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units are the most under-discussed thing on this board

Explainer Sourced ×8 Slow Clap ×1 The Quiet One ×1

Something I keep coming back to: units are the most under-discussed thing on this board.

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.

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.

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.

Happy to answer the boring questions. Those are usually the ones worth asking.

9,698 up / 473 down95% upvoted36 commentsid 14dww721 Mar 2025

36 comments

30 in this archive, depth 6

best — the order this archive was captured in

u/bac_water_banditMOD1k points·1 year ago

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

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u/saskia_mwangi416 points·1 year ago

The arithmetic in full: concentration is mass over volume, so 15mg into 3mL 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.

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u/rasmus_mensah258 points·1 year ago

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

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u/vito_beaulieu116 points·1 year ago

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

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u/ledger_modmod · vetting715 points·1 year ago

The whole calculation, once, with real numbers.

You have a 15mg vial. You add 3mL of bacteriostatic water. Concentration is mass over volume: 5mg/mL. A U-100 insulin syringe is graduated at 100 units per millilitre, so one unit is 0.01mL.

To draw 0.25mg you need 0.25 divided by 5 millilitres, which is 5 units on the barrel. Write "5mg/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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u/anya_antonsen600 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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u/nadia_kjaer271 points·1 year ago

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

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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[deleted]413 points·1 year ago

[deleted]

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u/quiet_reader_99OP0 points·1 year ago

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

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u/janek_ferrari1 point·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/georgi_adebayo421 points·1 year ago

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

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

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u/india_generic_g374 points·1 year ago

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

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u/oskar_kaufmann100 points·1 year ago

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

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u/quiet_reader_99OP73 points·1 year ago

reconstituting at a round concentration makes every later dose easy

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u/ines_lindqvist17 points·1 year ago

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/quiet_reader_99OP12 points·1 year ago

Correcting myself above: I wrote the concentration the wrong way up. Mass over volume, not volume over mass.

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u/janek_ferrari4 points·1 year ago

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

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u/oskar_ibarra263 points·1 year 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/freya_onwuka64 points·1 year ago

bacteriostatic water has the preservative, sterile water does not

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u/tuva_kirchner25 points·1 year ago·edited

Correction: that gives 100 units, not what you have written. 15mg into 3mL is 5mg/mL and the division follows from there.

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u/nadia_kjaer9 points·1 year ago

Yes, and the dead-space point is worth repeating: it is small, it is real, and it is the same for every draw.

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u/niels_roos196 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/rina_bergstrom116 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/oskar_ibarra142 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/runa_grimaldi-19 points·1 year ago

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

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u/ines_lindqvist1 point·1 year 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/nabila_espinoza1 point·1 year ago

Reconstituted at 3mL when I meant to use a different volume. Caught it because the units looked wrong on the barrel. Now I write 3.33mg/mL on the glass before I put the cap back.

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u/julia_erdogan1 point·1 year ago

5mg into 3mL is 1.67mg/mL, and 0.5mg of that is 30 units

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u/tl_dr_tina1 point·1 year 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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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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