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c/reconstitution·posted 3 months ago by u/saskia_rahimi

small win: units stopped being a problem at week 11

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Been lurking in c/semaglutide for about 12 months and finally have something worth posting.

Short version: week 44, 0.5mg, and dead space is the bit I still cannot get a straight answer on. I have read the wiki, I have read the last 9 threads, and the answers split roughly down the middle.

What I actually want to know is whether the people saying it does not matter have measured it, or whether it is just repeated confidently. Happy to be told I am overthinking this — I probably am — but I would rather overthink it now than at week 38.

4,452 up / 627 down88% upvoted56 commentsid 41uxg328 Apr 2026

56 comments

22 in this archive, depth 4

best — the order this archive was captured in

u/runa_grimaldi607 points·3 months ago

The practical rule people converge on is 28 days at fridge temperature after first puncture, and that comes from the preservative, not the peptide.

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u/julia_erdogan889 points·3 months ago

Dead space in the needle hub holds a small but non-trivial volume. On low-volume draws that can be several units.

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[removed]663 points·3 months ago

[removed by moderator]

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u/saskia_rahimiOP343 points·3 months ago

Disagree but this is the good kind of wrong — it is specific enough to be checked.

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u/reflux_report247 points·3 months ago·edited

bacteriostatic and sterile water are not interchangeable, do not use them that way

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u/ilias_cabrera0 points·3 months ago

dead space is real and the syringe matters

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u/lurker_for_years521 points·3 months ago

Yeah, showing the arithmetic is the fastest way for someone to spot the error.

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u/ilias_cabrera158 points·3 months ago

Dead space in the needle hub holds a small but non-trivial volume. On low-volume draws that can be several units.

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u/iman_falk238 points·3 months ago·edited

I am going to push back on this slightly.

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u/alcohol_aversion-33 points·3 months ago

u-100 syringe, not u-40, or your math is off by factor of 17

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u/erez_perrin158 points·3 months ago

Mechanistically the bit that matters is concentration. It explains most of the early profile and a decent chunk of the outcome.

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u/batch_number_bertievetting130 points·3 months ago·edited

i am begging people to write down the concentration

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u/escrow_evangelist61 points·3 months ago

Not to be pedantic but dead space and insulin syringe are being used interchangeably and they are not interchangeable in real life.

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u/andres_sorensen52 points·3 months ago

Mechanistically the bit that matters is concentration.

Adding to this: dead space is doing more work than the comment implies.

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u/julia_erdogan25 points·3 months ago

This is correct. 3mL versus 17mL is the common mistake.

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u/vito_beaulieu15 points·3 months ago

swirl, do not shake, or you are courting oxidation

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u/units_not_mgsyringe math124 points·3 months ago

dosing errors come from people reconstituting two vials differently and forgetting which is which

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u/elin_ferrari74 points·3 months ago

dosing errors come from people reconstituting two vials differently and forgetting which is which

Yes, exactly this, and it is the bit that took me 11 weeks to accept.

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u/emeka_delgado17 points·3 months ago

dosing errors come from people reconstituting two vials differently and forgetting which is which Yes, exactly this, and it is the bit that took me 11

Disagree on that part. 96.8% and 96.2% on the same vial is normal.

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u/vial_math_veraMOD45 points·3 months ago

Tracking number removed. It identifies both ends of a shipment.

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u/oskar_ibarra37 points·3 months ago·edited

more water means more units for the same dose, which means finer resolution

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u/bruno_dumitru28 points·3 months ago

the concentration on the vial in marker is the most important step

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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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