Arithmetic only — no dosing protocol

Peptide Blend Calculator

Two or more peptides reconstituted in one vial deliver both in every draw, in a ratio you fixed when you mixed it. This works out what each mark carries of each — and names no dose for anything.

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Alpha Health Finder Editorial Team
Last reviewed

One draw, two doses, and a ratio you cannot change

A blended vial holds two or more lyophilised peptides that were reconstituted together. Everything a single-compound vial does, it still does: each component has its own concentration, which is its own mass divided by the diluent volume, and each therefore has its own micrograms per mark. Nothing about that arithmetic is new, and if that is all you needed, the single-compound reconstitution calculator already answers it.

What is new is that there is only one plunger. A syringe measures volume and nothing else, so one draw delivers every component at once. A vial mixed with 5 mg of one peptide and 10 mg of another in 2 mL carries 25 mcg of the first and 50 mcg of the second on every single mark, permanently paired. Pull to 10 marks and you have taken 250 mcg of the first and 500 mcg of the second. There is no setting that gives you one without the other.

So a blend removes a degree of freedom, and that is the honest way to describe it. Two separate vials let you set two amounts independently. One vial lets you set one number — the mark — and the second amount follows from the mass ratio you mixed at. Anchoring on either component determines the other completely, which is why the second table below has no adjustable column: there is nothing to adjust.

The lever people reach for is the diluent, and it does not work. More water makes every mark smaller in micrograms, so the mark count for any target goes up — the same 250 mcg target that is 10 marks at 2 mL becomes 25 marks at 5 mL. But the companion figure does not move at all: 500 mcg at 2 mL, 500 mcg at 5 mL. The diluent cancels out of that expression exactly, which the third table shows column by column. If you want 250 mcg of one and 300 mcg of the other, no reconstitution volume will get you there — this vial gives you 500 mcg of the second and always will. The fix is a different vial, or two vials.

A blend is also harder to be sure about than a single compound, and that is worth saying plainly. Every number on this page assumes the masses printed on the vial are the masses in it. For an unapproved compounded preparation that is an assumption, not a fact. FDA’s own assessment of several of these substances names "complexities with regard to peptide-related impurities and active pharmaceutical ingredient (API) characterization" as a reason they were placed in category 2 of its compounding bulks review — the list of bulk drug substances that in its assessment may present significant safety risks. Two compounds in one vial means two characterisations to get right and one solution in which they can interact. The diluent’s own label raises the point: Bacteriostatic Water for Injection warns that "Some drugs for injection may be incompatible in a given vehicle, or when combined in the same vehicle or in a vehicle containing benzyl alcohol. Consult with pharmacist, if available."

And the thing this page will not do at all: it names no dose. Not for either component, not for any compound, not a frequency and not a cycle. Compounded drugs are not FDA-approved, which as FDA puts it means that "FDA does not verify the safety, effectiveness or quality of compounded drugs before they are marketed", and for the peptides usually sold as blends there is no approved label and no dose-ranging trial to quote instead. The targets in the tables below are index values — the numbers you type in — not amounts anyone here is suggesting. If you do not already have a figure from someone who can see your history, this tool cannot supply one.

The formula

for each component in the shared vial:

concentration (mg/mL) = that component’s mass (mg) ÷ diluent (mL)

mcg per unit mark = concentration (mg/mL) × 1000 ÷ 100

mcg in the draw = marks × mcg per unit mark

one draw, every component:

marks = target (mcg) ÷ mcg per mark of the ANCHOR component

other component (mcg) = target × other mass ÷ anchor mass

draws in the vial = diluent (mL) ÷ draw volume (mL)

Look at the second-to-last line: the diluent volume is not in it. The amount of the companion component you receive depends only on the target you set and the two masses in the vial — no reconstitution volume changes it, which is why "add more water" is not a fix for a ratio you do not want. The last line has no component in it either: every component is exhausted on the same draw, because they share a volume. The 1000 is micrograms per milligram; the 100 is marks per millilitre on a U-100 barrel, which is the definition of that barrel and not a measurement. Marks are rounded to the quarter — the finest split anyone can judge between two printed lines, not a line of its own.

