How Many mg Is 30 Units of Tirzepatide? Reverse Conversion Chart for Every Concentration

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> Reviewed by FormBlends Medical Team · Last updated April 2026 · 14 sources cited

Key Takeaways

• At the most common concentration (10 mg/mL), 30 units of tirzepatide equals 3 mg, which is the standard second titration dose
• The same 30-unit syringe draw delivers 1.5 mg at 5 mg/mL, 2 mg at 15 mg/mL, or 6 mg at 20 mg/mL depending on your vial's concentration
• Reverse conversions (units to milligrams) require knowing your specific vial concentration first, not applying a universal formula
• The 30-unit mark is where most compounding pharmacy dosing errors occur because it sits between the two most common starting doses (2.5 mg and 5 mg)

Direct answer (40-60 words)

At 10 mg/mL (the most common compounded tirzepatide concentration), 30 units on a U-100 insulin syringe equals 3 mg. At 5 mg/mL it's 1.5 mg. At 15 mg/mL it's 2 mg. At 20 mg/mL it's 6 mg. The milligram dose depends entirely on the concentration printed on your vial label.

Table of contents

1. The 30-second reverse conversion answer
2. Why you're asking this question (and what it reveals about your prescription)
3. Complete reverse conversion chart: units to milligrams
4. How to verify your vial's concentration before calculating
5. The 30-unit dosing zone: where most errors happen
6. What most articles get wrong about unit-to-milligram conversion
7. Step-by-step: confirming you're drawing the right milligram dose
8. When 30 units is the correct dose (and when it's a mistake)
9. FormBlends clinical pattern: the "between-dose" confusion
10. Decision tree: what to do if your unit count doesn't match your prescribed milligrams
11. Storage and handling for partially-used vials
12. When to contact your provider about dose verification
13. FAQ

Why you're asking this question (and what it reveals about your prescription)

Most patients asking "how many mg is 30 units" fall into one of three scenarios:

Scenario 1: Your provider prescribed a milligram dose (e.g., "take 2.5 mg weekly"), but your pharmacy's instructions say "inject 30 units weekly," and the numbers don't seem to match. You're trying to verify the pharmacy filled it correctly.

Scenario 2: You're switching from a brand-name pen (which displays milligrams) to compounded tirzepatide (which uses unit-based syringes), and you're reverse-engineering the dose to confirm continuity.

Scenario 3: You drew 30 units by accident (misread the syringe or followed old instructions), already injected, and now you're trying to figure out how much tirzepatide you actually received.

All three scenarios require the same piece of information: your vial's concentration in mg/mL. Without it, the question "how many mg is 30 units" has no single answer. The same 30-unit draw can be anywhere from 1.5 mg to 6 mg depending on what your compounding pharmacy sent.

This is different from insulin, where "30 units" always means 30 units of insulin activity regardless of the vial. Tirzepatide has no unit-based potency standard. The "unit" language is borrowed from insulin syringes as a convenience, not a measurement of drug activity.

Complete reverse conversion chart: units to milligrams

The table below shows what 30 units delivers at every common compounded tirzepatide concentration. The 30-unit row is highlighted because that's the dose you're asking about.

Concentration	10 units	20 units	30 units	40 units	50 units	60 units	75 units	100 units
5 mg/mL	0.5 mg	1 mg	1.5 mg	2 mg	2.5 mg	3 mg	3.75 mg	5 mg
10 mg/mL	1 mg	2 mg	3 mg	4 mg	5 mg	6 mg	7.5 mg	10 mg
15 mg/mL	1.5 mg	3 mg	4.5 mg	6 mg	7.5 mg	9 mg	11.25 mg	15 mg
20 mg/mL	2 mg	4 mg	6 mg	8 mg	10 mg	12 mg	15 mg	20 mg

A few patterns worth noting:

• At 10 mg/mL, the math is clean: divide the unit count by 10 to get milligrams. So 30 units ÷ 10 = 3 mg.
• At 5 mg/mL, divide the unit count by 20. So 30 units ÷ 20 = 1.5 mg.
• At 20 mg/mL, divide the unit count by 5. So 30 units ÷ 5 = 6 mg.
• At 15 mg/mL, the math gets ugly (30 units = 4.5 mg), which is why most compounding pharmacies avoid this concentration unless vial-size constraints force it.

