Before anything else: a kitchen counter with an alcohol wipe is not an aseptic environment, and it is worth being honest about that rather than pretending the procedure is something it is not. What you are doing is reducing bioburden, not achieving sterility.
Tilting the vial to pool solution in the corner before the final draw, and giving it a minute to drain down the walls, genuinely recovers ten to twenty microlitres.
Stated carefully, number of stopper piercings matters less than the gauge doing the piercing.
Coring of elastomeric closures is a well-characterised failure mode in the parenteral packaging literature.
I would flag the obvious failure mode: people get the concentration right, get the volume right, and then read the syringe against the wrong scale.
None of this is exotic. It is just the difference between doing it deliberately and doing it approximately.
6The placebo-arm figure is the part everyone omits. – Dr_Colm_Fitzhenry 10 months ago add a comment