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Is an 18G drawing needle the right choice for drawing retatrutide at 20 mg/mL?

Asked 28 Jul 2025Modified 8 months agoViewed 20k times
33

What I have: an 18G drawing needle · retatrutide · 20 mg/mL.

I have used one of these for a while and I am considering switching, which requires a reason.

What I care about is reproducibility, because a result I cannot repeat is not useful to me.

So which one, and on what grounds?

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EH
askedeighty_six_hours20k2728 Jul 2025
3Is this U-100 or U-40? It changes the arithmetic by a factor of two and a half. – Dr_Yusuf_Adeyemi 9 months ago
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5 Answers

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35

At 20 mg/mL a 1 mg dose is 0.05 mL — 5 units on a U-100 barrel — and no needle gauge changes that number. Gauge changes three other things: how long the draw takes, how much stays behind in the hub, and how much rubber you core out of the stopper. On the 18G scale a larger number is a finer needle, so an 18G drawing needle is coarse enough to draw quickly and coarse enough to cut a visible plug from the stopper. If you are drawing 5 units at a time, the dead space matters more than the bore: a fixed-needle barrel loses microlitres, a luer hub loses tens of them, and at 20 mg/mL each microlitre is 20 µg.

Mechanically, for a 4 mm pen-style needle the gauge options are narrow and the choice is nearly made for you.

Stopper coring — punching a disc of rubber into the solution — is a large-bore phenomenon. An 18G or 21G needle inserted straight and fast is the classic way to do it; inserting at a slight angle with the bevel up reduces the risk.

Concentration and unit conversion at a glance

VialDiluentConcentration0.25 mg0.5 mg1 mg2.5 mg
5 mg1 mL5 mg/mL5 u10 u20 u50 u
5 mg2 mL2.5 mg/mL10 u20 u40 u100 u
10 mg1 mL10 mg/mL2.5 u5 u10 u25 u
10 mg2 mL5 mg/mL5 u10 u20 u50 u
10 mg3 mL3.33 mg/mL7.5 u15 u30 u75 u

Units are U-100 insulin units, where 1 unit = 0.01 mL. Divide dose by concentration for millilitres, then multiply by 100.

To be exact about it, for injecting, 29G to 31G is the usual range and the difference in perceived discomfort between them is small. Needle length matters more than gauge for comfort at these volumes.

The Hagen–Poiseuille relation gives flow proportional to the fourth power of radius, which is the quantitative basis for every gauge recommendation here.

Higher gauge is not automatically better; it is thinner, which has costs as well as benefits.

Flow goes as the fourth power of radius. That is why the difference feels so large.

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LS
answeredlow_dead_space37k3729 Jul 2025
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24

The honest answer is that injection gauge is a comfort decision and drawing gauge is a stopper-coring decision.

Flow through a needle scales with the fourth power of the internal radius under the Hagen–Poiseuille relation. Halving the radius reduces flow sixteen-fold at the same pressure, which is why a 31G needle draws so much more slowly than a 21G.

Fixed-needle insulin syringes are supplied in 29G to 31G and cannot be swapped for drawing, which is the trade-off against their much lower dead space.

Coring risk as a function of needle gauge and insertion technique is documented in pharmacy compounding guidance.

If a solution will not draw through a 25G needle, the problem is the solution rather than the needle.

Gauge numbers run backwards. Higher number, thinner needle.

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LW
answeredlinnea_wahlberg17k2715 Nov 2025
3Same experience here, different supplier. – assay_blank 5 months ago
2Thank you — the worked example is what makes this usable. – ahmed_zerouali 4 months ago
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19

Answer first: use the largest bore you tolerate for drawing and the smallest for injecting, because the two operations have opposite requirements.

A 30G or 31G needle through a butyl stopper leaves a track that reseals, which is why fine-gauge repeated entry is tolerable and coarse-gauge repeated entry is not.

Drawing a viscous or foamy solution through a fine needle takes long enough that people rush the plunger, which causes more foaming. Using a wider drawing needle is the fix.

The caveat is that no gauge choice makes a non-sterile preparation safe, and research-use compounds are not approved for human use.

Big to draw, small to inject, never the same one twice.

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DR
answeredDr_Priya_Raghunathan49k13720 Aug 2025
16

Answering this needs to know the viscosity of what is being drawn, since a viscous solution through a fine needle is slow enough to encourage bad technique.

Very fine needles are more prone to bending and to blocking with any particulate, which is a practical argument for inspecting the solution before drawing.

Angle the bevel and insert gently to avoid coring the stopper.

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LB
answeredlaminar_bench69k579 Aug 2025
10

Start with the fact that gauge numbers run backwards — a higher number is a thinner needle — which is the source of half the confusion in this tag.

Typical outer diameters: 21G is about 0.82 mm, 23G about 0.64 mm, 25G about 0.51 mm, 29G about 0.34 mm and 31G about 0.26 mm. The gauge number and the diameter move in opposite directions.

Nothing here is medical advice.

Length affects comfort more than gauge does at these volumes.

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SC
answeredstopper_core28k12711 Sept 2025
7Would this be different for a peptide that foams? Mine does and I have never known why. – Dr_Colm_Fitzhenry 2 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.