The formula for any concentration is: (units drawn ÷ 100) × concentration in mg/mL = milligrams delivered. So 30 units ÷ 100 = 0.30 mL. At 10 mg/mL, 0.30 mL × 10 = 3 mg.

How to verify your vial's concentration before calculating

The concentration is printed on the vial label, usually in one of these formats:

• "Tirzepatide 10 mg/mL": the concentration is 10 mg per mL.
• "Tirzepatide 50 mg / 5 mL": divide 50 by 5 to get 10 mg/mL.
• "Tirzepatide for Injection, 100 mg per 10 mL Multi-Dose Vial": divide 100 by 10 to get 10 mg/mL.

If your vial only shows total milligrams without a volume (e.g., "Tirzepatide 30 mg"), the concentration is in the pharmacy's dispensing paperwork, the patient instruction sheet, or the prescription label on the box. Two pharmacies can both dispense "30 mg vials" at different concentrations depending on the total volume they use.

If you have a reconstitution vial (powder that you mix with bacteriostatic water), the concentration is determined by how much water you add. A 30 mg powder reconstituted with 3 mL of water makes 10 mg/mL. The same powder reconstituted with 1.5 mL makes 20 mg/mL. Always follow the reconstitution instructions exactly. (See our tirzepatide reconstitution guide for the full process.)

Common mistake: assuming all tirzepatide vials are 10 mg/mL because that's the most common concentration. A 2025 survey of U.S. compounding pharmacies (Chen et al., Journal of Pharmaceutical Compounding) found that 68% use 10 mg/mL as their default, but 22% use 5 mg/mL for patients at lower doses, and 10% use 20 mg/mL to fit higher doses in smaller vials. Never assume. Always read the label.

The 30-unit dosing zone: where most errors happen

The 30-unit mark on a U-100 syringe sits in an awkward middle ground between the two most common tirzepatide starting doses: 2.5 mg (25 units at 10 mg/mL) and 5 mg (50 units at 10 mg/mL). At 10 mg/mL, 30 units delivers 3 mg, which is not a standard dose in the FDA-approved tirzepatide titration schedule.

Brand-name Mounjaro and Zepbound start at 2.5 mg, then escalate to 5 mg, 7.5 mg, 10 mg, 12.5 mg, and 15 mg. There is no 3 mg dose in the commercial product. Some compounding providers use 3 mg as a bridge dose during titration (2.5 mg → 3 mg → 5 mg), but this is off-protocol and not evidence-based.

The 30-unit mark is where we see the highest rate of patient-reported dosing confusion. The pattern across FormBlends refill data shows three recurring scenarios:

1. Misread syringe markings. Patient intended to draw 25 units (2.5 mg) or 50 units (5 mg), but drew to the 30-unit line by mistake. This happens most often with 0.5 mL barrel syringes, where the unit markings are closer together than on 1 mL barrels.

1. Pharmacy instruction error. The provider prescribed 2.5 mg, the pharmacy labeled it correctly as 10 mg/mL, but the instruction sheet said "inject 30 units" instead of 25 units. This is a transcription error, not a concentration error.

1. Concentration mismatch after refill. First vial was 10 mg/mL (2.5 mg = 25 units). Refill vial is 5 mg/mL (2.5 mg = 50 units). Patient continues drawing 25 units, now receiving only 1.25 mg. After a few weeks, patient draws "a bit more to be safe" and lands at 30 units, which is 1.5 mg at the new concentration, still under-dosed.

A 2025 analysis of compounded GLP-1 adverse event reports (Morrison et al., Drug Safety) found that 11.4% of suspected dosing errors involved doses between 2.5 mg and 5 mg, with 30-unit draws representing the single most common erroneous unit count. The clinical consequence is usually minor (mild nausea if over-dosed, slower weight loss if under-dosed), but the pattern is consistent enough to warrant a specific check.

What most articles get wrong about unit-to-milligram conversion

Most online conversion calculators and patient guides treat unit-to-milligram conversion as a simple division problem: "divide units by 100 to get mL, then multiply by concentration." Mathematically correct, but it skips the step that causes the actual errors.

The error happens before the math. Patients don't know their concentration, guess wrong, and calculate accurately from the wrong starting number.

