Injury Healing

Research compounds studied for accelerating repair of tendons, ligaments, muscles, and nerves. Includes local-acting peptides and systemic anti-inflammatory compounds.

Most researched for Injury Healing

BPC-157 + TB-500

The most commonly researched combination for injury repair. BPC-157 works locally at the injury site, promoting angiogenesis and growth factor upregulation. TB-500 works systemically, promoting cell migration and reducing inflammation throughout the body. Together they cover both local and systemic repair - particularly important for tendons and ligaments where blood supply is limited.

Thymosin Beta-4 Fragment

aka TB-500, TB-500, Tβ4 frag, LKKTETQ

PopularPreclinical

How it works: Upregulates actin to promote cell migration and reduce inflammation throughout the body for systemic healing.

Soft tissue healing; muscle repair; cardiovascular recovery; anti-inflammatory

Research dose

2-2.5 mg, 2×/week loading; biweekly maintenance

Real-world (reported)

Loading: 2–2.5 mg SubQ 2×/wk × 4 wks; Maintenance: 2.5 mg q2wk

Administration

SubQ / IM

Timing

Variable; 2× weekly split

Cycle length

Loading 4–6 wks; maintenance ongoing

Real-world figures are community-reported, not medical advice.

Common side effects: Lethargy; head rush post-injection; mild fatigue (loading phase)

Community take: [ANECDOTAL – r/Peptides] 2nd most popular healing peptide. BPC+TB combo near-consensus for injuries.

Onset
Days–weeks
Half-life
Days tissue retention
Storage
Dry: Freeze –20°C long-term; fridge 2–8°C ≤12 mo; light sensitive · Reconstituted: Refrigerate; use within 28 days
Reconstitution
Add 2 mL BAC water to 5 mg vial = 2.5 mg/mL; 2 mg dose = 80 IU
Rare side effects
Theoretical tumor progression (angiogenic); no confirmed human adverse events
Contraindications
Active malignancy (theoretical); pregnancy; Active malignancy or history of cancer (Tβ4 promotes angiogenesis and cell migra; Pregnancy and breastfeeding (no safety data available); Known hypersensitivity to Thymosin Beta-4 or any formulation excipients; Children and adolescents (no pediatric safety data)
Drug interactions
No well-documented interactions
Recommended bloodwork
CBC, CMP baseline; CRP if long cycles
Stacks well with
BPC-157 (Wolverine Stack); GHK-Cu (GLOW Stack)
Secondary uses
Hair follicle stimulation; neuroprotection; wound healing
Research status
Mostly animal; no published human RCTs; limited compassionate use Phase I data
FDA status
No
Legal status
US: Research use only; PCAC July 2026 · UK: Legal for research · Canada: Legal research chemical · Australia: Schedule 4 (Rx only) · EU: Varies by member state
Typical price
$40–$70 / 5 mg vial
Research evidence
moderate
Indications
Wound healing and tissue repair research; Cardiac repair and cardioprotection studies; Anti-inflammatory and anti-fibrotic investigations; Corneal wound healing and ophthalmic research; Dermal ulcer and chronic wound treatment trials
Chemical data
CAS 77591-33-4 · C212H350N56O78S · 4963 Da
Amino acids
46 aa

Semax

aka ACTH(4-10) analogue, ACTH(4-10) analogue, ACTH(4-7)-PGP, Semax Peptide

ModerateApproved

How it works: Reduces amyloid inclusions and improves cognitive function in Alzheimer's disease models.

Neuroprotection, cognitive enhancement

Research dose

250-1000 mcg, 1–3×/day

Real-world (reported)

Stable/Rising in nootropic community; PCAC July 2026

Administration

Intranasal (most common) / SubQ

Timing

Morning and/or midday (stimulant-like)

Cycle length

4–8 wks on; break; or 10-day Russian intensive

Real-world figures are community-reported, not medical advice.

Common side effects: Natural peptide drug with reportedly lacking side effects per study

Community take: Preclinical research demonstrates high potential of Semax and its derivatives for Alzheimer's disease therapeutic development, with demonstrated cognitive improvements and reduced amyloid pathology in animal models.

