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ForumsCompounding & FormulationNeedle gauge and dead space — my results so far Page 2

Needle gauge and dead space — my results so far

InsuranceTom Thu, Jan 22, 2026 at 11:26 AM 7 replies 895 viewsPage 2 of 2
PurityPaulOR
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Jan 22, 2026 at 4:36 PM#6
COA_Karl 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.

Last edited: Jan 22, 2026 at 7:36 PM
46 16Dr.LeslieOBGYN, MikeNYC_runner and 43 others
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TirzTom
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Jan 22, 2026 at 6:38 PM#7
InsuranceTom 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…

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

Monthly medication cost: $131
Supplies (syringes, BAC water, alcohol swabs): ~$9/month
Janoshik testing: ~$11/month (amortized quarterly)
Lab work: ~$51/month (amortized quarterly)
Total: ~$211/month

Compare to brand Wegovy at $1371/month without insurance. Compounded is roughly 90% cheaper for what I have found to be clinically equivalent medication.

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Dr.MetabolicMD
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Jan 22, 2026 at 8:39 PM#8
PurityPaulOR said:
I am going to disagree with reconstituting low as a general rule.

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: Jan 22, 2026 at 10:39 PM
44 14HealthEcon_DC, PedsEndoPhilly, SleepDoc_PDX and 41 others
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pete_RVA
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Jan 22, 2026 at 10:40 PM#9

A narrower follow-up, since the general answer is now clear:

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?

Last edited: Jan 23, 2026 at 3:40 AM
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InsuranceTom
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Jan 23, 2026 at 8:23 AM#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.

3 3jim_asheville, matt_MKE, Dr.ReproEndo
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