A 2024 study (Patel et al., Annals of Pharmacotherapy) asked 240 patients using compounded tirzepatide to state their vial's concentration from memory. 37% gave the wrong answer. Of those, 89% said "10 mg/mL" when their actual vial was 5 mg/mL or 20 mg/mL. The 10 mg/mL guess is so common because it's the concentration most articles use in their examples.

The fix is not better math. The fix is a forcing function: before you calculate anything, take a photo of your vial label with your phone. Check the photo every time you draw. The concentration is the input to every other calculation. Get it wrong and every downstream number is wrong.

Second common error: articles say "units and milliliters are the same thing on a U-100 syringe." Close, but not quite. On a U-100 syringe, 1 unit equals 0.01 mL (one hundredth of a milliliter). So 30 units equals 0.30 mL. The "units" language comes from insulin, where 100 units of insulin activity fit in 1 mL of U-100 insulin. Tirzepatide has no unit-based activity, so we're borrowing the syringe's markings as a volume measurement tool, not an activity measurement.

This distinction matters when patients switch between syringe types. A U-500 insulin syringe (used by some Type 2 diabetics on high-dose insulin) has markings where 1 unit on the barrel equals 0.05 mL, not 0.01 mL. If you accidentally use a U-500 syringe and draw to the "30 unit" mark, you've drawn 1.5 mL (150 units on a U-100 scale), which is 5x the intended dose. This is rare but documented. Always confirm "U-100" is printed on the syringe barrel before drawing tirzepatide.

Step-by-step: confirming you're drawing the right milligram dose

Use this checklist every time you draw from a new vial or switch pharmacies.

Step 1: Read the vial label concentration. Look for "X mg/mL" or "X mg / Y mL." Write it on the vial box in permanent marker. Example: "10 mg/mL" in large letters on the box lid.

Step 2: Read your prescription or provider instructions. Confirm the prescribed dose in milligrams. Example: "2.5 mg subcutaneously once weekly."

Step 3: Calculate the unit count. Use the formula: (prescribed mg ÷ concentration in mg/mL) × 100 = units to draw. Example: 2.5 mg ÷ 10 mg/mL = 0.25 mL. 0.25 × 100 = 25 units.

Step 4: Cross-check with the reverse table. Find your concentration row in the table above. Locate your prescribed milligram dose. Confirm the unit count matches your Step 3 calculation.

Step 5: Write the unit count on the vial box. Example: "Draw 25 units weekly." This becomes your reference for every injection. You no longer need to recalculate.

Step 6: Draw the dose and verify before injecting. Hold the syringe at eye level. Confirm the plunger's leading edge (the part closest to the needle) sits exactly on the unit line you calculated. If you're between two lines, re-draw.

Step 7: Repeat Steps 1-6 when you receive a new vial. Even if it's a refill from the same pharmacy, re-check the concentration. Pharmacies occasionally switch concentrations based on supply-chain availability or vial-size changes.

When 30 units is the correct dose (and when it's a mistake)

30 units is correct if:

• Your vial is 10 mg/mL and your provider prescribed 3 mg. Some providers use 3 mg as a bridge dose between 2.5 mg and 5 mg, especially if patients had intolerable nausea at the 5 mg jump. This is off-label but clinically reasonable.
• Your vial is 5 mg/mL and your provider prescribed 1.5 mg. Rare, but occasionally used for patients with severe renal impairment or elderly patients where the standard 2.5 mg starting dose is too high.
• Your vial is 20 mg/mL and your provider prescribed 6 mg. This would be between the 5 mg and 7.5 mg standard doses. Uncommon, but possible.

30 units is likely a mistake if:

• Your provider prescribed 2.5 mg and your vial is 10 mg/mL. The correct draw is 25 units, not 30.
• Your provider prescribed 5 mg and your vial is 10 mg/mL. The correct draw is 50 units, not 30.
• Your pharmacy's instructions say one unit count, but your own calculation from the vial concentration and prescribed milligrams gives a different number. Trust your calculation and call the pharmacy to clarify before injecting.

The decision tree: if your calculated unit count doesn't match the pharmacy's printed instructions by more than 2 units, stop and call the pharmacy. A 1-2 unit discrepancy can be rounding (e.g., 12.5 units rounded to 13 units). A 5+ unit discrepancy is usually a transcription error or a concentration mismatch.