Worked example

A vial mixed with 5 mg of Peptide A and 10 mg of Peptide B in 2 mL of diluent — a 1 : 2 blend — anchored on a 250 mcg target for A:

  • A’s concentration = 5 mg ÷ 2 mL = 2.5 mg/mL, so one mark carries 25 mcg of A
  • B’s concentration = 10 mg ÷ 2 mL = 5 mg/mL, so the same mark carries 50 mcg of B
  • Marks for 250 mcg of A = 250 ÷ 25 = 10 marks (0.1 mL)
  • That draw also delivers 500 mcg of B. Not chosen — determined, by the 1 : 2 mass ratio
  • Draws in the vial = 2 mL ÷ 0.1 mL = 20. Both peptides run out on that draw, together, because they are in the same solution
  • Now mix the identical masses in 5 mL instead: one mark is smaller, so the same target is 25 marks — but B still delivers 500 mcg. The diluent moved the mark count and nothing else
  • And if you wanted 300 mcg of B alongside that 250 mcg of A, this vial is out by 200 mcg — 166.7% of what you wanted — and no water volume closes the gap. A 5 : 6 vial would

What one draw delivers of each — blend chart

Marks down the side, blend composition across the top, all at 2 mL of diluent. Each cell is micrograms of the first component over micrograms of the second, from a single draw.

Marks drawn5 mg + 5 mg1 : 1 · A/B mcg5 mg + 10 mg1 : 2 · A/B mcg10 mg + 5 mg2 : 1 · A/B mcg2 mg + 10 mg1 : 5 · A/B mcg10 mg + 2.5 mg4 : 1 · A/B mcg
1 mark0.01 mL25 / 25200 draws in the vial25 / 50200 draws in the vial50 / 25200 draws in the vial10 / 50200 draws in the vial50 / 12.5200 draws in the vial
2 marks0.02 mL50 / 50100 draws in the vial50 / 100100 draws in the vial100 / 50100 draws in the vial20 / 100100 draws in the vial100 / 25100 draws in the vial
4 marks0.04 mL100 / 10050 draws in the vial100 / 20050 draws in the vial200 / 10050 draws in the vial40 / 20050 draws in the vial200 / 5050 draws in the vial
5 marks0.05 mL125 / 12540 draws in the vial125 / 25040 draws in the vial250 / 12540 draws in the vial50 / 25040 draws in the vial250 / 62.540 draws in the vial
8 marks0.08 mL200 / 20025 draws in the vial200 / 40025 draws in the vial400 / 20025 draws in the vial80 / 40025 draws in the vial400 / 10025 draws in the vial
10 marks0.1 mL250 / 25020 draws in the vial250 / 50020 draws in the vial500 / 25020 draws in the vial100 / 50020 draws in the vial500 / 12520 draws in the vial
15 marks0.15 mL375 / 37513 draws in the vial375 / 75013 draws in the vial750 / 37513 draws in the vial150 / 75013 draws in the vial750 / 187.513 draws in the vial
20 marks0.2 mL500 / 50010 draws in the vial500 / 1,00010 draws in the vial1,000 / 50010 draws in the vial200 / 1,00010 draws in the vial1,000 / 25010 draws in the vial
25 marks0.25 mL625 / 6258 draws in the vial625 / 1,2508 draws in the vial1,250 / 6258 draws in the vial250 / 1,2508 draws in the vial1,250 / 312.58 draws in the vial
30 marks0.3 mL750 / 7506 draws in the vial750 / 1,5006 draws in the vial1,500 / 7506 draws in the vial300 / 1,5006 draws in the vial1,500 / 3756 draws in the vial
40 marks0.4 mL1,000 / 1,0005 draws in the vial1,000 / 2,0005 draws in the vial2,000 / 1,0005 draws in the vial400 / 2,0005 draws in the vial2,000 / 5005 draws in the vial
50 marks0.5 mL1,250 / 1,2504 draws in the vial1,250 / 2,5004 draws in the vial2,500 / 1,2504 draws in the vial500 / 2,5004 draws in the vial2,500 / 6254 draws in the vial

The two numbers in a cell always move together, and their proportion is the column heading. That is the difference between a blend and two vials: here the mark is the only input, and it sets both amounts at once. The draw count is a property of the volume rather than of either peptide — at 2 mL, every component is exhausted on the same draw, always. Every figure is computed by the same functions the calculator above calls.

Anchor on one component and the other is decided

A target for the first component down the side, the blend across the top, at 2 mL of diluent. The upper figure is the mark to draw to; the lower is how much of the second component comes with it.

