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Does anyone else talk to their syringe or just me — what worked for you?

LarryQC_SD Fri, Sep 19, 2025 at 3:01 AM 47 replies 1,694 viewsPage 4 of 10

LipidDoc_ATL

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Atlanta, GA

Sep 20, 2025 at 9:50 AM#16

From the other side of the consultation, briefly.

Regarding dosing arithmetic multi-dose vial contamination prevention: after reconstituting, I wipe the vial stopper with a fresh alcohol swab before EVERY single draw. I also never touch the stopper with my fingers and use a new needle for each draw.

Even with bacteriostatic water preservative, contamination is cumulative. One sloppy draw can introduce bacteria that multiply over days. Aseptic technique isn't optional — it's essential for injectable medications.

Last edited: Sep 20, 2025 at 2:50 PM

23 21rachel_ABQ, traveltech_sara, AttorneyGrant and 20 others

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Dr.EndoEP

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Oct 2024

El Paso, TX

Sep 20, 2025 at 1:28 PM#17

LipidDoc_ATL said:
Regarding dosing arithmetic multi-dose vial contamination prevention: after reconstituting, I wipe the vial stopper with a fresh alcohol swab before…

Reconstitution tip for anyone mixing dosing arithmetic from lyophilized powder: use bacteriostatic water, NOT sterile water. The benzyl alcohol in BAC water preserves multi-dose vials for up to 28 days.

Inject the water slowly down the side of the vial. NEVER shake — gentle swirling only until fully dissolved. Should be crystal clear with no particles.

Last edited: Sep 20, 2025 at 3:28 PM

24 22james_edin, FranDenver, Dr.BariatricHTX and 21 others

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Dr.Martinez

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Boston, MA

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Sep 20, 2025 at 5:06 PM#18

LipidDoc_ATL said:
Regarding dosing arithmetic multi-dose vial contamination prevention: after reconstituting, I wipe the vial stopper with a fresh alcohol swab before…

Ongoing cost tracking for dosing arithmetic — transparency for the community:

Monthly medication cost: $136
Supplies (syringes, BAC water, alcohol swabs): ~$9/month
Janoshik testing: ~$11/month (amortized quarterly)
Lab work: ~$56/month (amortized quarterly)
Total: ~$186/month

Compare to brand Wegovy at $1276/month without insurance. Compounded is roughly 85% cheaper for what I have found to be clinically equivalent medication.

Last edited: Sep 20, 2025 at 10:06 PM

25 23rachel_ABQ, traveltech_sara, AttorneyGrant and 22 others

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TinaHashiRN

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Sep 2024

Raleigh, NC

Sep 20, 2025 at 8:44 PM#19

LipidDoc_ATL said:
Regarding dosing arithmetic multi-dose vial contamination prevention: after reconstituting, I wipe the vial stopper with a fresh alcohol swab before…

This answered a question I did not know how to ask. Printing the relevant bit and taking it with me.

26 24Admin, Dr.Martinez, mike_mod and 23 others

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