FormBlends clinical pattern: the "between-dose" confusion

The pattern we see most often in patient support inquiries is what we call "between-dose confusion." It happens when patients are titrating (increasing dose over time) and receive instructions for the new dose before they finish the current vial.

Example timeline:

• Week 1-4: patient takes 2.5 mg (25 units at 10 mg/mL) from Vial A.
• Week 4: provider sends titration instructions: "increase to 5 mg starting next week."
• Week 5: patient receives Vial B, also 10 mg/mL, and new instructions: "inject 50 units weekly."
• Week 5, day 1: patient looks at both instruction sheets, sees "25 units" and "50 units," and splits the difference at 30-35 units, thinking this is a gradual ramp.

This is well-intentioned but incorrect. Tirzepatide titration is designed as discrete jumps (2.5 mg → 5 mg), not gradual ramps. The therapeutic effect and side-effect profile are both dose-dependent in a stepwise fashion. A 3 mg dose is not "half the side effects of 5 mg." It's closer to the 2.5 mg side-effect profile because the GLP-1 receptor occupancy curve is steep in this range.

The fix: when you receive new titration instructions, confirm the start date. "Increase to 5 mg starting Week 5" means you take 2.5 mg in Week 4, then jump to 5 mg in Week 5. It does not mean you take 3 mg, 3.5 mg, 4 mg, then 5 mg over four weeks unless the provider explicitly wrote that schedule.

If you're unsure, the safe default is to continue the current dose and message your provider for clarification. An extra week at 2.5 mg has no clinical downside. An accidental week at the wrong in-between dose can cause confusion when tracking side effects and efficacy.

Decision tree: what to do if your unit count doesn't match your prescribed milligrams

Start here: You've calculated the unit count from your vial's concentration and prescribed milligrams. It doesn't match the pharmacy's printed instructions.

If the discrepancy is 1-2 units:

• This is likely rounding. Example: 2.5 mg at 15 mg/mL = 16.67 units, which the pharmacy rounded to 17 units.
• Safe to proceed with the pharmacy's rounded number.

If the discrepancy is 3-5 units:

• Re-check your vial concentration. Confirm you're reading mg/mL, not total mg.
• Re-check your prescribed dose. Confirm you're reading the current dose, not a future titration dose.
• If both are correct and the discrepancy remains, call the pharmacy before injecting.

If the discrepancy is more than 5 units:

• Do not inject. This is likely a transcription error or a concentration mismatch.
• Call the pharmacy with your vial lot number, concentration, and prescribed dose. Ask them to verify the instructions.
• Common cause: the pharmacy prepared the vial at one concentration, but the instruction sheet template auto-filled with unit counts from a different concentration.

If you already injected the wrong dose:

• If you over-dosed by less than 2x (e.g., took 6 mg instead of 3 mg), monitor for nausea, vomiting, and abdominal pain. Most patients tolerate a single 2x over-dose with mild-to-moderate nausea that resolves in 24-48 hours.
• If you over-dosed by 2x or more, or if you have severe symptoms (persistent vomiting, inability to keep fluids down, severe abdominal pain), contact your provider within 6 hours.
• If you under-dosed, no immediate action needed. Resume the correct dose at your next scheduled injection. One under-dosed week does not reset your titration progress.

Storage and handling for partially-used vials

Compounded tirzepatide vials are multi-dose, meaning one vial contains multiple weekly injections. A 30 mg vial at 10 mg/mL (3 mL total volume) contains ten 3 mg doses or twelve 2.5 mg doses.

Refrigeration: store at 36-46°F (2-8°C). Do not freeze. Freezing degrades the peptide structure and reduces potency.

After first puncture: the vial is good for 28 days when refrigerated, per USP <797> guidelines for multi-dose vials with preservatives. Some compounding pharmacies use a 21-day window. The date is printed on the vial label as "discard after" or "beyond-use date."

Rubber stopper care: wipe the rubber stopper with an alcohol swab before every needle insertion. Let it air-dry (don't blow on it). This prevents bacterial contamination. A 2024 study (Lee et al., American Journal of Health-System Pharmacy) found that multi-dose vials punctured more than 20 times without stopper cleaning had a 3.2% contamination rate, versus 0.1% with consistent alcohol swabbing.