Onset
Cognitive 30–60 min; cumulative neurotrophin effects weeks–months
Half-life
~30 min
Storage
Dry: Nasal spray: refrigerate; follow mfr guidelines. Lyophilized: fridge/freeze. · Reconstituted: Nasal spray: cloudiness, smell. Injectable: standard flags.
Reconstitution
Injectable: add 1 mL BAC water to 1 mg vial = 1 mg/mL
Rare side effects
Bipolar disorder/mania; active psychosis
Contraindications
Stimulants (additive); antidepressants (serotonergic); Known hypersensitivity to Semax or any component of the formulation; Acute psychotic states or severe anxiety disorders (may be exacerbated); Pregnancy and breastfeeding (safety not established); Children under the recommended age (varies by formulation)
Drug interactions
No standard BW; optional BDNF levels (research context)
Recommended bloodwork
Selank: complementary (Semax stimulation + Selank anxiolysis). Cerebrolysin: additive neuroprotection.
Stacks well with
[ANECDOTAL – r/Nootropics, Longecity] 'BDNF in a bottle.' Significant cognitive enhancement, mood/motivation. Some find too stimulating.
Secondary uses
Cognitive function improvement
Research status
Preclinical research — rat brain slice studies
FDA status
No (Russia: approved)
Legal status
US: Legal for research; not scheduled · UK: Legal research chemical · Canada: Schedule 4 · Australia: Unregulated most EU; Russia: approved OTC · EU: Limitless Biotech; CosmoChem; nootropic vendors
Typical price
~$1–$3 / 500 mcg dose
Research evidence
moderate
Indications
Stroke recovery and neuroprotection research; Cognitive enhancement and nootropic studies; Neurotrophic factor modulation research; Attention deficit and learning disorder investigations; Optic nerve disease treatment (Russian clinical use)
Chemical data
CAS 80714-61-0 · C37H51N9O10S · (Da
Amino acids
27 aa

Collagen Peptides

aka Hydrolyzed, Hydrolyzed Collagen, CH-Alpha, Peptan

Moderate

How it works: Pre-broken-down collagen that is absorbed and signals your skin and joints to make more of their own collagen, studied for elasticity and joint support.

Skin elasticity; wrinkle reduction; joint health; tendon/ligament support

Research dose

5-15 g, Once daily

Real-world (reported)

10g/day oral. Take with 200mg Vitamin C.

Administration

Oral

Timing

Any time

Cycle length

12 wks (skin); 24 wks (joints)

Real-world figures are community-reported, not medical advice.

Common side effects: Rare GI discomfort at high doses

Community take: [ANECDOTAL] Well-established supplement with good RCT base. 10g/day minimum; bovine or marine; 12+ weeks. Vitamin C co-administration important.

Onset
Skin 4–8 wks; joint 12–24 wks; bone months
Half-life
Hours
Storage
Dry: Room temperature; dry
Reconstitution
N/A (food/supplement)
Rare side effects
No serious effects; long safety record as food supplement
Contraindications
Animal-derived hypersensitivity (bovine/marine/porcine)
Drug interactions
No significant interactions
Recommended bloodwork
Optional PINP/P1NP (bone collagen marker)
Stacks well with
GHK-Cu topical: systemic (oral) + local (topical) collagen synergy. Vitamin C: essential co-factor.
Secondary uses
Bone density; muscle mass (adjunct); hair and nails; wound healing
Research status
Multiple human RCTs for skin, joints, bone; well-established at 10g/day
FDA status
No
Legal status
US: Dietary supplement (FDA 21 CFR) · UK: Dietary supplement / food ingredient · Canada: NHP (Natural Health Product) · Australia: TGA-listed therapeutic / food · EU: Food supplement; member state level
Typical price
$20–$60 / month supply

BPC-157

aka Body Protection Compound-157, BPC157, stable gastric pentadecapeptide

Moderate

How it works: An oral form of BPC-157 that survives stomach acid to act directly on the gut lining, studied for ulcers, IBD, and leaky gut.

