Pulling it out and sticking it back in.

SilverBackGorilla

I like bananas
LoL. I recently added some Human Chorionic Gonadotropin (HCG) to my testosterone replacement therapy (TRT) and today while pinning I must have hit a nerve in my belly cause it really started to hurt. I pulled the syringe out, swabbed with an alcohol wipe and finished it up in a different spot. Was this ok to do?
 
There are no prominent nerves in the subQ tissue.

If you injected with a slin pin it was most likely pain from the needle being dull. For future injections, you can draw out of the hCG vial and fill 4-6 slin pins by pulling the plunger out and "back filling" the syringe. That way it will not be dulled by any rubber stoppers.
 
I don't have any experience with HCG, but I do subQ shots for my diabetes; I can say that sometimes you just happen to hit a spot that smarts like an SOB. I honestly think subQ hurts MORE than IM injections as you not only have to inject slower (you don't want to cause damage to the site by putting too much pressure behind that plunger, causing a higher pressure stream into the tissue), but the nerves just seem more sensitive around the abdomen/obliques/hips imo.
 
I don't have any experience with HCG, but I do subQ shots for my diabetes; I can say that sometimes you just happen to hit a spot that smarts like an SOB. I honestly think subQ hurts MORE than IM injections as you not only have to inject slower (you don't want to cause damage to the site by putting too much pressure behind that plunger, causing a higher pressure stream into the tissue), but the nerves just seem more sensitive around the abdomen/obliques/hips imo.

There shouldn't be a lot of pressure coming out of a 30 g slin pin, let alone with .1-.25ml injections.

How often do you reuse needled and how many hits in the same area before you rotate?
 
There shouldn't be a lot of pressure coming out of a 30 g slin pin, let alone with .1-.25ml injections.

How often do you reuse needled and how many hits in the same area before you rotate?

I use a fresh needle every injection and rotate to the 8 major sites in the subQ regions of the lower abdominals/obliques/hip areas. I used to rotate in the thighs (vastus medialis), but there are way too many nerves in that region for my tastes. An insulin syringe actually has greater pressure due to the diameter of the syringe than that of a 3cc syringe used in IM injections. I believe I'm using 30g .25" specialty buggers, but I'd have to check them to be sure.
 
That's good! Never heard of a diabetic never re-using their own syringes.

Greater inner push pressure produced from a smaller barrel doesn't equal to higher outward pressure from the syringe to tissue. Especially when 30g with a inner diameter of 0.00625" is compared to 23g with a inner diameter 0.01325" or a 25g which has a inner diameter of 0.01025". This is where the difference will come into play. But, as mentioned, the volume injected is so minimal tissue damage will not play a part from injection speed.

Have a good night halfwit.
 
That's good! Never heard of a diabetic never re-using their own syringes.

Greater inner push pressure produced from a smaller barrel doesn't equal to higher outward pressure from the syringe to tissue. Especially when 30g with a inner diameter of 0.00625" is compared to 23g with a inner diameter 0.01325" or a 25g which has a inner diameter of 0.01025". This is where the difference will come into play. But, as mentioned, the volume injected is so minimal tissue damage will not play a part from injection speed.

Have a good night halfwit.

Don't take this as disrespect, as I totally dig your replies and you obviously have a fantastic knowledge of TRT; BUT I have to disagree with you on this as pressure = force / area. If the area is less, the pressure will be greater.

The typical 1cc syringe has a pressure of 187psi for 5lbs of force generated at the plunger while a 3cc syringe has a typical pressure of 55.72psi for the same plunger force. As per Bernoulli's Law of pressures, (P1 = P2 + mg(v1-v2)+mg(h1-h2)) and the Continuity Principle (A1V1 = A2V2) the diameter of the needle itself will only act as a conversion factor; changing the pressure to velocity. With a higher initial pressure in the smaller diameter barrel, we'll see a greater velocity from that needle as well (assuming that we're not swapping to a silly gauge needle between the two). As force also equals mass times acceleration, and velocity is just the integral of acceleration with respect to time; it makes a direct correlation to the force generated to the tissue being injected into.

I honestly wasn't even aware of how syringe size played a role in the formation of lumps (lipohypertrophy) or that taking it slower can aid in preventing these. I believe it was Crisler that made note of this in one of his videos - take from that what you will. :)

Yeah, I'm kind of goofy in that I just can't see reusing a sharps as it increases the risk of infection which I think the .17 cost for a new pin is totally worth in preventing. It's probably because I've seen some nasty stuff when I did my ER training for paramedic school many moons ago. ;)

Definitely enjoy a good debate with you guys though. You are by no means slouches and I have no reservations in recommending your services. I wish you a pleasant evening as well. :)

Crisler video:
Nifty syringe pressure calculator: Syringe Pressure

My .02c :)
 
Halfwit... No disrespect either. I always thought that the crux of Bernoulli's Law was that increased flow velocity lowered fluid pressure. I know applying this equation to the real world is more complicated because of things like viscosity and turbulence, but wouldn't the basic theory still hold true? I always found it funny how Bernoulli's Law seemed counterintuitive. But it is how we can explain why a fastball rises in baseball. :-)
 
Halfwit... No disrespect either. I always thought that the crux of Bernoulli's Law was that increased flow velocity lowered fluid pressure. I know applying this equation to the real world is more complicated because of things like viscosity and turbulence, but wouldn't the basic theory still hold true? I always found it funny how Bernoulli's Law seemed counterintuitive. But it is how we can explain why a fastball rises in baseball. :-)

Yep, that's exactly why smaller syringes have a greater propensity for tissue damage. Having a greater pressure going into an even smaller area (needle) is what changes it from a high pressure to a high velocity fluid. Sure, viscosity takes into account the desire for the liquid to stick to the walls acting as a coefficient of friction, but given the huge pressure differential and small distance to travel given, I can't see it really changing too much.

None taken my brother. :)
 
Yep, that's exactly why smaller syringes have a greater propensity for tissue damage. Having a greater pressure going into an even smaller area (needle) is what changes it from a high pressure to a high velocity fluid. Sure, viscosity takes into account the desire for the liquid to stick to the walls acting as a coefficient of friction, but given the huge pressure differential and small distance to travel given, I can't see it really changing too much.

None taken my brother. :)

I'm confused. You say that high pressure is resulting a high velocity. I though Bernoulli's Law indicated the contrary. Low pressure = High Velocity. I always have to go back to baseball. Throwing the fastball faster and rotating it faster gets the ball to rise due to low pressure.
 
I'm confused. You say that high pressure is resulting a high velocity. I though Bernoulli's Law indicated the contrary. Low pressure = High Velocity. I always have to go back to baseball. Throwing the fastball faster and rotating it faster gets the ball to rise due to low pressure.
Yes, but as the barrel of the syringe is what is generating the high pressure, and it has to flow through a smaller diameter area (needle), Bernoulli's states that the high pressure of the barrel translates to a high velocity in the smaller needle. (The needle itself will have a smaller pressure than the barrel) A fast ball actually rises because of the lower pressure being generated by higher velocity wind flowing on the top of the ball. It's the same principle of how a plane flies - as the top of the wing has a greater surface area, the velocity of the wind must be greater to reach the end of the wing at the same time as the wind from the bottom of the wing. This causes a lower pressure under the wing, generating lift.

That make sense? I can try to illustrate using different diameter pipes, but I think you'll get it from that now that I hopefully clarified a bit. :)
 
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