numbers, and it is honest about being one person.
comment on [Discussion] progress is doing more work than we give it credit for in c/progresspics · 159 points · 1 year ago
Same.
lucia_balogun is right that the clothes tell you before the scale does.
comment on the bacteriostatic water question that gets asked weekly, answered properly in c/reconstitution · 4 points · 1 year ago
a U-100 syringe reads 100 units to the millilitre, every time
comment on the bacteriostatic water question that gets asked weekly, answered properly in c/reconstitution · 36 points · 1 year ago
Right — the volume you add is the only variable you control here, and the cake does not change it meaningfully.
comment on the bacteriostatic water question that gets asked weekly, answered properly in c/reconstitution · 208 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.
comment on someone explain mg/mL to me like I have not read a paper in years in c/reconstitution · 3 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.
comment on is it normal to get nausea at week 58 in c/progresspics · 4 points · 1 year ago
What timeframe is that over?
comment on [Meta] the concentration rule is doing its job and people should stop complaining in c/reconstitution · 77 points · 1 year ago
do the arithmetic before you reconstitute, not while holding a syringe
comment on [Meta] the concentration rule is doing its job and people should stop complaining in c/reconstitution · 181 points · 1 year ago
Working has to be shown on arithmetic posts. Added a note asking for it rather than removing this one.
comment on does semaglutide actually matter or is it forum lore at this point in c/semaglutide · 209 points · 1 year ago
Removed the dose recommendation. You can describe what you did; you cannot tell somebody else what to take.
comment on [Results] 12 weeks on 1.7mg, full numbers, ask me anything boring in c/progresspics · 23 points · 1 year ago
Nothing on this board is medical advice, and rate, target and method are questions for somebody who knows your history.