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ForumsDosing & ProtocolsInsulin syringe unit conversion for compounded sema — my results so far Page 2

Insulin syringe unit conversion for compounded sema — my results so far

FranDenver Fri, Sep 26, 2025 at 3:28 PM 12 replies 1,282 viewsPage 2 of 3
Dr.ObesityLA
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Sep 26, 2025 at 9:24 PM#6
BenResearch_OR said:
Concentration choice is a precision decision, not a preference.

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: Sep 26, 2025 at 10:24 PM
11 6zoe_NC, Dr.ObesityLA, NurseKim_ATL and 8 others
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raj_cambridge
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Sep 26, 2025 at 11:43 PM#7

Adding the numbers, since they settle part of this. Two things anyone can check: a state licence number for a 503A, and an FDA outsourcing-facility registration for a 503B. Both are publicly searchable, and a pharmacy unwilling to give you either has answered the question.

Last edited: Sep 27, 2025 at 12:43 AM
10 5DoseLogDan, SleepFixSam, PurityPaulOR and 7 others
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Dr.GutHealth
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Sep 27, 2025 at 2:03 AM#8
Dr.ObesityLA said:
I am going to disagree with reconstituting low as a general rule.

There is a second half to this that has not been said yet. Resolution therefore closed the doors unevenly, and the asymmetry follows from the bulks lists. For 503B the shortage clause was the only route to these molecules, so that route shut completely. A 503A pharmacy can still argue a doorway via "component of an approved drug" — but only for the substance in the form present in the approved product, which is exactly where the base-versus-salt argument lives, and it does nothing about the copy restriction, which came back into force on resolution.

Worth separating that from compounded supply, which this thread keeps folding into the same question. They behave differently and the advice does not transfer.

Last edited: Sep 27, 2025 at 7:03 AM
9 4jennifer_SEA, tyler_CSCS, VanRx_Mike and 6 others
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sean_dublin
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Sep 27, 2025 at 4:23 AM#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?

8 3NurseLeah_Nash, gary_naperville, sean_dublin and 5 others
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FranDenver
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Sep 27, 2025 at 3:33 PM#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.

Last edited: Sep 27, 2025 at 9:33 PM
46 21GenomicsKate, Dr.ObesityMed, HealthEcon_DC and 43 others
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