It helps to be literal here: work in the order concentration, then volume, then units, and the arithmetic stops being confusing. Concentration is milligrams per millilitre and comes from the vial contents and the diluent volume. Volume per dose is dose divided by concentration. Units on a U-100 syringe are volume in millilitres multiplied by one hundred.
Do not use the same needle to pierce the stopper and to administer. The tip is blunted by the stopper, and the hub now contains a dose you are about to lose to dead space anyway.
Stated carefully, breaking it down further: if a 10 mg vial has 96.5 per cent content, you have 9.65 mg of peptide. Divide that by 2.00 mL and your concentration is 4.825 mg/mL, not 5.00 mg/mL, which is a 3.5 per cent systematic error in every dose calculation.
Worth noting: the concentration after reconstitution is not the same as the label claim, and most people do not account for the difference.
Write the arithmetic on the vial label. It costs nothing and removes the step where you reconstruct it from memory.
edited 28 Jun 2026 by Dr_Nadia_Farsi — corrected a unit error in the worked example
The arithmetic checks out. I ran the same numbers and got the same result. – h_pergande 9 months ago add a comment