Introduction
When measuring semaglutide doses, patients often face confusion between units, milliliters (mL), and milligrams (mg). This is especially common with compounded semaglutide, which is often drawn up using insulin syringes marked in “units.” If your prescription calls for 10 units of semaglutide, you may be wondering how many milligrams (mg) that equals. The answer depends on one key factor: the concentration of your semaglutide vial.
Understanding Units, mL, and Concentration
A standard U-100 insulin syringe is commonly used to measure semaglutide. On this syringe:
- 100 units = 1 mL
- 10 units = 0.1 mL
This tells us the volume of the medication. But to know how many milligrams that equals, we need to look at the concentration of semaglutide in your vial.
Compounding pharmacies may prepare semaglutide in different strengths. Two of the most common are:
- 2.5 mg/mL
- 5 mg/mL
Calculating 10 Units in mg
- If your vial is 2.5 mg/mL:
10 units (0.1 mL) = 0.25 mg of semaglutide - If your vial is 5 mg/mL:
10 units (0.1 mL) = 0.5 mg of semaglutide
This is why you cannot convert units to mg directly without knowing your vial’s strength.
Why This Matters
Accurate dosing is critical with semaglutide. Taking too much can increase side effects like nausea, vomiting, or dizziness, while taking too little may reduce the effectiveness of treatment. Because compounding pharmacies may use different strengths, always confirm the mg per mL concentration on your prescription label before calculating your dose.

FAQs
How many mg is 10 units of semaglutide?
It depends on the concentration:
- At 2.5 mg/mL, 10 units = 0.25 mg
- At 5 mg/mL, 10 units = 0.5 mg
Does 10 units always mean 0.25 mg?
No. The conversion changes depending on your pharmacy’s formula. Always check your label.
What syringe should I use?
Most patients use a U-100 insulin syringe, where 10 units = 0.1 mL.
What if my vial has a different concentration?
Use this formula:
mg = (mL drawn up) × (mg per mL concentration)
Final Thoughts
On a U-100 insulin syringe, 10 units equals 0.1 mL. How many milligrams that represents depends on the vial’s strength. For most compounded semaglutide:
- At 2.5 mg/mL, 10 units = 0.25 mg
- At 5 mg/mL, 10 units = 0.5 mg
Because pharmacies may prepare semaglutide differently, always double-check your label and confirm with your provider before dosing.