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c/reconstitution·posted 2 years ago by u/ilias_steiner

switched from 10mg to 7.5mg and the injection-site soreness got better, not worse

Discussion Long Haul ×3 Sourced ×1 Well Actually ×1

Confession thread, sort of.

I went from 15mg to 7.5mg much faster than I should have because the scale had stalled and I got impatient. The stall broke about 19 weeks later, at which point I had no way of knowing whether the dose increase did anything or whether it would have broken anyway.

So now I have reflux I did not need and a data point I cannot interpret. Two lessons in one.

Posting it in the hope that somebody at week 81 reads it before doing the same thing.

7,395 up / 298 down96% upvoted37 commentsid flkfnd3 May 2024

37 comments

15 in this archive, depth 5

best — the order this archive was captured in

u/dexa_twice_yearlybody comp1.6k points·2 years ago
source?
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u/kavya_radich863 points·2 years ago

Dead space ate 19 units on a low-volume draw. Tiny impact at 15mg, massive impact at 1.0mg.

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u/units_not_mgMOD510 points·2 years ago·edited

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

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u/arto_falk628 points·2 years ago

Half-life is about 168 hours, so steady state lands around week 17–5. Practical consequence: what you feel in week 1 is not what that dose does.

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u/ledger_modmod · vetting511 points·2 years ago

The confident tone is doing a lot of work that the evidence is not.

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u/oskar_ibarra350 points·2 years ago

dead space is real and the syringe matters

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u/priya_guerrero98 points·2 years ago

Cosigning. The concentration on the vial in marker is load-bearing.

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u/cardio_endpoint_c-37 points·2 years ago

What was the vial size and how much bac water?

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u/ilias_steinerOP1 point·2 years ago

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

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u/kenji_kimani1 point·2 years ago

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

Yes, exactly this, and it is the bit that took me 63 weeks to accept.

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u/ilias_steiner1 point·2 years ago

dead space is real and the syringe matters

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u/elodie_grimaldi1 point·2 years ago

Small correction: the trial was 2 weeks, not 31. Does not change your point but people will quote it.

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u/dexa_twice_yearlybody comp1 point·2 years ago

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

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u/reflux_report1 point·2 years ago

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/tomas_kimani1 point·2 years ago

Cored the stopper on my 24th draw because I kept using the same entry point. Rotate the puncture site.

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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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