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Calculator · Semaglutide

Semaglutide reconstitution calculator: vial mg + BAC water → U-100 units.

Free, no account, runs in your browser. Built for compounded semaglutide where vial concentration changes pharmacy to pharmacy. Worked examples for 5 mg and 10 mg vials below.

Inputs

Three numbers, one answer.

Punch in the vial size, the BAC water you reconstituted with, and your target dose. The math runs live.

The total mg in the vial. Common: 5, 10, 15, 30 mg.

The bacteriostatic water volume your pharmacy specified. Usually 1, 2, or 3 mL.

The mg per injection from your prescription.

Quick presets

Draw this

10.0 units

On a U-100 insulin syringe.

Concentration
2.50 mg/mL
Dose volume
0.100 mL
Doses per vial
20

Formula

dose volume = 0.25 mg ÷ (5 mg ÷ 2 mL)

= 0.25 mg ÷ 2.50 mg/mL

= 0.100 mL = 10.0 units

Save this calculation

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The math

One formula. Three numbers.

dose volume (mL) = target dose (mg) ÷ (vial mg ÷ BAC water mL)

On a U-100 insulin syringe, 1 unit equals 0.01 mL. Multiply dose volume in mL by 100 to get units. The single most common error is treating “units” as “milligrams” — they measure different things, and they only line up coincidentally at one specific concentration.

Wegovy / Ozempic dose ramp

The FDA-approved semaglutide schedule.

Every 4 weeks, the dose steps up if tolerated. Each step is held for the minimum 4 weeks so the previous step reaches steady-state before stacking on more semaglutide.

WeekDoseNotes
Weeks 1–40.25 mgStarter. Sub-therapeutic by design; GI adaptation step.
Weeks 5–80.5 mgFirst therapeutic step. ~40% of users see appetite suppression.
Weeks 9–121.0 mgCommon long-term maintenance dose.
Weeks 13–161.7 mgWegovy-only step (Ozempic skips here to 2.0 mg).
Week 17+2.4 mgWegovy max. Ozempic max is 2.0 mg.

Source: Wegovy and Ozempic FDA labels. Full schedule with hold-vs-advance criteria: semaglutide dose schedule guide.

Worked examples

Common semaglutide vial concentrations, in units.

The vials your pharmacy ships are typically 5 mg or 10 mg. Reconstitution volume varies — these are the combinations users actually receive.

Vial + BAC waterConcentrationTarget doseDose volumeU-100 units
5 mg / 1 mL BAC5.00 mg/mL0.25 mg0.05 mL5 units
5 mg / 1 mL BAC5.00 mg/mL0.5 mg0.10 mL10 units
5 mg / 1 mL BAC5.00 mg/mL1.0 mg0.20 mL20 units
5 mg / 2 mL BAC2.50 mg/mL0.25 mg0.10 mL10 units
5 mg / 2 mL BAC2.50 mg/mL1.0 mg0.40 mL40 units
5 mg / 2.5 mL BAC2.00 mg/mL1.0 mg0.50 mL50 units
10 mg / 2 mL BAC5.00 mg/mL1.0 mg0.20 mL20 units
10 mg / 2 mL BAC5.00 mg/mL2.4 mg0.48 mL48 units

Compounded semaglutide context

Why concentration matters more than dose.

Compounded semaglutide is the same active molecule as Wegovy and Ozempic, prepared by a 503A pharmacy instead of Novo Nordisk. The molecule is identical. What differs is the vial concentration — and that's the one variable that can quietly cut your dose in half on a refill.

A 5 mg vial reconstituted in 1 mL gives 5 mg/mL. The same 5 mg vial reconstituted in 2 mL gives 2.5 mg/mL. Your prescribed dose in milligrams is the same. Your dose volume in milliliters — and the units you draw — are not.

Every refill, re-read the pharmacy label. If the BAC water volume changed, your unit count changes. The calculator above catches it; muscle memory does not.

Beyond-use date is typically 28 days post-reconstitution under refrigeration. Additives are sometimes included — B6, B12, glycine, L-carnitine — which don't change the semaglutide math but do change side-effect attribution. The FDA-approved 0.25 → 0.5 → 1.0 → 1.7 → 2.4 mg titration ladder still applies; compounded does not mean weaker.

Full guide: Compounded semaglutide — what it is, what to verify, what to track.

Common questions

Semaglutide reconstitution, answered.

What's the semaglutide reconstitution formula?
Dose volume (mL) = target dose (mg) ÷ (vial mg ÷ BAC water mL). On a U-100 insulin syringe, multiply mL × 100 to get units. A 5 mg vial in 1 mL BAC water gives 5 mg/mL; a 0.25 mg dose is 0.05 mL = 5 units.
How many units are 0.25 mg of semaglutide?
Depends on the vial concentration. 5 mg/mL = 5 units. 2.5 mg/mL = 10 units. 1.67 mg/mL = 15 units. Read your pharmacy label every refill — concentrations change.
How many units are 0.5 mg of semaglutide?
5 mg/mL = 10 units. 2.5 mg/mL = 20 units. 2 mg/mL = 25 units.
How many units are 1 mg of semaglutide?
5 mg/mL = 20 units. 2.5 mg/mL = 40 units. 2 mg/mL = 50 units. 1.67 mg/mL = 60 units.
How many units are 2.4 mg of semaglutide?
5 mg/mL = 48 units. 2.5 mg/mL = 96 units (over the 100-unit syringe — split into two injections or change concentration).
How much BAC water do I add to a 5 mg semaglutide vial?
Whatever your pharmacy specified. 1 mL is the most concentrated default (5 mg/mL); 2 mL is the most common (2.5 mg/mL); 2.5 or 3 mL get used when the prescriber wants 2 mg/mL or lower for a 2.4 mg max dose to fit a single syringe. Each volume gives the same total mg in the vial.
Why did my dose volume change after a refill?
Your prescriber writes a dose in milligrams; the pharmacy chooses the BAC water volume. If the pharmacy switched from 1 mL to 2 mL on your refill, you need to draw twice the units to get the same mg. Drawing the old number cuts your dose in half — and the body responds in about two weeks.
Is compounded semaglutide the same as Wegovy or Ozempic?
Same active molecule. The compounded vial is prepared by a 503A pharmacy instead of Novo Nordisk; concentration varies pharmacy-to-pharmacy; additives are sometimes included (B6, B12, glycine, L-carnitine); beyond-use date is typically 28 days under refrigeration.
Can I skip the 0.25 mg starter dose?
No. The 0.25 mg starter is therapeutic for almost no one. It exists specifically to let the GI tract adapt to GLP-1 receptor agonism without going into open revolt. Skipping it is the single most common reason people quit semaglutide from intolerable side effects.
What is a U-100 insulin syringe?
Graduated in units where 1 unit = 0.01 mL. Designed for insulin; works for any subcutaneous injection where the volume falls under 1 mL. For peptides, treating units as milligrams is the most common dosing error.

Track what you reconstitute

The calculator handles the math. Titrate handles the rest.

Dose log, side-effect anchoring, plasma-decay charts, multi-compound stacks. Free to start, on-device by design.