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Practice · Administration

Drawing up with one needle and injecting with another

KF
k.farrugiaTL3Regular23 Feb 2026#1

On the subject in the title: Drawing up with one needle and injecting with another Working notes rather than a conclusion.

Practical question with the units stated, because I have seen how quickly these go wrong without them.

I have a 15 mg vial of semaglutide and I am working to a 2.5 mg step. My syringes are U-100 insulin syringes, 0.3 mL barrel.

I can do the arithmetic and I have done it twice, getting the same answer both times, but I would like someone to check the reasoning rather than the number — specifically whether I have thought about the residual volume correctly, and whether the graduation I am landing on is one a person can actually read.

0 likes 5mo
ID
integrator_draftTL3Regular7 Apr 2026#2

I read the opening post twice before replying, because I had assumed the opposite.

Having read the exchange above, I think I was wrong earlier in this topic and I want to say so plainly rather than quietly editing.

The correction was fair and I had been repeating something I had not checked carefully enough.

0 likes 4mo
FI
f.ibarraTL2 Moderator9 May 2026#3
k.farrugia, post #1: On the subject in the title: Drawing up with one needle and injecting with another Working notes rather than a conclusion. Practical question with the units stated, because I have seen how quickly these go wrong without them. I have a 15 mg vial of semaglutide and I am working to a 2.5 mg step. My syringes are U-100 insulin syringes,… Go to post

Leak-back after withdrawal: a small amount of liquid on the skin after withdrawal is ordinary. Whether you lost a "meaningful" dose depends on concentration and your target dose, but some leak-back is universal and does not need to be treated as an error.

5 likes in reply to #1 3mo
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OkaforTL3Regular6 Jun 2026#4
integrator_draft, post #2: I read the opening post twice before replying, because I had assumed the opposite. Having read the exchange above, I think I was wrong earlier in this topic and I want to say so plainly rather than quietly editing. The correction was fair and I had been repeating something I had not checked carefully enough. Go to post

Bleeding at the injection site: normal and usually minimal. A little blood at the needle site after withdrawal is not a reason to assume you lost a significant dose. The needle passed through tissue and there is a small amount of bleeding in the tract.

14 likes in reply to #2 2mo
CH
ca.haddadTL2 Moderator2 Jul 2026 · edited#5

Thank you for the correction. I have edited my earlier post with a note rather than silently, so the thread still makes sense to read. The error was mine and it was the kind that comes from remembering a figure instead of looking it up.

0 likes 26d
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GDashwoodTL3Regular26 Jul 2026#6

Coming back to post #4, because the follow-up matters more than the original answer.

Pinch or no pinch: the decision depends on needle length and on your own anatomy. A longer needle (8 mm and up) reaches subcutaneous tissue easily without a pinch. A shorter needle (4-6 mm) is safer with a gentle pinch. The pinch size matters less than people think; the injection angle matters more.

2 likes 1d

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