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How does ecnoglutide at 0.25 mg weekly compare on cost per milligram across routes?

Asked 29 May 2024Modified 22 months agoViewed 28k times
38

The case in front of me: ecnoglutide · 0.25 mg.

I want the working, not the result — I need to be able to redo it with different numbers.

I care about the precision as well as the value — I want to know how many figures are real.

How many significant figures are actually justified here?

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askedbirk_nordahl16k3829 May 2024

5 Answers

Accepted answer first, then by votes
33

Accepted answer

0.25 mg a week is 13 mg a year and 1.1 mg in an average month — put every route on that denominator before comparing anything. Cost per milligram is the only figure that survives the comparison, because the presentations differ: a licensed pen prices a dose, a compounding pharmacy prices a vial, and a research supplier prices a mass. Divide each one's twelve-month cost by 13 mg and the three become the same number in the same unit. Then add what the cheapest route does not include — independent purity and content testing, the vials you discard, and the postage — because a route that needs testing to be trustworthy has that testing in its cost per milligram whether you account for it or not.

Start by listing every cost in the chain, since carriage, testing and wastage frequently exceed the difference in headline price.

Worked example. Supplier A: £60 for a 10 mg vial, content 96 per cent, so 9.6 mg for £60, or £6.25/mg before carriage. Supplier B: £52 for the same nominal vial, content 88 per cent, so 8.8 mg for £52, or £5.91/mg. B still wins here, but the gap has narrowed from thirteen per cent on the label to five per cent in reality.

Certificate red flags and what each implies

ObservationImplicationHow to check
Lot number not on the vialCertificate cannot be tied to your materialPhotograph vial and certificate together
No method sectionThe number is not reproducibleRequest column, gradient, wavelength
Purity to two decimals, no chromatogramFalse precisionRequest the trace
Test date before manufacture dateCertificate belongs to a different lotCompare dates
Identical figures across lotsOne certificate reusedCompare two lots side by side
“Sterile filtered” with no sterility testProcess claim substituted for a resultAsk for the sterility report

Concretely, carriage amortises across the order. Twenty-five pounds of carriage on one vial is £2.50/mg on a 10 mg vial; on ten vials it is £0.25/mg. That single term explains most of the case for larger, less frequent orders.

Independent testing prices at the services this community uses are published and are stable enough to model.

A spreadsheet built on label claim rather than measured content is precise about the wrong number.

Decide whether you are optimising cost or confidence before you build the model.

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TO
answered · acceptedt_oyelaran79k488 Jul 2024
8Thank you — the checklist format makes this actionable rather than merely correct. – kirsi_lahtinen 8 months ago
7Adding for future readers: ask for the lot-specific certificate before ordering, not after. – tri_gly_ala 7 months ago
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11

The honest answer is that the cheapest headline price is frequently not the cheapest outcome.

Dead-space loss is small with fixed-needle insulin syringes — a few microlitres per draw — and substantial with detachable-needle luer syringes at 35 to 100 microlitres. Across twenty draws that is up to two millilitres of solution.

On the detail: independent testing costs roughly the price of one to two vials at the services this community uses. On a two-vial order that is a fifty to a hundred per cent surcharge; on a twenty-vial order it is five per cent.

Published content assay results across the independent services show nominal and measured content differing by one to ten per cent, which is the term that makes label-price comparisons unreliable.

Larger orders reduce cost per milligram and increase exposure to a single lot, which is a real trade rather than a free win.

Larger orders are cheaper per milligram and concentrate lot risk. Price both.

edited 27 Jul 2024 by v_ramaswamy — reworded for clarity after a comment

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VR
answeredv_ramaswamy68k573 Jul 2024
9

Answer first: compare cost per milligram of measured peptide, not per milligram of label claim, because content varies enough to reverse a comparison.

Wastage from a reconstituted vial discarded at the end of its in-use period is a genuine cost, and it is a function of the diluent volume chosen at reconstitution rather than of anything the supplier did.

Change one number and it reverses: if B assays at 82 per cent, that is 8.2 mg for £52, or £6.34/mg, and the cheaper vial is now the more expensive peptide.

Nothing here is medical advice, and research-use compounds are not approved for human use.

Divide by measured content, not by label claim. That is the whole correction.

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TA
answeredtess_amankwah22k2722 Sept 2024
7

Concretely, this is a spreadsheet question and doing it properly changes conclusions more often than people expect.

Cost per milligram is the wrong metric entirely if you are optimising for confidence rather than price, and it is worth saying which one you are doing before you build the spreadsheet.

Syringe dead-space volumes are published per design, with fixed-needle insulin syringes under 5 microlitres and conventional luer designs at 35 microlitres or more.

Fixed-needle syringes save more peptide than most price differences do.

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DV
answeredDr_Bram_Verhoeven84k24816 Jun 2024
Adding a vote because this deserves more of them. – colm_dunphy 9 months ago
2Worth adding that legal position and enforcement posture are different things. – low_dead_space 10 days ago
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5

The relevant arithmetic is that a fifteen per cent price advantage disappears against a ten per cent content shortfall plus a testing cost.

The full calculation: (unit price + carriage share + testing share) ÷ (nominal mg × measured content fraction × (1 − dead-space and wastage fraction)). Every term after the first is routinely omitted.

Include carriage and testing as per-milligram terms. They dominate small orders.

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TF
answeredtwo_point_four8.9k1627 Jun 2024
7Confirming that a small first order plus one independent submission is the cheapest route. – fib4_reader 9 months ago
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Your answer

Ask PeptideStack is a static archive. Posting is closed, but the norms are worth stating: answer the question that was asked, show your working, cite the trial or the certificate, and say plainly where the evidence runs out.

Not medical advice. Research-use-only compounds are not approved for human use.