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genuine question about units that I am slightly embarrassed to ask

PSA Cold Box ×2 The Quiet One ×3 Well Actually ×1

genuine question about units that I am slightly embarrassed to ask. If this has been answered properly somewhere, link me and I will delete.

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.

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

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

Corrections welcome, especially the pedantic ones. Pedantry is how this board earns its reputation.

3,733 up / 754 down83% upvoted27 commentsid 14nwhw13 May 2025

27 comments

22 in this archive, depth 4

best — the order this archive was captured in

u/karim_ilunga427 points·1 year ago·edited

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/nadia_kjaer-4 points·1 year ago·edited

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/saskia_mwangi243 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/rina_bergstrom149 points·1 year 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/gradient_goblin71 points·1 year ago

I keep a laminated card in the drawer with the arithmetic on it.

Right, and the arithmetic behind it: 5mg in 2mL is 2.5mg/mL, so 0.25mg is 10 units.

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u/declared_value_dvOP38 points·1 year ago

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

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u/wanjiru_varga113 points·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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u/yusuf_achebe46 points·1 year ago

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

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u/oskar_kaufmann27 points·1 year ago

Agreed — units are volume.

This is the sentence that makes the rest unnecessary. Write it on the vial and the problem is gone.

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u/RetaAndRegret215 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/ilias_steiner29 points·1 year ago

Agreed — units are volume.

Disagreeing with this line only: adding more water is not a safety margin, it is a different divisor.

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u/swirl_dont_shakeMOD73 points·1 year ago

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

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u/a1c_arcT2D48 points·1 year ago

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

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u/tl_dr_tina14 points·1 year ago

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

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u/ilias_steiner4 points·1 year ago

the number you write down is the number you will trust at 6am

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u/vito_beaulieu44 points·1 year ago

The arithmetic in full: concentration is mass over volume, so 10mg into 3mL gives 3.33mg/mL. A U-100 syringe is graduated at 100 units per millilitre, so 1mg is 1 divided by 3.33 millilitres, which is 30 units.

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u/marta_weiss11 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/runa_grimaldi3 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_kaufmann1 point·1 year ago

Spent 9 weeks confused about this until somebody drew the table for me. 5mg, 3mL, 1.67mg/mL, 1mg is 60 units. That is the whole thing.

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u/lurker_for_years3 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.

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u/freya_onwuka2 points·1 year ago

I would not round that figure. At 10mg/mL a rounding error of two units is a real fraction of the intended amount.

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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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