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ForumsCompounding & FormulationCompounded peptide reconstitution water — looking for input Page 5

Compounded peptide reconstitution water — looking for input

maria_elpaso Fri, Oct 18, 2024 at 11:14 PM 33 replies 2,392 viewsPage 5 of 7
LeilaHI
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Oct 24, 2024 at 5:27 PM#21
DoseLogDan said:
For anyone reconstituting dosing arithmetic peptides: the water-to-powder ratio determines your concentration.

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!

32 7COA_Karl, MikeFit_NJ, InsuranceTom and 29 others
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claudia_zurich
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Oct 26, 2024 at 2:32 PM#22
DoseLogDan said:
For anyone reconstituting dosing arithmetic peptides: the water-to-powder ratio determines your concentration.

Reconstitution tip for anyone mixing dosing arithmetic from lyophilized powder: use bacteriostatic water, NOT sterile water. The benzyl alcohol in BAC water preserves multi-dose vials for up to 28 days.

Inject the water slowly down the side of the vial. NEVER shake — gentle swirling only until fully dissolved. Should be crystal clear with no particles.

Last edited: Oct 26, 2024 at 8:32 PM
31 6tammy_FL, Dr.LipidDallas, alex_tucson and 28 others
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nick_newbie
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Oct 28, 2024 at 11:38 AM#23
DoseLogDan said:
For anyone reconstituting dosing arithmetic peptides: the water-to-powder ratio determines your concentration.

This is exactly what I could not find anywhere else. Sending this to two other people who asked me the same thing last week.

30 5MeganSA_TX, LarryQC_SD, wanda_boise and 27 others
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Dr.SurgeonPGH
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Oct 30, 2024 at 8:45 AM#24

Clinical perspective, offered as context rather than as advice.

Sharing my dosing arithmetic titration experience with compounded semaglutide — I have been tracking injection volumes meticulously:

Using 5mg/2mL concentration with 1cc insulin syringes:

  • Month 1: 10 units (0.25mg) — mild appetite reduction
  • Month 2: 20 units (0.5mg) — significant appetite suppression
  • Month 3: 30 units (0.75mg) — custom intermediate dose
  • Month 4: 40 units (1.0mg) — optimal for me, staying here

The beauty of compounded vials is you can do custom intermediate doses. My provider was great about tailoring to my response.

Last edited: Oct 30, 2024 at 11:45 AM
29 4RickReta_CO, PharmHunterJen, TomTeleRx and 26 others
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GenomicsKate
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Nov 1, 2024 at 5:53 AM#25
Dr.SurgeonPGH said:
Sharing my dosing arithmetic titration experience with compounded semaglutide — I have been tracking injection volumes meticulously: Using 5mg/2mL…

This is my experience too, for whatever a second data point is worth.

28 3claudia_zurich, nancy_portland, rick_sfbay and 25 others
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