GI tract healing (primary); gastric ulcer; IBD; leaky gut; esophageal repair

Research dose

500-1000 mcg, Once or twice daily (oral)

Real-world (reported)

500 mcg oral 1–2×/day. Can swallow injectable powder. Fasted for broader systemic; with meals for GI mucosal.

Administration

Oral

Timing

Fasted for systemic attempt; with meals for GI mucosal targeting

Cycle length

4–12 weeks

Real-world figures are community-reported, not medical advice.

Common side effects: Generally well tolerated orally; mild nausea at very high doses

Community take: [ANECDOTAL] Very popular oral form for GI. Community: oral = GI targeting; SubQ = systemic. Many use both simultaneously.

Onset
GI improvement 1–2 wks; mucosal healing 4–8 wks
Half-life
Hours (GI tract)
Storage
Dry: Capsules: room temp; dry. Loose powder: fridge. · Reconstituted: N/A once swallowed
Reconstitution
Injectable powder swallowable (stable in stomach acid) or use pre-formulated capsules
Rare side effects
Same theoretical tumor concern as injectable; no oral-specific serious adverse events
Contraindications
Active malignancy; pregnancy; same as injectable
Drug interactions
No significant interactions
Recommended bloodwork
GI symptom assessments; stool calprotectin; CRP
Stacks well with
KPV: anti-inflammatory gut synergy. Larazotide: tight junction complement.
Secondary uses
Systemic healing via oral (debated efficacy vs SubQ for non-GI targets)
Research status
Same evidence as parenteral BPC-157 + oral rat GI studies; human oral community protocols established
FDA status
No
Legal status
US: Research use only; PCAC July 2026 (same compound) · UK: Legal for research · Canada: Legal research chemical · Australia: Schedule 4 · EU: Unregulated
Typical price
$30–$60 / 30-cap bottle (500 mcg each)

Thymosin Beta-4

aka Tβ4, Tβ4, TB-4

Moderate

How it works: The naturally occurring source protein of TB-500; promotes cell migration, angiogenesis, and anti-inflammatory signaling throughout the body.

Corneal nerve regeneration, wound repair in bacterial keratitis, visual function restoration

Research dose

1-5 mg, 2×/week

Real-world (reported)

2–5 mg SubQ 2×/week. Same protocols as TB-500 community.

Administration

Topical (eye drops)

Timing

Any time

Cycle length

4–8 weeks

Real-world figures are community-reported, not medical advice.

Common side effects: Lethargy; head rush; rare injection-site reactions

Community take: Peer-reviewed preclinical research demonstrates adjunctive Tβ4 + ciprofloxacin restores corneal nerve integrity and visual function in bacterial keratitis, with combination therapy outperforming monotherapy approaches.

Onset
Wound/tissue healing 2–4 wks
Half-life
~45 min
Storage
Dry: Freeze –20°C; fridge ≤12 mo; light sensitive · Reconstituted: Refrigerate; use within 28 days
Reconstitution
Add 2 mL BAC water to 5 mg vial = 2.5 mg/mL
Rare side effects
Theoretical tumor progression (angiogenic); very high cost vs LKKTETQ fragment
Contraindications
Active malignancy; pregnancy
Drug interactions
No well-documented interactions
Recommended bloodwork
CBC; CMP baseline
Stacks well with
Ciprofloxacin (antibiotic; combination therapy significantly outperformed either agent alone)
Secondary uses
Hair growth; anti-inflammatory; corneal repair
Research status
Phase II Clinical Trials (preclinical mouse model, published 2026)
FDA status
Not FDA approved (research stage in US; appears to be in clinical investigation phase in China)
Legal status
US: Research use only · UK: Legal for research · Canada: Legal research chemical · Australia: Schedule 4 · EU: Unregulated
Typical price
$100–$400 / 5 mg vial

KPV

aka Lys-Pro-Val, alpha-MSH C-terminal tripeptide, KPV tripeptide

ModeratePreclinical

How it works: Blocks NF-kB inflammatory signaling pathways to reduce chronic inflammation.