Target, component A5 mg + 5 mg1 : 15 mg + 10 mg1 : 210 mg + 5 mg2 : 12 mg + 10 mg1 : 510 mg + 2.5 mg4 : 1
50 mcg0.05 mg2 marksB: 50 mcg2 marksB: 100 mcg1 markB: 25 mcg5 marksB: 250 mcg1 markB: 12.5 mcg
100 mcg0.1 mg4 marksB: 100 mcg4 marksB: 200 mcg2 marksB: 50 mcg10 marksB: 500 mcg2 marksB: 25 mcg
150 mcg0.15 mg6 marksB: 150 mcg6 marksB: 300 mcg3 marksB: 75 mcg15 marksB: 750 mcg3 marksB: 37.5 mcg
200 mcg0.2 mg8 marksB: 200 mcg8 marksB: 400 mcg4 marksB: 100 mcg20 marksB: 1,000 mcg4 marksB: 50 mcg
250 mcg0.25 mg10 marksB: 250 mcg10 marksB: 500 mcg5 marksB: 125 mcg25 marksB: 1,250 mcg5 marksB: 62.5 mcg
300 mcg0.3 mg12 marksB: 300 mcg12 marksB: 600 mcg6 marksB: 150 mcg30 marksB: 1,500 mcg6 marksB: 75 mcg
500 mcg0.5 mg20 marksB: 500 mcg20 marksB: 1,000 mcg10 marksB: 250 mcg50 marksB: 2,500 mcg10 marksB: 125 mcg
750 mcg0.75 mg30 marksB: 750 mcg30 marksB: 1,500 mcg15 marksB: 375 mcg75 marksB: 3,750 mcg15 marksB: 187.5 mcg
1,000 mcg1 mg40 marksB: 1,000 mcg40 marksB: 2,000 mcg20 marksB: 500 mcg100 marksB: 5,000 mcg20 marksB: 250 mcg
1,500 mcg1.5 mg60 marksB: 1,500 mcg60 marksB: 3,000 mcg30 marksB: 750 mcg1.5 mLover 1 mL — no insulin barrel30 marksB: 375 mcg
2,000 mcg2 mg80 marksB: 2,000 mcg80 marksB: 4,000 mcg40 marksB: 1,000 mcg2 mLover 1 mL — no insulin barrel40 marksB: 500 mcg

There is no column in this table you can adjust, which is the finding. Read across a row: the same target for the first component produces a different amount of the second in every blend, and the only thing that decided it was the mass ratio at the top. Where a cell carries a second figure for A, the target did not land on a reachable quarter-mark and that is what the barrel actually delivers. Note also what is NOT here: a diluent column. Changing the water changes the mark count in the upper line and leaves the lower line exactly where it is — see the next table.

What the diluent changes, and what it does not

The same vial — 5 mg + 10 mg, a 1 : 2 blend — reconstituted five different ways, all anchored on 250 mcg of the first component. Read down each column and notice which ones move.

Diluent addedA per markmcgB per markmcgMarks for 250 mcg Aand mLB deliveredmcgRatioA : BDraws in vial
1 mL15 mg/mL total501005 marks0.05 mL5001 : 220
2 mL7.5 mg/mL total255010 marks0.1 mL5001 : 220
3 mL5 mg/mL total16.6733.3315 marks0.15 mL5001 : 220
5 mL3 mg/mL total102025 marks0.25 mL5001 : 220
10 mL1.5 mg/mL total51050 marks0.5 mL5001 : 220

Columns one, two, three and six move. Columns four and five do not — and column four is the one people expect to. The amount of the second component you receive is the target multiplied by the second mass and divided by the first, an expression the diluent volume cancels out of entirely; small wobbles would only ever be quarter-mark rounding. So "add more bacteriostatic water" makes a mark bigger and easier to read, and makes no difference whatsoever to the proportion of the two peptides you are taking. The ratio column is the vial, not the water.

Two targets one vial cannot both hit

A pair of amounts wanted from a single draw down the side, the blend across the top. Each cell anchors on the first target and reports what the second component actually delivers against what was wanted.

