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

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

Explainerbranch of 9 comments

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…

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9 comments, started 4 days ago
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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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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