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Is an 18G drawing needle the right choice for drawing retatrutide at 8 mg/mL?

Asked 6 Aug 2024Modified 20 months agoViewed 37k times
32

Details up front: an 18G drawing needle · retatrutide · 8 mg/mL.

I want to know what the trade-off actually is rather than which option is fashionable.

I would rather have a defensible reason than a marginal improvement.

So which one, and on what grounds?

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GP
askedg_paskevicius60k276 Aug 2024
6Voting to keep this open — it is more specific than it first looks. – olu_babatunde 5 months ago
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5 Answers

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13

At 8 mg/mL a 1 mg dose is 0.125 mL — 12.5 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 12.5 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 8 mg/mL each microlitre is 8 µg.

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

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.

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.

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

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

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answeredlow_dead_space37k371 Sept 2024
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8

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.

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.

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.

edited 1 Oct 2024 by kofi_mensah — reworded for clarity after a comment

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KM
answeredkofi_mensah18k2724 Sept 2024
3Would this be different for a peptide that foams? Mine does and I have never known why. – rania_haddad 7 months ago
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7

Worth being precise here: for a 4 mm pen-style needle the gauge options are narrow and the choice is nearly made for you.

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.

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.

Needle gauge to outer diameter correspondence is standardised and published; the inverse relationship between gauge number and diameter is the reason for the counter-intuitive labelling.

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

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

edited 1 Oct 2024 by plate_count_9k — added the method parameters

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P9
answeredplate_count_9k78k24813 Sept 2024
7Small correction: the units in the third paragraph should be micrograms, not milligrams. – felix_araya 6 months ago
8The arithmetic checks out. I ran the same numbers and got the same result. – halvard_ness 8 months ago
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7

Stated carefully, this is a straightforward answer that people over-complicate because the numbering is counter-intuitive.

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.

Nothing here is medical advice.

Length affects comfort more than gauge does at these volumes.

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SC
answeredstopper_core28k12716 Nov 2024
Reading the leading edge of the stopper rather than the shoulder is worth a sentence of its own. – Dr_Lena_Ostrowska 7 months ago
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-2

The short version: 21G to 23G to draw, 29G to 31G to inject, and never the same needle for both.

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

None of the above is a recommendation to administer anything. Research-use-only material is not approved for human use, and the arithmetic being correct does not make the decision safe.

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

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TQ
answeredtriple_agonist_q57k3821 Aug 2024

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.