BAC over Sterile Water — Necessity or overkill?

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Lear00

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I've recently listened to an excellent interview by Derek Decoded, where he has a discussion with Janoshik Founder Peter Magic regarding various topics relating to peptide analysis. I highly, highly recommend listening to this if you have any interest at all in the science and logistics that go into testing peptides, it's fantastic.

My interest was piqued by their discussions regarding bacteriostatic water vs sterile water for injection. For context, I'm very new to the pep world and also happen to work in healthcare where reconstituting (often) intravenous medications is sometimes part of my job, and certainly something done by nurses all the time. I had never heard of bacteriostatic water till getting into peptides, and I recently had a thorough look at work if any such water was available for usage on the wards/theatre with no luck, only sterile water for injection and sterile saline was available.

Some points Peter makes in this video summarised

Janoshik utilises sterile water for reconstitution of peptides they test. He reports this water is quite comparable to sterile water for injection (SWI) and not a separate 'high level' pharmaceutical grade water

BAC water is exceptionally hard to access in EU, and when they've looked into this in previous years the benefits of BAC have been outweighed by issues of degradation, local reactions

Peter has kept a 100ml multi-use sterile water container for 8-12 years, intermittently used for contact lens solution for his wife (lol) and has recently re-tested this this year and found it to still be sterile

Believes if you use a sterile needle with decent technique into a sealable container there is nothing to introduce bacteria

Even if a small amount of bacteria is introduced, there is no nutrition available for the bacteria to replicate using

Chinese BAC water frequently contain NO benzyl alcohol, fail sterility and vary significantly in % of benzyl alcohol

Now obviously appropriate technique is key, but I'd argue it's frankly not hard to perfect with a few readily available youtube tutorials. True, despite perfect technique there will always be routes to introduction bacteria such as needle exposure to air. However, at least in the healthcare space, this isn't, in my experience at least, considered a significant clinical risk. We certainly don't achieve perfect sterility using a laminar flow hood when reconstituting medications given directly into the bloodstream.

I have no doubt all going well, BAC water introduces a margin of safety for someone with sloppy access technique or deciding to reuse needles (please don't do this). That said, we also have seen many downsides of various BAC waters including cloudiness, gelling requiring various fixes. This is not to mention the rising cost of the 'gold standard' BAC such as Hospira, and the question of degree of degradation of peptides once reconstituted, once again, Janoshik utilises pure water for their testing, how much more are we degrading peps with BAC for our personal use? How accurate are these chinese BACs in terms of Benzyl Alcohol %?

Certainly length of time you use a reconstituted vial would be a factor given recurrent access, but surely no one is using a vial for 8-12 years, and surely Peter wasn't using the best of techniques to access water for contact lens cleaning?

Food for thought. I would be keen to what others think on BAC vs SWI, Pros, cons and where you land. I'd also like to hear if there are any known cases of proven bacterial growth in old reconstituted peps.

I’ll also be using SWI from now on and will keep this thread updated with any episodes of sepsis 😀
 
That's a newer one, and even longer that the other at 45mins.
 
He didn't see the need for BAC water but he was also pretty firm on the 28 day rule. I kind of see it as a package deal. If you are going to go with him on one but not the other, are you really using his recommendations to make your decisions or are you cherry picking to support your own beliefs? I'm someone that is not going to pitch something after 28 days so I feel like BAC is just a little more insurance.
 
Lear00 said:
I've recently listened to an excellent interview by Derek Decoded , where he has a discussion with Janoshik Founder Peter Magic regarding various topics relating to peptide analysis. I highly, highly recommend listening to this if you have any interest at all in the science and logistics that go into testing peptides, it's fantastic.

My interest was piqued by their discussions regarding bacteriostatic water vs sterile water for injection. For context, I'm very new to the pep world and also happen to work in healthcare where reconstituting (often) intravenous medications is sometimes part of my job, and certainly something done by nurses all the time. I had never heard of bacteriostatic water till getting into peptides, and I recently had a thorough look at work if any such water was available for usage on the wards/theatre with no luck, only sterile water for injection and sterile saline was available.

Some points Peter makes in this video summarised

Janoshik utilises sterile water for reconstitution of peptides they test. He reports this water is quite comparable to sterile water for injection (SWI) and not a separate 'high level' pharmaceutical grade water

BAC water is exceptionally hard to access in EU, and when they've looked into this in previous years the benefits of BAC have been outweighed by issues of degradation, local reactions

Peter has kept a 100ml multi-use sterile water container for 8-12 years, intermittently used for contact lens solution for his wife (lol) and has recently re-tested this this year and found it to still be sterile

Believes if you use a sterile needle with decent technique into a sealable container there is nothing to introduce bacteria

Even if a small amount of bacteria is introduced, there is no nutrition available for the bacteria to replicate using

Chinese BAC water frequently contain NO benzyl alcohol, fail sterility and vary significantly in % of benzyl alcohol

Now obviously appropriate technique is key, but I'd argue it's frankly not hard to perfect with a few readily available youtube tutorials. True, despite perfect technique there will always be routes to introduction bacteria such as needle exposure to air. However, at least in the healthcare space, this isn't, in my experience at least, considered a significant clinical risk. We certainly don't achieve perfect sterility using a laminar flow hood when reconstituting medications given directly into the bloodstream.

