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Reconstitution & storageLesson 2 of 45 min

The dosing math

How to calculate a peptide dose in units

The dose math, a reminder before each dose and the log of what you took, in one app: Claritide for iPhone.

Divide the mg in the vial by the mL of water: that is its strength. Divide your dose by the strength to get mL, then multiply by 100 for the units on a U-100 insulin syringe.

Two formulas and one conversion

Everything you will ever need to calculate a peptide dose fits in three lines.

Concentration (mg/mL) = peptide amount (mg) ÷ water volume (mL)

Dose volume (mL) = desired dose (mg) ÷ concentration (mg/mL)

On a U-100 insulin syringe, 1 unit = 0.01 mL.

That last one is the conversion that trips people up, so anchor it: 10 units is 0.1 mL. 50 units is 0.5 mL. 100 units is the full 1 mL barrel.

Worked example: BPC-157

You have a 5 mg vial and you want a 250 mcg dose.

Add 2 mL of bacteriostatic water. Concentration = 5 ÷ 2 = 2.5 mg/mL.

250 mcg is 0.25 mg. Dose volume = 0.25 ÷ 2.5 = 0.1 mL.

0.1 mL × 100 = 10 units on a U-100 syringe.

Worked example: tesamorelin

You have a 2 mg vial and you want a 2 mg dose.

Add 0.5 mL. Concentration = 2 ÷ 0.5 = 4 mg/mL.

Dose volume = 2 ÷ 4 = 0.5 mL = 50 units.

Worked example: retatrutide at 12 mg

You have a 10 mg vial and you want 12 mg.

Add 1 mL. Concentration = 10 ÷ 1 = 10 mg/mL.

Dose volume = 12 ÷ 10 = 1.2 mL = 120 units.

A U-100 barrel holds 100 units. This does not fit. The Playbook's answer is to draw 60 units, inject, then draw and inject 60 more from the same vial. A 3 mL syringe with an appropriate needle gauge is the alternative.

Notice that the arithmetic surfaced a practical problem before you were standing over the vial with a syringe in your hand. That is the point of doing it in advance.

The reference table

VialWaterConcentration250 mcg =500 mcg =
5 mg1 mL5 mg/mL5 units10 units
5 mg2 mL2.5 mg/mL10 units20 units
10 mg2 mL5 mg/mL5 units10 units

And the broader version from our reconstitution guide:

VialWaterConcentration10 units =50 units =
5 mg1 mL5 mg/mL500 mcg2.5 mg
5 mg2 mL2.5 mg/mL250 mcg1.25 mg
10 mg1 mL10 mg/mL1 mg5 mg
10 mg2 mL5 mg/mL500 mcg2.5 mg
3 mg3 mL1 mg/mL100 mcg500 mcg

Choosing your dilution

The volume you add does not change how much peptide you own. It changes the concentration, and therefore how many syringe ticks a dose occupies.

More water means each tick represents less peptide, so small doses are easier to measure accurately, but injection volumes are larger.

Less water means smaller injections but demands more precision, and sub-5-unit measurements on a U-100 barrel get unreliable fast.

1 to 2 mL is the sweet spot for most peptides. Pick the dilution that puts your intended dose at a round, comfortably readable number of units. If your dose lands at 7.5 units, use more water and make it 15.

The mistake to avoid

Confusing micrograms and milligrams. 1,000 mcg = 1 mg. Most peptide doses are measured in micrograms; most vial sizes are labelled in milligrams. Every calculation above crosses that boundary, and a factor-of-1,000 error is not a rounding problem.

Double-check the units before every draw, not just the number.

Common questions

How many units is 1 mL?

On a U-100 insulin syringe, 1 mL is 100 units, because each unit is 0.01 mL. So 10 units is 0.1 mL, and 50 units is 0.5 mL.

How many mg is 10 units?

It depends on how the vial was mixed, because a unit measures liquid, not drug. At 5 mg per mL, 10 units hold 0.5 mg. At 10 mg per mL, the same 10 units hold 1 mg.

How do you read units on an insulin syringe?

Count the lines, not just the numbers. A 1 mL syringe has a line every 2 units, with a longer line every 10. The 0.5 mL and 0.3 mL syringes have a line for every unit, with a longer line every 5.

What size insulin syringe do you use?

The common sizes are 1 mL, 0.5 mL and 0.3 mL, which hold 100, 50 and 30 units. All three are U-100, so a unit is the same amount on each. A small draw is easier to read on a smaller one, where every line is a single unit.

How many mg is 1,000 mcg?

1,000 mcg is 1 mg, so 500 mcg is 0.5 mg. Vials are usually labelled in mg and doses are often written in mcg, which makes a 1,000-times slip easy. Check the unit before every draw, not just the number.

Check yourself

2 questions before you move on

  1. 1.You add 2 mL of bacteriostatic water to a 10 mg vial. What is the concentration, and how many units is a 2.5 mg dose?

  2. 2.Why is adding more bacteriostatic water sometimes the better choice?

Every lesson here is free to read, and it stays free. Your own schedule, vials and log live in the app: Claritide for iPhone.