My vial looks underfilled. Is that normal?

Yes, that's normal. Vials are made bigger than the medicine they hold, so a vial with the right amount in it can look half empty, a third full, or even less. What counts is how much medicine is in it, and you can check that yourself from the label in about a minute.

Why your vial looks low

Pharmacies use standard vial sizes, and the vial is almost always larger than the liquid inside. The extra space is normal and makes the medicine easier to draw. Your pharmacy fills each vial with the amount your prescription needs for the time it's meant to cover, based on your dose, not on how full the vial looks.

Concentration also matters. A stronger concentration means the same dose takes up less liquid, so a small-looking amount can still cover weeks of doses. If your concentration changed between shipments, see "Why does my medication look different between shipments?"

How to check that you have enough

You need two things: the vial label and your dosing instructions.

1. Find the total amount on the label. It shows the total volume in mL and the concentration in mg/mL (for example, "2 mL at 2.5 mg/mL").
2. Turn the mL into units. On the syringes we send, 1 mL is 100 units. A 2 mL vial holds 200 units.
3. Add up the units your instructions call for. Multiply each weekly dose in units by the number of weeks at that dose, then add the totals.
4. Compare. If the vial holds at least that many units, you have enough.

Example. Your instructions say 10 units a week for weeks 1 to 4, then 20 units a week for weeks 5 to 8.

• Weeks 1 to 4: 10 units x 4 = 40 units
• Weeks 5 to 8: 20 units x 4 = 80 units
• Total needed: 120 units

A 2 mL vial holds 200 units, so it covers all 8 weeks with some to spare.

Getting every dose out of the vial

When the vial is nearly empty, the last of the liquid can be hard to reach. Turn the vial upside down, keep the needle tip below the surface of the liquid, and draw slowly. Use a new needle and wipe the stopper with an alcohol swab every time.

If you're running low sooner than expected

These are the most common reasons a vial runs out early:

• Your plan increases your dose over time. On an increasing plan, the early weeks use a smaller dose. Starting at the final dose uses the vial up faster. Check which week's dose you should be on.
• Your plan ships in more than one box. Longer plans arrive in separate shipments, so one box isn't meant to last the whole plan. See "GLP-1 plans, shipments, and billing: how it works."
• Your dose changed. If your dose went up partway through a vial, it won't last as long as it would have at the old dose.

If it still doesn't add up

Message us and we'll check it against your order. It helps to send:

• a photo of the vial label, showing the total mL and the mg/mL
• the dosing instructions you're following
• how many units you draw for each dose, and how many doses you've taken from this vial

If you're about to run out, tell us right away so we can help before you miss a dose.

Don't use a vial that looks cloudy or discolored, has particles in it, or arrived hot. For warm arrivals, see "What if my medication arrives warm?"