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ForumsDosing & ProtocolsSteady-state concentrations across dose tiers — need advice Page 2

Steady-state concentrations across dose tiers — need advice

cory_ATX Fri, Mar 20, 2026 at 2:05 AM 9 replies 798 viewsPage 2 of 2
Dr.ObesityMed
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Mar 20, 2026 at 11:22 AM#6
labquiet_amy said:
Dead space is the answer to the missing dose.

I am going to disagree with reconstituting low as a general rule. More diluent, more punctures, more in-use days at room temperature, and the stability trade-off is real. Precision is not the only variable being optimised.

30 0EndoResFellow, PharmacoVig_BOS, SurmountFan_IN and 27 others
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bri_stats
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Mar 20, 2026 at 3:03 PM#7
cory_ATX said:
I reconstituted a 10mg vial with 2ml of bacteriostatic water and I want someone to check my unit arithmetic before I draw anything, because I keep…

For anyone reconstituting dosing arithmetic peptides: the water-to-powder ratio determines your concentration. Here's my reference:

Vial SizeBAC WaterConcentration0.25mg Dose
5mg2mL2.5mg/mL10 units
5mg2.5mL2mg/mL12.5 units
10mg2mL5mg/mL5 units
10mg3mL3.33mg/mL7.5 units

More water = easier to measure small doses but vial runs out faster. Find the balance that works for your dose.

Last edited: Mar 20, 2026 at 7:03 PM
29 24mike.trainer_LA, sarah_nash92, FitDadDave and 26 others
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LipidDoc_ATL
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Mar 20, 2026 at 6:44 PM#8
Dr.ObesityMed said:
I am going to disagree with reconstituting low as a general rule.

Peptide calculator app recommendation for dosing arithmetic: I use DoseRight to calculate reconstitution volumes and injection doses. Eliminates math errors completely.

Input: vial size (mg), desired concentration (mg/mL), prescribed dose (mg)
Output: BAC water volume (mL), injection volume (units on insulin syringe)

A math error with injectable medication can mean underdosing or overdosing. Use a calculator every time until the math becomes second nature.

Last edited: Mar 20, 2026 at 11:44 PM
28 23AttorneyGrant, DebRD_ATL, KristenIndy and 25 others
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carlos_SATX
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Mar 20, 2026 at 10:25 PM#9

Following on from Dr.DermMIA — and this may be the naive question:

How much material I am losing to dead space, and whether that explains why a 10mg vial gives me nine usable draws rather than ten?

27 22LindaRN_retired, tommy_boulder, hyun_seoul and 24 others
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cory_ATX
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Mar 21, 2026 at 4:05 PM#10

Closing the loop on my own question.

Follow-up: it was dead space. Switching to a low-dead-space fixed-needle syringe gave me the tenth dose back.

13 11tane_welly, Dr.PathRoch, mona_PHX and 10 others
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