The unused solution is discarded
The vial holds more medicine than the labeled dose, but the remainder is not saved for another day. Once mixed, that remainder is solution rather than dry powder. The label directs you to discard it along with the unused diluent.
The dose count above is an arithmetic result. The reason to discard the rest comes from the product instructions, not from rounding that count down. A single-dose vial is not a supply to keep using until it is empty.
Use the supplied sterile water
The SV pack includes sterile water for mixing. Its instructions specify how much to add. The concentration and unit conversion above use that amount; they do not offer other mixing volumes to choose from.
Use the mixed solution right away. Follow the pack instructions to prepare the syringe, check the solution and give the injection. If the liquid is cloudy or contains particles, the label says not to use it.
Keep SV and WR instructions separate
Egrifta SV and Egrifta WR have different vial strengths, doses, diluents and storage instructions. Their labels state that they are not interchangeable. Check the full product name before using a mixing guide.
The SV vial has its own mixing instructions. A volume from the WR instructions does not describe this vial, even though both products contain tesamorelin. The amount of water is part of the product’s preparation, not a preference based on the syringe drawing.