Wanted from one draw5 mg + 5 mg1 : 15 mg + 10 mg1 : 210 mg + 5 mg2 : 12 mg + 10 mg1 : 510 mg + 2.5 mg4 : 1
250 + 250 mcgneeds 1 : 1on target250 mcg200% of B500 mcg, wanted 25050% of B125 mcg, wanted 250500% of B1,250 mcg, wanted 25025% of B62.5 mcg, wanted 250
250 + 500 mcgneeds 1 : 250% of B250 mcg, wanted 500on target500 mcg25% of B125 mcg, wanted 500250% of B1,250 mcg, wanted 50013% of B62.5 mcg, wanted 500
300 + 200 mcgneeds 3 : 2150% of B300 mcg, wanted 200300% of B600 mcg, wanted 20075% of B150 mcg, wanted 200750% of B1,500 mcg, wanted 20038% of B75 mcg, wanted 200
500 + 100 mcgneeds 5 : 1500% of B500 mcg, wanted 1001000% of B1,000 mcg, wanted 100250% of B250 mcg, wanted 1002500% of B2,500 mcg, wanted 100125% of B125 mcg, wanted 100
100 + 500 mcgneeds 1 : 520% of B100 mcg, wanted 50040% of B200 mcg, wanted 50010% of B50 mcg, wanted 500on target500 mcg5% of B25 mcg, wanted 500
200 + 800 mcgneeds 1 : 425% of B200 mcg, wanted 80050% of B400 mcg, wanted 80013% of B100 mcg, wanted 800125% of B1,000 mcg, wanted 8006% of B50 mcg, wanted 800

A cell reads "on target" only where the blend’s mass ratio already equals the ratio of the two amounts wanted — the row header names the ratio that would be needed. Everywhere else the second component is over or under, and the shortfall is not fixable: it does not depend on the diluent, on the barrel, or on how carefully the draw is made. It is the vial. If the two amounts you want are not in the proportion the vial was mixed at, the options are a differently mixed vial or two separate vials, and this page is not going to pretend otherwise.

Frequently asked questions

How do I calculate the dose of each peptide in a blend?
Treat each component separately for the concentration and together for the draw. Divide each component’s mass in mg by the diluent volume in mL to get its own mg/mL, multiply by 1000 and divide by 100 to get its micrograms per mark on a U-100 barrel. Then the mark count is the same for both, because there is only one plunger. A vial with 5 mg of one peptide and 10 mg of another in 2 mL is 25 mcg and 50 mcg a mark respectively, so 10 marks delivers 250 mcg of the first and 500 mcg of the second — always in that proportion, every draw.
Can I adjust one peptide in a blend without changing the other?
No, and this is the defining limitation of a blended vial. A syringe measures volume, both peptides are dissolved in the same volume, so any change to the draw changes both by the same factor. Drawing 20% more gives you 20% more of each. The ratio was fixed when the powders went into one vial and cannot be altered afterwards by anything you do at the syringe. If you need the two amounts to move independently, they have to be in separate vials.
Does adding more bacteriostatic water change the ratio in a blend?
No. It changes how big each mark is and nothing else. Take 5 mg plus 10 mg in 2 mL: that is 25 and 50 mcg a mark, and a 250 mcg target for the first component is 10 marks, delivering 500 mcg of the second. Mix the same masses in 5 mL and it is 10 and 20 mcg a mark, so the same target is 25 marks — but the second component still delivers 500 mcg. The diluent cancels out of that calculation exactly. More water buys a bigger, easier-to-read mark; it does not change the proportion of what you are taking.
How much of each peptide should I put in the blend?
This page will not answer that, and the reason is that there is no sourceable answer. A blend ratio is a dosing decision twice over — it fixes both amounts at once — and for the compounds usually sold this way there is no approved label and no dose-ranging trial to quote. FDA placed several of them, including BPC-157, ipamorelin acetate and kisspeptin-10, in category 2 of its compounding bulks review and wrote of BPC-157 that it "lacks sufficient information to know whether the drug would cause harm when administered to humans". A ratio invented to fill that gap would look exactly like one somebody had studied. This tool converts the numbers you were given; it does not generate them.
Which peptide in a blend runs out first?
Neither — they are exhausted on the same draw, always. That surprises people, but it follows from sharing a volume: a 2 mL vial drawn 0.1 mL at a time gives 20 draws, and every one of those draws takes the same proportion of both peptides. What differs is how many doses of each you would have got from separate vials. A 5 mg component at 250 mcg a draw is 20 doses; a 10 mg component at 250 mcg a draw would have been 40. In the blend you get 20 of each and the second component is delivered at 500 mcg a draw, not 250.
Is a blended peptide vial FDA-approved?
No. Blends are compounded preparations, and as FDA states, "Compounded drugs are not FDA-approved. This means that FDA does not verify the safety, effectiveness or quality of compounded drugs before they are marketed." Several of the individual substances are further on FDA’s category 2 list of bulk drug substances that may present significant safety risks, where the agency cites "complexities with regard to peptide-related impurities and active pharmaceutical ingredient (API) characterization". That matters more for a blend than a single vial, because the arithmetic on this page assumes both printed masses are correct and there are now two of them to be wrong.
Can two peptides be safely mixed in the same vial?
Not a question arithmetic can answer, and not one this page will guess at. The diluent’s own FDA label raises it directly: Bacteriostatic Water for Injection states that "Some drugs for injection may be incompatible in a given vehicle, or when combined in the same vehicle or in a vehicle containing benzyl alcohol. Consult with pharmacist, if available." Chemical compatibility, stability of the mixture and its shelf life are properties of the specific compounds, and for unapproved peptides nobody has established them. The label also says to "Do not store reconstituted solutions of drugs for injection unless otherwise directed by the manufacturer of the solute" — and with no manufacturer instruction there is no figure to follow.
What if my target does not land on a syringe mark?
Then it lands on the nearest quarter-mark and both components shift together. A vial with 15 mg of one peptide in 2 mL is 75 mcg a mark, so a 250 mcg target is 3.33 marks in theory and 3.25 in practice — 243.75 mcg, about 2.5% short — and the companion component is 2.5% short too, by the same proportion. A quarter mark is not a printed line on any barrel we could find a specification for; it is the finest split anyone can judge by eye between two lines. Reconstituting to a volume that puts your target on a whole mark is the fix, and it costs nothing, because the diluent does not affect the ratio.
Is a blend better than two separate vials?
It is fewer injections and fewer vials, and it is one fewer thing you can set. Two vials give two independent amounts and two independent decisions about when to change one of them; a blend gives one draw and a proportion decided at mixing. The arithmetic says nothing about whether that trade is worth making for any particular pair of compounds — that depends on what is in them and why, which is a clinical question and not a calculation. What the arithmetic does say is that the trade is real and is not recoverable at the syringe.

