How much bacteriostatic water is needed to reconstitute 60mg Retatrutide for a 0.20ml dose?

Medical Advisory BoardAll articles are reviewed for accuracy by our Medical Advisory Board
Educational purpose only • Exercise caution as content is pending human review
Article Review Status
Submitted
Under Review
Approved

Last updated: September 22, 2025View editorial policy

Personalize

Help us tailor your experience

Which best describes you? Your choice helps us use language that's most understandable for you.

Reconstituting Retatrutide for Weekly Dosing

To reconstitute a 60mg powder vial of Retatrutide for a weekly dose of 0.20ml on a U-100 syringe, you should add 3ml of bacteriostatic water to the vial.

Calculation Method

The calculation for reconstituting Retatrutide requires determining the appropriate concentration to deliver the desired dose in the specified volume. Here's how to approach this:

  1. Identify the desired parameters:

    • Vial contains 60mg of Retatrutide powder
    • Desired dose delivery: 0.20ml using a U-100 syringe
    • Need to determine: Volume of bacteriostatic water to add
  2. Calculate the appropriate concentration:

    • A U-100 syringe is calibrated for insulin where 100 units = 1ml
    • When using 0.20ml of solution, we need to determine what concentration will deliver an appropriate weekly dose
  3. Determine reconstitution volume:

    • Adding 3ml of bacteriostatic water to 60mg of powder creates a 20mg/ml solution
    • At this concentration, a 0.20ml dose would deliver 4mg of Retatrutide
    • This falls within the therapeutic dosing range established in clinical trials 1, 2

Clinical Evidence Supporting This Approach

Recent clinical trials have shown that Retatrutide doses between 1mg and 12mg weekly are effective for weight management and metabolic improvement 1. The phase 2 trial demonstrated that doses of 4mg weekly resulted in significant weight reduction (-17.1% at 48 weeks) with manageable side effects 1.

The 4mg weekly dose achieved through this reconstitution method (0.20ml of a 20mg/ml solution) aligns with clinically effective dosing established in the research 2.

Important Considerations

  • Use proper aseptic technique when reconstituting to maintain sterility
  • Inspect the solution after reconstitution to ensure it is clear and free of particulates
  • Store properly according to medication guidelines after reconstitution
  • Label the vial with the date of reconstitution and concentration (20mg/ml)

Potential Pitfalls to Avoid

  • Incorrect calculation: Using the wrong reconstitution volume could result in under or overdosing
  • Contamination: Always use sterile technique when reconstituting medications
  • Improper storage: Follow storage guidelines for reconstituted medication to maintain potency

This reconstitution approach provides a practical weekly dosing regimen that aligns with the doses shown to be effective in clinical trials while allowing for precise administration using a standard U-100 insulin syringe.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

Have a follow-up question?

Our Medical A.I. is used by practicing medical doctors at top research institutions around the world. Ask any follow up question and get world-class guideline-backed answers instantly.