Concretely, the cost of bacteriostatic water is negligibly higher than the cost of sterile water, so cost is not a valid reason to omit it if you are doing multi-withdrawal use.
A vial of bacteriostatic water is sterile when you receive it — the challenge is keeping it that way as you draw from it repeatedly.
To be exact about it, the timeline after opening is: zero to 24 hours is almost risk-free, 24 hours to 7 days is low-risk if refrigerated, 7 to 28 days is acceptably low-risk if refrigerated and handled correctly, and over 28 days is guesswork.
Worth noting that some people have reactions to benzyl alcohol, which is worth knowing if you are going to inject.
The practical summary: use bacteriostatic water for multi-withdrawal, store refrigerated, and respect the 28-day limit.
edited 26 Oct 2024 by dead_volume — reworded for clarity after a comment
The arithmetic checks out. I ran the same numbers and got the same result. – ilaria_bertone 3 months ago add a comment