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ForumsDosing & ProtocolsSteady-state concentrations across dose tiers — January 2024 Page 3

Steady-state concentrations across dose tiers — January 2024

Dr.GastroMayo Thu, Dec 5, 2024 at 11:53 AM 11 replies 1,654 viewsPage 3 of 3
DanielChem_CHI
Senior Member
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Mar 2024
Chicago, IL
Dec 6, 2024 at 1:43 PM#11
Dr.EndoIndy said:
Sharing my dosing arithmetic titration experience with compounded semaglutide — I have been tracking injection volumes meticulously: Using 5mg/2mL…

Peptide calculator app recommendation for dosing arithmetic: I use PeptideCalc 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.

36 9fiona_VT, denise_HTX, raj_cambridge and 33 others
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tampaLisa73
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Oct 2024
Tampa, FL
Dec 6, 2024 at 11:00 PM#12
bri_stats said:
The arithmetic is right and one caveat matters: a U-40 syringe changes the markings, not the volumes.

Thank you — that is the clearest version of this I have read, and I have read a lot of them. I will report back once I have actually tried it.

37 10FitDadDave, RunnerRach, TrialNerd_Beth and 34 others
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fiona_VT
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Dec 2024
Vermont
Dec 7, 2024 at 8:16 AM#13
Dr.EndoIndy said:
Sharing my dosing arithmetic titration experience with compounded semaglutide — I have been tracking injection volumes meticulously: Using 5mg/2mL…

Ongoing cost tracking for dosing arithmetic — transparency for the community:

Monthly medication cost: $124
Supplies (syringes, BAC water, alcohol swabs): ~$12/month
Janoshik testing: ~$14/month (amortized quarterly)
Lab work: ~$54/month (amortized quarterly)
Total: ~$224/month

Compare to brand Wegovy at $1314/month without insurance. Compounded is roughly 88% cheaper for what I have found to be clinically equivalent medication.

38 11jason_sac26, chris_chi24, tampaLisa73 and 35 others
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lisa_labSD
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Oct 2024
San Diego, CA
Dec 7, 2024 at 5:32 PM#14
Dr.GastroMayo 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…

Quick syringe math for dosing arithmetic dosing: if your vial is reconstituted at 5mg/2mL, that's 2.5mg/mL. For a 0.25mg dose you need 0.1mL = 10 units on an insulin syringe.

I keep a chart on my fridge:

  • 0.25mg = 10 units
  • 0.5mg = 20 units
  • 1.0mg = 40 units
  • 1.25mg = 50 units

Always double-check your concentration before drawing up!

39 12lori_vegas, Dr.PulmRoch, maya_sedona and 36 others
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mike_mod
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Dec 8, 2024 at 2:48 AM#15

Moderator note: a couple of off-topic posts removed.

Last edited: Dec 8, 2024 at 4:48 AM
40 13PurityPaulOR, MaxMetOK, MounjBrad and 37 others
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