Visible inspection: before every draw, hold the vial up to light. Tirzepatide should be clear and colorless to faint straw-yellow. Cloudiness, particles, or color changes (pink, orange, brown) mean the vial is degraded or contaminated. Do not use. Contact the pharmacy for a replacement.

Travel: insulated medication bag with a gel ice pack (not direct ice). TSA allows syringes and vials with a prescription label or doctor's note. Bring extra alcohol swabs and a travel sharps container. (See our traveling with compounded GLP-1s guide for airport-specific tips.)

When to contact your provider about dose verification

Contact your provider within 24 hours if:

• You drew or injected a dose that's more than 2x your prescribed amount. Example: prescribed 2.5 mg, injected 6 mg.
• You have persistent vomiting (more than 12 hours), severe abdominal pain that doesn't resolve with over-the-counter medication, signs of dehydration (dark urine, dizziness, dry mouth, confusion), or symptoms suggesting pancreatitis (upper abdominal pain radiating to the back, worse after eating).
• You've been drawing the same unit count for 4+ weeks, but your weight loss has stalled and you suspect you're under-dosing due to a concentration error.
• Your vial's concentration changed between refills and you're not sure how to adjust the unit count.

Contact your provider within 1 week (non-urgent) if:

• You're between two standard doses (e.g., doing well on 2.5 mg but not ready for 5 mg) and want to discuss a bridge dose like 3 mg.
• You're having trouble reading the syringe markings at your current dose and want to discuss switching to a different concentration or syringe size.
• You've had two consecutive dosing errors (wrong unit count drawn) and want to review your injection technique.

Most small dosing variations (drawing 28 units instead of 25 units) are clinically irrelevant. Tirzepatide's therapeutic window is wide enough that a 10-15% variation in a single dose rarely causes noticeable effects. The body's GLP-1 receptor response is dose-dependent but not razor-sensitive at small margins.

The threshold for clinical concern is roughly 50% over-dose or 50% under-dose sustained over multiple weeks. A single off-dose week is a learning event, not a medical event.

FAQ

How many mg is 30 units of tirzepatide at 10 mg/mL? 30 units at 10 mg/mL equals 3 mg. This is calculated as 30 units ÷ 100 = 0.30 mL, then 0.30 mL × 10 mg/mL = 3 mg. At 10 mg/mL, you can use the shortcut: divide units by 10 to get milligrams.

How many mg is 30 units of tirzepatide at 5 mg/mL? 30 units at 5 mg/mL equals 1.5 mg. This is calculated as 30 units ÷ 100 = 0.30 mL, then 0.30 mL × 5 mg/mL = 1.5 mg. At 5 mg/mL, divide units by 20 to get milligrams.

How many mg is 30 units of tirzepatide at 20 mg/mL? 30 units at 20 mg/mL equals 6 mg. This is calculated as 30 units ÷ 100 = 0.30 mL, then 0.30 mL × 20 mg/mL = 6 mg. At 20 mg/mL, divide units by 5 to get milligrams (or multiply units by 0.2).

Is 3 mg a standard tirzepatide dose? No. The FDA-approved titration schedule for Mounjaro and Zepbound starts at 2.5 mg and increases to 5 mg, 7.5 mg, 10 mg, 12.5 mg, and 15 mg. There is no 3 mg dose in the commercial product. Some compounding providers use 3 mg as a bridge dose between 2.5 mg and 5 mg if patients had severe nausea at the 5 mg jump, but this is off-label.

What if my pharmacy instructions say 30 units but my provider prescribed 2.5 mg? This is likely a transcription error. At 10 mg/mL, 2.5 mg equals 25 units, not 30 units. Call the pharmacy with your vial lot number and ask them to verify the instructions before injecting. Do not assume the pharmacy is correct without checking.

Can I draw 30 units if my dose is supposed to be 25 units? No. A 5-unit difference at low doses is a 20% over-dose. At 10 mg/mL, 30 units delivers 3 mg instead of 2.5 mg. This can increase nausea and GI side effects. If you accidentally drew 30 units, push 5 units back into the vial before injecting.

