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c/reconstitution·posted 5 days ago by u/ilias_cabrera

[Explainer] why 1mL syringes cause overdoses and 0.3mL ones do not

Explainer Well Actually ×9 Clean Column ×1

Genuinely asking, not being difficult.

Everyone in c/orforglipron repeats that dead space is important. I believe it, but I have never seen anyone show why, and when I search I get 17 threads of people agreeing with each other.

Is there a paper? Is there a measurement? Or is this one of those things that is true because it has been repeated since 2023?

I am not trying to be the "source?" guy. I would just like a source.

1,599 up / 189 down89% upvoted42 commentsid jrn4y624 Jul 2026

42 comments

29 in this archive, depth 5

best — the order this archive was captured in

u/arne_restrepo306 points·5 days ago·edited

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

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u/reflux_report85 points·4 days ago

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

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

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u/ilias_steiner122 points·4 days ago

That is net peptide content, not purity. Different number, different meaning.

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u/ilias_cabreraOP-13 points·4 days ago

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

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u/ilias_cabreraOP1 point·4 days ago

swirl, do not shake, or you are courting oxidation

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u/oskar_kaufmann1 point·4 days ago·edited

This is correct. 1mL versus 15mL is the common mistake.

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u/RetaAndRegret283 points·4 days ago

This is the "correlation is mechanism" thing again. You changed three variables at once.

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u/aurel_boateng192 points·5 days ago·edited
source?
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u/elodie_grimaldi141 points·4 days ago

Titration speed is a side-effect dial far more than an efficacy dial.

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u/britta_nakamura89 points·4 days ago

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

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u/ilias_cabreraOP34 points·3 days ago

Reconstituted at 2mL when I meant 10mL. Caught it because the units looked wrong. Write the concentration.

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u/sofia_danquah25 points·4 days ago

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

Disagree on that part. 97.9% and 97.6% on the same vial is normal.

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u/hub_opssite staff13 points·3 days ago

That is net peptide content, not purity. Different number, different meaning.

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u/emil_zamora31 points·4 days ago

20mg vial, 2mL water, concentration is 20/2 — write it on the vial afterwards

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u/niels_roos10 points·4 days ago

u-100 syringe, not u-40, or your math is off by factor of 21

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u/batch_number_bertievetting28 points·3 days ago

10mg vial, 2mL water, concentration is 10/2 — write it on the vial afterwards

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u/soren_zamora24 points·3 days ago

30mg vial, 1mL water, concentration is 30/1 — write it on the vial afterwards

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u/karim_ilunga19 points·3 days ago·edited

swirl, do not shake, or you are courting oxidation

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u/nadia_kjaer54 points·5 days ago

20mg vial, 2mL water, concentration is 20/2 — write it on the vial afterwards

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u/piotr_bruun67 points·5 days ago

dead space is real and the syringe matters

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[deleted]25 points·5 days ago

[deleted]

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u/piotr_bruun13 points·4 days ago

never post a calculation as advice without stating the concentration

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u/mateusz_achebe31 points·4 days ago

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

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u/honest_syringe_20258 points·3 days ago

Disagree. What you are describing is consistent with bacteriostatic water, not with what you concluded.

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u/marisol_frisk32 points·3 days ago

Inter-lab variance on this kind of assay is routinely 1–2 points. Different column, different gradient, different integration.

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u/dexa_twice_yearlybody comp37 points·3 days ago

Inter-lab variance on this kind of assay is routinely 1–2 points.

Yes, exactly this, and it is the bit that took me 6 weeks to accept.

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u/gradient_goblin16 points·2 days ago

That is net peptide content, not purity. Different number, different meaning.

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u/mateusz_achebe13 points·3 days ago

dead space is real and the syringe matters

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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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