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c/reconstitution·posted 1 year ago by u/saskia_rahimi

unpopular opinion: most of what gets said here about units are guesswork

Explainer Well Actually ×3 Slow Clap ×2 Receipts ×1

Posting this as a discussion rather than a claim: unpopular opinion: most of what gets said here about units are guesswork.

Shook the first vial because nobody told me not to. It was fine, but I have swirled every one since.

I keep a laminated card in the drawer with the arithmetic on it. Looks ridiculous. Has never once let me draw the wrong volume.

Spent 11 weeks confused about this until somebody drew the table for me. 10mg, 3mL, 3.33mg/mL, 1mg is 30 units. That is the whole thing.

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

5,766 up / 1,307 down82% upvoted46 commentsid 14nzne2 Jun 2025

46 comments

26 in this archive, depth 3

best — the order this archive was captured in

u/RetaAndRegret2896 points·1 year ago

The dead space question sent me down a rabbit hole for a week. It is a fraction of a unit and it is the same every draw.

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u/viktor_kirchner697 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/arne_restrepo318 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 2.5mg is 2.5 divided by 3.33 millilitres, which is 75 units.

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u/spain_receta110 points·1 year ago

The arithmetic in full: concentration is mass over volume, so 10mg into 3mL gives 3.33mg/mL.

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

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u/emeka_delgado98 points·1 year ago

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

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u/ilias_cabrera98 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/saskia_rahimiOP289 points·1 year ago

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

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u/bac_water_banditMOD470 points·1 year ago

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

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u/saskia_rahimiOP-38 points·1 year ago

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

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u/rosa_mensah218 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/arto_falk77 points·1 year ago

Careful — that arithmetic is wrong. 5mg in 1mL is 5mg/mL, so 1mg draws to 20 units, not what you wrote.

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u/cardio_endpoint_c91 points·1 year ago

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

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

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u/saskia_rahimiOP47 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/india_generic_g205 points·1 year ago

reconstituting at a round concentration makes every later dose easy

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u/kavya_radich63 points·1 year ago

aim the stream at the glass wall, not at the cake

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u/emeka_delgado33 points·1 year ago

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

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u/oskar_ibarra129 points·1 year 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/elin_ferrari99 points·1 year ago

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

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u/vito_beaulieu48 points·1 year ago·edited

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

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

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u/georgi_adebayo73 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/yusuf_nakamura47 points·1 year ago·edited

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/bruno_dumitru72 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/elodie_grimaldi53 points·1 year ago

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

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u/ines_ekstrom49 points·1 year ago

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

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u/niels_roos39 points·1 year ago

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

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u/santiago_ndiaye21 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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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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