Injection Guide

How to Inject Peptides

A comprehensive guide to subcutaneous peptide injection technique. This guide covers proper preparation, site selection, injection procedure, and post-injection care for safe and effective peptide administration.

1

Preparation

Proper preparation ensures safe and sterile injection. Taking a few minutes to prepare your workspace and verify materials reduces the risk of contamination and dosing errors.

Gather Your Supplies

  • Alcohol swabs (70% isopropyl alcohol)
  • Insulin syringe (typically 0.5mL or 1mL with 29-31 gauge needle)
  • Reconstituted peptide vial
  • Sharps disposal container
  • Clean, flat work surface

Pre-Injection Checklist

  • Wash hands thoroughly with soap and water for at least 20 seconds
  • Verify the peptide - confirm you have the correct peptide for your scheduled dose
  • Check expiration dates - do not use expired peptides or supplies
  • Inspect the solution - should be clear without particles, discoloration, or cloudiness
  • Confirm the dose - review your prescribed dosing instructions

Important

Never use a peptide solution that appears cloudy, contains particles, or has changed color. These may indicate degradation or contamination.
2

Reconstitution

If your peptide comes as a lyophilized (freeze-dried) powder, it must be reconstituted with bacteriostatic water (BAC water) before use.

Reconstitution Steps

  1. Clean the vial tops - wipe both the peptide vial and BAC water vial with alcohol swabs and allow to dry
  2. Draw the BAC water - using a sterile syringe, draw your predetermined amount of bacteriostatic water (typically 1-2mL)
  3. Add water slowly - insert the needle into the peptide vial and aim the stream at the vial wall, not directly onto the powder
  4. Swirl gently - roll the vial between your palms to mix. Never shake as this can damage the peptide structure
  5. Allow complete dissolution - wait until the powder is fully dissolved (may take 5-10 minutes)

Clinical Pearl

Use our Reconstitution Calculator to determine exactly how many units to draw for your prescribed dose based on your reconstitution volume.

Note

Standard reconstitution volumes are 1mL or 2mL of BAC water, depending on the peptide concentration needed. Your prescriber will specify the appropriate volume.
3

Drawing the Dose

Accurate dose drawing ensures you receive the correct amount of peptide. Take your time with this step to avoid dosing errors.

  1. 1
    Wipe the vial top

    Clean the rubber stopper with an alcohol swab and allow to dry completely.

  2. 2
    Draw air into the syringe

    Pull back the plunger to draw air equal to your intended dose (e.g., 10 units of air for a 10-unit dose).

  3. 3
    Insert needle and inject air

    Insert the needle through the stopper and inject the air into the vial. This equalizes pressure and makes drawing easier.

  4. 4
    Invert and draw

    Turn the vial upside down with the syringe still inserted. Pull back the plunger slowly to draw your prescribed dose.

  5. 5
    Remove air bubbles

    Tap the syringe gently to move any bubbles to the top. Push the plunger slightly to expel bubbles, then redraw to the correct dose if needed.

  6. 6
    Verify the dose

    Double-check that the plunger is at the correct mark on the syringe for your prescribed dose.

Clinical Pearl

Small air bubbles in a subcutaneous injection are not dangerous, but removing them ensures accurate dosing. The volume of a tiny bubble is negligible, but larger bubbles should always be expelled.
4

Site Selection

Proper site selection and rotation prevents tissue damage, lipodystrophy, and ensures consistent absorption. The most common sites for subcutaneous peptide injection are the abdomen, thighs, and back of the upper arms.

Injection Site Diagram

Abdomen
Thigh
Upper Arm
NAvoid 2" zoneFront View - Injection Sites

Site Information

Click on any injection site marker to see more details about that location.

Rotation Pattern

  1. 1.Upper left abdomen
  2. 2.Upper right abdomen
  3. 3.Lower right abdomen
  4. 4.Lower left abdomen
  5. 5.Alternate thighs
  6. 6.Upper arms (if needed)

Repeat cycle. Allow each site 7+ days between injections.

Site-Specific Guidelines

Abdomen (Preferred)

  • Inject at least 2 inches (5 cm) away from the navel
  • Rotate between four quadrants: upper left, upper right, lower left, lower right
  • Avoid areas with scars, stretch marks, or bruises
  • Generally provides the most consistent absorption

Thighs

  • Use the front or outer aspect of the thigh
  • Target the middle third between knee and hip
  • Alternate between left and right legs
  • Good option for those who find abdominal injections uncomfortable

Back of Upper Arm

  • Use the fatty tissue on the back of the arm between shoulder and elbow
  • May require assistance from another person
  • Less common but acceptable alternative site

Important

Always rotate injection sites. Using the same spot repeatedly can cause lipohypertrophy (fatty lumps) or lipoatrophy (tissue loss), which affects peptide absorption and can be cosmetically concerning.

Clinical Pearl

Keep a simple log noting which site you used for each injection. Many patients use a clockwise rotation pattern around the abdomen, then switch to thighs periodically.
5

Injection Procedure

The actual injection is quick and typically causes minimal discomfort when done correctly. Follow these steps for a smooth subcutaneous injection.