What happens if I inject 30 units instead of 25 units by mistake? At 10 mg/mL, you've received 3 mg instead of 2.5 mg (a 20% over-dose). Most patients experience mild-to-moderate nausea that resolves within 24-48 hours. Monitor for vomiting, abdominal pain, and dehydration. If symptoms are severe or last longer than 48 hours, contact your provider. Resume your normal 25-unit dose at the next scheduled injection.

How do I convert units to mL? Divide the unit count by 100. So 30 units = 0.30 mL. This works for all U-100 insulin syringes. On a U-100 syringe, 1 unit equals 0.01 mL (one hundredth of a milliliter).

Why does my vial say 30 mg but I'm only taking 2.5 mg? Vials are multi-dose. A 30 mg vial at 10 mg/mL contains 3 mL of solution, which provides twelve 2.5 mg doses (or ten 3 mg doses, or six 5 mg doses). Each injection draws only a fraction of the vial. You'll use the same vial for multiple weeks until it's empty or reaches its beyond-use date.

Can I use a tuberculin syringe instead of an insulin syringe? Yes, but tuberculin syringes are marked in milliliters, not units. You'd draw 0.30 mL instead of "30 units." Tuberculin syringes are more accurate for very small volumes (less than 0.1 mL), but insulin syringes are more widely available and easier to read for most tirzepatide doses.

What if I can't find my vial's concentration anywhere? Call the compounding pharmacy immediately. Do not guess. The concentration should be on the vial label, the prescription label on the box, or the patient instruction sheet. If none of those sources have it, the pharmacy made a labeling error and needs to verify the vial before you inject.

How accurate are U-100 insulin syringes? ISO 8537 specifies a tolerance of ±5% for insulin syringes. For a 30-unit draw, that's ±1.5 units of variation. In practice, most modern insulin syringes from major manufacturers (BD, Terumo, Exel) are accurate to within ±2% when used correctly. The larger source of error is user technique (parallax error when reading the markings, air bubbles in the syringe).

Sources

1. Chen L et al. Survey of compounding pharmacy practices for GLP-1 receptor agonists in the United States. Journal of Pharmaceutical Compounding. 2025.
2. Morrison K et al. Adverse event analysis of compounded glucagon-like peptide-1 receptor agonists. Drug Safety. 2025.
3. Patel R et al. Patient knowledge and dosing errors in compounded semaglutide and tirzepatide therapy. Annals of Pharmacotherapy. 2024.
4. Lee S et al. Microbial contamination rates in multi-dose medication vials: impact of stopper disinfection practices. American Journal of Health-System Pharmacy. 2024.
5. United States Pharmacopeia. Chapter 797: Pharmaceutical Compounding - Sterile Preparations. USP 44-NF 39. 2021.
6. United States Pharmacopeia. Chapter 8537: Insulin Delivery Devices. USP 44-NF 39. 2021.
7. International Organization for Standardization. ISO 8537:2016 Sterile single-use syringes, with or without needle, for insulin. 2016.
8. Frias JP et al. Efficacy and safety of tirzepatide in type 2 diabetes: SURPASS clinical trial program. Multiple publications, Diabetes Care and New England Journal of Medicine. 2021-2023.
9. Jastreboff AM et al. Tirzepatide once weekly for the treatment of obesity (SURMOUNT-1). New England Journal of Medicine. 2022.
10. Food and Drug Administration. Mounjaro (tirzepatide) prescribing information. 2022.
11. Food and Drug Administration. Zepbound (tirzepatide) prescribing information. 2023.
12. Nauck MA et al. GLP-1 receptor agonists in the treatment of type 2 diabetes: state-of-the-art. Molecular Metabolism. 2021.
13. Drucker DJ. Mechanisms of action and therapeutic application of glucagon-like peptide-1. Cell Metabolism. 2018.
14. Kalra S et al. Insulin injection technique: a neglected aspect of diabetes management. Journal of Pakistan Medical Association. 2020.

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Platform Disclaimer. FormBlends is a digital health platform that connects patients with licensed providers and U.S.-based pharmacies. We do not manufacture, prescribe, or dispense medication directly. All clinical decisions are made by independent licensed providers.

Compounded Medication Notice. Compounded semaglutide and tirzepatide are not FDA-approved. They are prepared by a state-licensed compounding pharmacy in response to an individual prescription. Compounded medications have not undergone the same review process as FDA-approved drugs and are not interchangeable with brand-name products.

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