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sterile water is not bacteriostatic water and it is not close

Discussion Cold Box ×8 Long Haul ×1

Quick one. Canada here.

reconstitution works very differently where I live than in the threads that dominate the front page, and I keep seeing people confidently given advice that simply does not apply outside the US.

Specifics: the route I used took 23 weeks and cost roughly what I expected. The admin was worse than the cost. The thing that would have saved me the most time was knowing which document to ask for at the start.

Happy to answer questions from anyone in the same jurisdiction.

5,885 up / 4,289 down58% upvoted60 commentsid jhnj9723 Jul 2026

60 comments

30 in this archive, depth 6

best — the order this archive was captured in

u/anjali_tamm364 points·6 days ago·edited

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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[deleted]266 points·6 days ago

[deleted]

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u/iman_falk101 points·6 days ago·edited

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

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u/yusuf_nakamura94 points·5 days ago

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

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u/adaeze_cabrera163 points·6 days ago

Did you write the concentration on the vial?

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u/swirl_dont_shakeMOD73 points·6 days ago

Removed a chain here. The rule is one line long and it is not negotiable.

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u/santiago_ndiaye49 points·6 days ago·edited

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

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u/arto_falk28 points·6 days ago

never post a calculation as advice without stating the concentration

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u/santiago_ndiaye14 points·5 days ago

never post a calculation as advice without stating the concentration

Yes, exactly this, and it is the bit that took me 81 weeks to accept.

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u/reflux_report3 points·5 days ago

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

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u/aleksi_lehtinen6 points·5 days ago·edited

Is that 30mg vial or 23mg?

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u/niels_roos50 points·6 days ago

This is correct. 2mL versus 23mL is the common mistake.

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u/india_generic_g34 points·5 days ago

swirl, do not shake, or you are courting oxidation

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u/vito_beaulieu154 points·4 days ago

Disagree. What you are describing is consistent with dead space, not with what you concluded.

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u/dilara_szabo-7 points·4 days ago

Slight fix: the number was 98.7, not 98.3. Decimal point, but a fairly consequential one.

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u/nabila_espinoza1 point·4 days ago

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

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u/runa_cabrera46 points·4 days ago·edited

Respectfully this is a sample of one presented as a finding.

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u/viktor_kirchnerOP19 points·4 days ago

Respectfully this is a sample of one presented as a finding.

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

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u/marisol_frisk105 points·6 days ago

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

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u/viktor_kirchnerOP42 points·6 days ago

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

Disagree on that part. 99.1% and 99.2% on the same vial is normal.

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u/wanjiru_varga66 points·4 days ago

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

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u/ines_ekstrom19 points·4 days ago·edited

What was the vial size and how much bac water?

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u/hub_opssite staff20 points·4 days ago·edited

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

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u/viktor_kirchnerOP7 points·4 days ago

Are you using a u-100 or u-40 syringe? That changes everything.

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u/rina_bergstrom46 points·6 days ago

I love that this community will spend 40 comments on a detail. That pedantry is why the numbers here matter.

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u/viktor_kirchner36 points·6 days ago

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

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u/soren_zamora29 points·6 days ago

i am begging people to write down the concentration

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u/marisol_frisk0 points·5 days ago

This is correct. 1mL versus 11mL is the common mistake.

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u/saskia_mwangi0 points·5 days 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/kavya_radich1 point·5 days ago

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

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