  1. 1
    Clean the injection site

    Wipe the area with an alcohol swab using a circular motion from center outward. Allow to dry completely (about 30 seconds).

  2. 2
    Pinch the skin

    Using your non-dominant hand, pinch a fold of skin and fat between your thumb and forefinger. Lift the tissue slightly away from the muscle.

  3. 3
    Insert the needle

    Hold the syringe like a pencil or dart. Insert the needle at a 45-90 degree angle in a quick, smooth motion. For most people, 90 degrees is appropriate; thinner individuals may use 45 degrees.

  4. 4
    Inject slowly

    Push the plunger down steadily and slowly. Injecting too quickly can cause more discomfort and may result in the solution leaking back out.

  5. 5
    Wait briefly

    After injecting the full dose, wait 5-10 seconds before removing the needle. This helps prevent the solution from leaking out.

  6. 6
    Remove and apply pressure

    Withdraw the needle at the same angle it was inserted. Release the skin fold and apply gentle pressure with a clean cotton ball or gauze. Do not rub.

Clinical Pearl

A quick, confident needle insertion is less painful than a slow, hesitant one. The needle is very fine and most patients report minimal to no pain with proper technique.

Note

Aspiration (pulling back on the plunger to check for blood) is not necessary for subcutaneous injections and is no longer recommended by most clinical guidelines.
6

Post-Injection Care

Proper post-injection care ensures safety and helps you track your therapy effectively.

Immediate Steps

  • Dispose of the syringe properly - place the used syringe directly into a sharps container. Never recap needles or dispose of them in regular trash.
  • Apply gentle pressure - hold a cotton ball over the site for 30-60 seconds if there is any bleeding.
  • Do not rub the site - rubbing can increase bruising and may affect absorption.
  • Document your injection - record the date, time, site used, and dose in your injection log.

What to Expect

Minor reactions at the injection site are common and usually resolve within a few hours:

  • Slight redness or warmth at the site
  • Minor swelling or a small bump
  • Mild bruising (more common with certain peptides)
  • Brief stinging or itching

Clinical Pearl

Keeping an injection log helps you rotate sites properly and provides valuable information for your prescriber during follow-up appointments.
7

Storage & Stability

Proper storage is essential for maintaining peptide potency and safety. Storage requirements differ between unreconstituted and reconstituted peptides.

Unreconstituted (Powder)

  • Refrigeration: 2-8°C (36-46°F) is ideal for long-term storage
  • Room temperature: Acceptable for short periods during shipping
  • Freezer: Some peptides can be frozen; check specific guidelines
  • Stability: Typically stable for months to years when properly stored

Reconstituted (Solution)

  • Must refrigerate: Store at 2-8°C (36-46°F)
  • Use within 28 days: Most reconstituted peptides expire in ~4 weeks
  • Never freeze: Freezing reconstituted peptides destroys them
  • Protect from light: Keep in original vial or wrap in foil

Important

Never freeze reconstituted peptides. The freeze-thaw cycle damages the peptide structure and renders it ineffective or potentially harmful.

Storage Best Practices

  • Store peptides in the back of the refrigerator where temperature is most stable
  • Keep away from the freezer compartment and door shelves
  • Label vials with the reconstitution date
  • Check solution clarity before each use
  • Dispose of reconstituted peptides after 28 days even if solution remains
8

When to Call Your Provider

While most peptide injections proceed without issues, certain symptoms require medical attention. Contact your healthcare provider if you experience any of the following:

Seek Immediate Medical Attention For:

  • Signs of severe allergic reaction: difficulty breathing, throat tightness, facial swelling, widespread hives
  • Signs of anaphylaxis: rapid heartbeat, dizziness, collapse
  • Severe injection site reaction: extensive swelling, intense pain, spreading redness

Contact Your Provider For:

  • Signs of infection: increasing redness, warmth, pain, or pus at the injection site
  • Fever: temperature above 100.4°F (38°C) after injection
  • Persistent reactions: injection site symptoms lasting more than 48 hours
  • Unusual symptoms: any unexpected effects you are concerned about
  • Solution changes: peptide becoming cloudy, discolored, or containing particles

Note

Keep your prescriber's contact information easily accessible. Many practices have after-hours lines or patient portals for urgent questions.

Quick Reference Summary

Before Injection

  • Wash hands thoroughly
  • Verify correct peptide and dose
  • Check solution clarity
  • Gather all supplies

During Injection

  • Clean site with alcohol
  • Pinch skin, insert at 45-90°
  • Inject slowly
  • Wait 5-10 seconds before removing

After Injection

  • Apply gentle pressure
  • Dispose of syringe properly
  • Document site used
  • Store peptide in refrigerator

Remember

  • Rotate injection sites
  • Use within 28 days of reconstitution
  • Never freeze reconstituted peptides
  • Call provider for concerning symptoms

Medical Disclaimer

This guide is provided for educational purposes and is intended for healthcare professionals and their patients. It is not a substitute for professional medical advice, diagnosis, or treatment. Always follow the specific instructions provided by your prescriber and the peptide manufacturer. Individual peptides may have unique administration requirements. If you have questions about your therapy, consult your healthcare provider.