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20 mg vial + 3 mL bacteriostatic water 20 mg 3 mL = 6.67 mg/mL Here the maintenance 2.4 mg dose is only 2.4 6.67 = 0.36 mL = 36 units

Last reviewed: June 10, 2026 Last updated: June 10, 2026 Written by: Jay Hastings, CEO of PlexusDx Jay Hastings is the CEO of PlexusDx, a precision health company focused on genetic testing, blood biomarker insights, and personalized wellness recommendations

Your Blood Sugar at 35,000 Feet Doesn't Behave Like It Does at Home Here's What to Expect on a Long-Haul Flight with Diabetes Altitude changes insulin absorption

Calculate your new maintenance calories based on current weight and adjust intake to create a modest 250 to 500 calorie daily deficit

If youre curious about trying an oral option after using an injectable, talk with your provider