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c/reconstitution·posted 9 months ago by u/emil_wojcik

[Question] how do you actually verify reconstitution

Question Cold Box ×6 Slow Clap ×2

Right, the reconstitution question again, but with numbers this time.

I have 13 data points over 14 weeks. The pattern is consistent enough that I do not think it is chance, and boring enough that nobody is going to screenshot it, which is usually a good sign.

The thing I would flag for anyone new: the effect I am describing showed up at week 56, not week 10. People give up long before the interesting part.

Interested in whether this matches other people's logs or whether I am an outlier.

1,906 up / 544 down78% upvoted60 commentsid 19dw1p18 Oct 2025

60 comments

30 in this archive, depth 5

best — the order this archive was captured in

u/ahmed_rasmussen108 points·9 months ago·edited

Two vials, two different concentrations, forgot which was which, almost made a 21 times error. Now I label everything.

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u/ines_ekstrom59 points·9 months ago

What was the vial size and how much bac water?

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u/marta_weiss46 points·9 months ago

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

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u/ilias_steiner62 points·9 months ago

I am going to push back on this slightly.

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u/saskia_mwangi48 points·9 months ago
genuine question, not being difficult: how do you know
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u/iman_falk14 points·9 months ago

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

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u/emil_wojcikOP9 points·9 months ago

This is the "correlation is mechanism" thing again.

Counter-anecdote: opposite result, same dose. Which mostly tells us the variance is huge.

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u/ahmed_rasmussen6 points·9 months ago

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

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u/freya_onwuka6 points·9 months ago

Not to be pedantic but concentration and bacteriostatic water are being used interchangeably and they are not interchangeable in real life.

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u/karim_ilunga23 points·9 months ago·edited

Did you write the concentration on the vial?

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u/sofia_danquah14 points·9 months ago

15mg vial, 2mL water, concentration is 15/2 — write it on the vial afterwards

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u/gradient_goblin10 points·9 months ago

i am begging people to write down the concentration

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u/escrow_evangelist8 points·9 months ago

never post a calculation as advice without stating the concentration

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u/dilara_szabo-30 points·9 months ago

I am going to push back on this slightly.

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u/emil_wojcik3 points·9 months ago

never post a calculation as advice without stating the concentration

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u/declared_value_dv16 points·9 months ago

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

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u/tomas_kimani4 points·9 months ago

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

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u/dexa_twice_yearlybody comp12 points·9 months ago·edited

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

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u/lurker_for_years10 points·9 months ago·edited

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

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

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u/vial_math_verasyringe math6 points·9 months ago

stopper coring on the 24th draw because you keep using the same entry point. rotate.

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u/nabila_espinoza10 points·9 months ago

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

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u/aurel_boateng6 points·9 months ago

Did you write the concentration on the vial?

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u/emil_wojcik3 points·9 months ago

dead space is real and the syringe matters

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u/emil_wojcikOP2 points·9 months ago

Spent 21 weeks confused about concentration math until someone showed me the table. 5mg, 2mL, concentration is 5/2.

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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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