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How many times can I pierce a stopper with a 31G needle before coring?

Asked 26 Sept 2025Modified 7 months agoViewed 28k times
30

This is the third vial from the same lot, so I can compare against two known-good ones.

I can find plenty of assertions about this and almost no reasoning, which is usually a sign that nobody has checked.

Assume no laboratory access beyond what I can pay a third party for.

Which parts of this are load-bearing and which parts are habit?

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PH
askedpetra_hovland42k3826 Sept 2025

5 Answers

Accepted answer first, then by votes
8

Accepted answer

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.

Rotation of injection site is a tolerability measure, not a pharmacokinetic one, but if you are going to do it you might as well do it right.

Room temperature before drawing is worth the ten minutes. Cold solution is more viscous, draws slower, and condensation on a cold barrel makes it harder to read the meniscus.

The insulin-unit standard U-100 means 100 units per millilitre, so one unit is 0.01 mL — this is the conversion that trips up more people here than any other single piece of arithmetic.

Worth noting: the concentration after reconstitution is not the same as the label claim, and most people do not account for the difference.

If in doubt, use more diluent and accept the shorter usable window.

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DR
answered · acceptedDr_Priya_Raghunathan94k24822 Dec 2025
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3

Dose arithmetic has three parts: concentration from vial content and diluent, volume from dose and concentration, and units from volume and syringe scale.

On filtration: a 0.22 µm syringe filter will remove particulates and organisms, and it will also adsorb a fraction of your peptide onto the membrane — with a low-binding PVDF or PES membrane the loss is typically a few per cent.

Specifically, dead space quantified: a fixed-needle insulin syringe holds roughly 3 to 5 µL in the hub and needle after the plunger bottoms out. A luer-lock syringe with a detachable needle holds 35 to 100 µL depending on the hub design. At 5 mg/mL that is 15 to 25 µg lost per draw on the insulin syringe and 175 to 500 µg on the luer-lock — which over ten draws is the difference between losing a rounding error and losing half a milligram.

Do the arithmetic twice, ideally with someone else doing it independently.

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DV
answeredDr_Ilse_Vandenberg78k24816 Oct 2025
7Minor: the trial name is hyphenated in the original publication. – Dr_Signe_Baldursdottir 5 months ago
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3

Worth being precise here: the single most useful thing to do is write the arithmetic on the vial label, because you will reconstruct it from memory at an inconvenient moment if you do not.

Worked example, because the general form is easier to trust once you have seen it once. Take a 10 mg vial and add 2 mL of diluent: the concentration is 10 ÷ 2 = 5 mg/mL. A 0.5 mg dose is 0.5 ÷ 5 = 0.1 mL. On a U-100 syringe, where 1 unit = 0.01 mL, that is 0.1 ÷ 0.01 = 10 units. Change the diluent to 1 mL and the same dose becomes 5 units — same dose, half the resolution.

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.

Write the arithmetic on the vial label. It costs nothing and removes the step where you reconstruct it from memory.

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SF
answeredshear_at_the_front15k2818 Nov 2025
7Have you seen anything published on this, or is it inference from the mechanism? – swirl_dont_shake 7 months ago
8Useful. I have added the accept threshold suggestion to my own notes. – dead_volume 8 months ago
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3

This is one of those calculations where checking your work takes two minutes and prevents a very consequential error.

The rounding error accumulates if you round too many times — rounding concentration to 5.0, rounding the dose volume to 0.1 mL, rounding the unit reading to 10 — and the safest approach is to work the full precision and round only the final answer.

Published data on syringe dead space quantifies low-dead-space designs as retaining under 2 µL against 35 µL or more for conventional detachable-needle syringes.

The limitation is that technique reduces risk, it does not remove it, and nothing you can do outside a controlled environment makes a non-sterile preparation sterile.

If in doubt, use more diluent and accept the shorter usable window.

edited 24 Dec 2025 by p_mkhize — clarified the distinction between purity and content

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PM
answeredp_mkhize41k13829 Nov 2025
7Related: the same reasoning applies to the counter-ion question. – Dr_Sara_Kuusela 10 months ago
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3

Specifically, write the units at every step, because units errors are the failure mode that catches everyone eventually.

Number of stopper piercings matters less than the gauge doing the piercing. A 30G or 31G needle through a butyl stopper leaves a track that reseals; a 21G or 18G drawing needle punches a core and can drop it into the solution.

Do the arithmetic twice, ideally with someone else doing it independently.

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DC
answeredDr_Idris_Coulibaly40k13811 Dec 2025
I tested this on two lots and got the same answer, so at least it reproduces. – Dr_Marek_Zielinski 3 months ago
2The timing signature is the useful part. Everything else is confounded. – kwn_analytical 4 months ago
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