I have no doubt all going well, BAC water introduces a margin of safety for someone with sloppy access technique or deciding to reuse needles (please don't do this). That said, we also have seen many downsides of various BAC waters including cloudiness, gelling requiring various fixes. This is not to mention the rising cost of the 'gold standard' BAC such as Hospira, and the question of degree of degradation of peptides once reconstituted, once again, Janoshik utilises pure water for their testing, how much more are we degrading peps with BAC for our personal use? How accurate are these chinese BACs in terms of Benzyl Alcohol %?

Certainly length of time you use a reconstituted vial would be a factor given recurrent access, but surely no one is using a vial for 8-12 years, and surely Peter wasn't using the best of techniques to access water for contact lens cleaning?

Food for thought. I would be keen to what others think on BAC vs SWI, Pros, cons and where you land. I'd also like to hear if there are any known cases of proven bacterial growth in old reconstituted peps.

I’ll also be using SWI from now on and will keep this thread updated with any episodes of sepsis 😀
In degradation tests of peptides, most have switched to bac water because in some tests (not all), présence of bacteria led to bigger peptide mass losses vs bac water. These tests are over a period of 30 to 90 days.

Those "downsides" you list with bac water have nothing to do with Bac water, they are issues related to the manufacturer of the peptide you bought. Vendors routinely reimburse cloudy peptides.
 
5byfive said:
He didn't see the need for BAC water but he was also pretty firm on the 28 day rule. I kind of see it as a package deal. If you are going to go with him on one but not the other, are you really using his recommendations to make your decisions or are you cherry picking to support your own beliefs? I'm someone that is not going to pitch something after 28 days so I feel like BAC is just a little more insurance.
He has said the 28 days is more for his protection liability being in the medical field
 
CNCCurrency said:
He has said the 28 days is more for his protection liability being in the medical field
I was listening for that and the way he said it, my interpretation is that substantially agrees with it beyond just the legal question. That is obviously open to your own interpretation.
 
5byfive said:
I was listening for that and the way he said it, my interpretation is that substantially agrees with it beyond just the legal question. That is obviously open to your own interpretation.
I suppose, I saw another interview where he said it. Not the one addressed above
 
Thanks for the information, good to know. I'm kind of lazy with my aseptic technique and don't bother with the alcohol wipes for the most part anymore, but thanks to this post I'm feeling more confident about buying a bottle of benzyl alcohol and adding a drop to SWFI (or 0.3 mL into 30 mL SWFI if you want to be exact).
 
CNCCurrency said:
He has said the 28 days is more for his protection liability being in the medical field

This was my interpretation too. Having mentioned regarding the retested 10 year old sterile water still being sterile @30:00, he does also drop a “People can take whatever they want from this information” with a cheeky laugh 😂. Perhaps i’m reading too much into this by thinking he’s implying sterile water is fine, but isn’t willing to say it out right given liability.

nambo said:
Thanks for the information, good to know. I'm kind of lazy with my aseptic technique and don't bother with the alcohol wipes for the most part anymore, but thanks to this post I'm feeling more confident about buying a bottle of benzyl alcohol and adding a drop to SWFI (or 0.3 mL into 30 mL SWFI if you want to be exact).

Will never claim myself to be an expert, but it makes sense to me that the risk of injection site infection is significantly higher from not alcohol wiping your skin before injecting, as opposed to not using BAC water. The former involves quite literally dragging normal skin flora with a needle right through your first protective barrier (skin). What’s normal skin flora on the surface can cause opportunistic infection in the otherwise sterile subcutaneous tissue - regardless of what kind of sterility was in your vial originally.
 
To me, filtering and using BAC water are the things I can do to lessen my chances of getting sick. Maybe I won't if I don't but I am saving a lot of money by getting it with no guarantee of sterility, so it is worth the extra time and cost to me.
 
Lear00 said:
Will never claim myself to be an expert, but it makes sense to me that the risk of injection site infection is significantly higher from not alcohol wiping your skin before injecting, as opposed to not using BAC water. The former involves quite literally dragging normal skin flora with a needle right through your first protective barrier (skin). What’s normal skin flora on the surface can cause opportunistic infection in the otherwise sterile subcutaneous tissue - regardless of what kind of sterility was in your vial originally.
I agree 1000%. Back in the day I wouldn't have bothered with alcohol wipes either. But now I have seen first hand why it's a good idea.

My Mom was a diabetic and she never swabbed her skin with alcohol when she injected her insulin pens. Then she got lung cancer and had to do really strong chemo. After two weeks she got put in the hospital with severe sepsis. She never really recovered from it.

Even if I run out of alcohol wipes and have to put alcohol on a paper towel to wipe my skin off, it's better than nothing. My immune system is great as far as I know but I am NOT taking the chance.
 
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