Sources

  1. [1]FDA label — Bacteriostatic Water for Injection, USP, Hospira Inc. (DailyMed SPL 87d6e9dc-fe3b-4593-ac9a-d7493d1959c7). The diluent, and the only primary source here that addresses combining drugs in one vehicle: "Some drugs for injection may be incompatible in a given vehicle, or when combined in the same vehicle or in a vehicle containing benzyl alcohol. Consult with pharmacist, if available." and "Do not store reconstituted solutions of drugs for injection unless otherwise directed by the manufacturer of the solute."
  2. [2]U.S. Food and Drug Administration — Category 2 of the Bulk Substances Nominated Under Sections 503A or 503B of the Federal Food, Drug, and Cosmetic Act. On BPC-157: "Compounded drugs containing BPC-157 may pose risk for immunogenicity for certain routes of administration and may have complexities with regard to peptide-related impurities and active pharmaceutical ingredient (API) characterization. FDA has identified no, or only limited, safety-related information for the proposed routes of administration. Therefore, the agency lacks sufficient information to know whether the drug would cause harm when administered to humans."
  3. [3]U.S. Food and Drug Administration — Compounding and the FDA: Questions and Answers. "Compounded drugs are not FDA-approved. This means that FDA does not verify the safety, effectiveness or quality of compounded drugs before they are marketed."
  4. [4]embecta (formerly BD Diabetes Care) — Ultra-Fine insulin syringes. Barrel capacities, and the only sub-unit graduation any manufacturer states: "Designed with large dose unit markings, with ½ unit scale marking available on the 0.3mL barrel." and "availability in 1 mL, 0.5 mL, and 0.3 mL capacities, with 6 mm, 8 mm and 12.7 mm needles."

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Educational reference, not medical advice. Arithmetic only. This tool does not recommend a dose, a frequency, a cycle or a blend ratio for any compound, and for the peptides usually sold as blends no sourceable figure exists. Blends are compounded and not FDA-approved; whether two compounds can be mixed at all, and whether the mixture is stable, are questions for a pharmacist and a prescribing clinician.