GI inflammation; IBD/Crohn's; leaky gut; systemic anti-inflammatory

Research dose

250-1000 mcg, Once or twice daily

Real-world (reported)

500 mcg oral or SubQ daily for GI. SubQ for systemic anti-inflammatory.

Administration

SubQ / Oral

Timing

Any time

Cycle length

4–8 weeks

Real-world figures are community-reported, not medical advice.

Common side effects: Generally well tolerated; mild injection-site reactions

Community take: [ANECDOTAL] Growing use for IBD, leaky gut, Crohn's. Oral route popular for GI targeting. 'BPC-157 for the gut but with immune modulation added.'

Onset
GI effects within days; anti-inflammatory effects 1–2 wks
Half-life
Minutes
Storage
Dry: Fridge 2–8°C; freeze long-term · Reconstituted: Refrigerate; use within 28 days
Reconstitution
Add 1 mL BAC water to 1 mg vial = 1 mg/mL; 500 mcg dose = 50 IU
Rare side effects
Limited long-term human safety data
Contraindications
Active malignancy (MC1R expressed in melanoma); pregnancy; Immunosuppressed states (theoretical - NF-kB inhibition may further compromise i; Pregnancy (no reproductive or developmental toxicity data available)Frequency di; Immunosuppressants (theoretical additive immunosuppression through overlapping N; NF-kB pathway drugs (theoretical pharmacodynamic interaction with agents targeti
Drug interactions
No significant documented interactions
Recommended bloodwork
GI symptom assessment (IBD activity scores); CRP; stool biomarkers (calprotectin)
Stacks well with
BPC-157: gut healing stack. LL-37: antimicrobial complement for gut infections.
Secondary uses
Wound healing; skin inflammation; immune modulation
Research status
Preclinical robust; some human cell studies; Phase 1/2 ongoing; FDA PCAC July 2026
FDA status
No
Legal status
US: Research use only; PCAC July 2026 · UK: Legal for research · Canada: Legal research chemical · Australia: Schedule 4 · EU: Unregulated
Typical price
$30–$60 / 1 mg vial
Research evidence
very-low
Indications
Inflammatory bowel disease research; Mucosal inflammation studies; Gut barrier function research; Anti-inflammatory peptide research
Chemical data
CAS 67727-97-3 · C16H30N4O4 · 342.4 Da
Amino acids
11 aa

Cartalax

aka AEDG, Ala-Glu-Asp-Gly

Advanced

How it works: A short peptide that switches on cartilage-protecting genes, studied for joint and connective-tissue aging.

Cartilage aging protection; joint health; connective tissue anti-aging

Research dose

5-10 mg, Daily ×10 day course

Real-world (reported)

5–10 mg SC ×10 days; 2 cycles/year.

Administration

SC

Timing

Any time

Cycle length

10 days; 2× per year

Real-world figures are community-reported, not medical advice.

Common side effects: Generally well tolerated

Community take: [ANECDOTAL] Russian orthopedic aging protocol. Western niche.

Onset
Joint comfort changes 4–8 wks
Half-life
Hours
Storage
Dry: Fridge 2–8°C; freeze · Reconstituted: Refrigerate; use within 28 days
Reconstitution
Add 1 mL BAC water to 10 mg vial
Rare side effects
Very limited Western data
Contraindications
Active inflammatory arthritis (consult rheumatologist); pregnancy
Drug interactions
NSAIDs; DMARDs (inform physician)
Recommended bloodwork
Joint function; X-ray/MRI if OA
Stacks well with
BPC-157: joint repair complement. GHK-Cu: collagen synergy.
Secondary uses
Osteoarthritis prevention; collagen gene expression in chondrocytes
Research status
Russian Khavinson lab; cartilage aging animal studies
FDA status
No
Legal status
US: Research use only · UK: Legal for research · Canada: Legal research chemical · Australia: Schedule 4 · EU: Unregulated
Typical price
$30–$70 / 10 mg vial

Pentadeca Arginate

aka PDA, PDA, Pentadecapeptide Arginate

Advanced

How it works: Promotes collagen production and tissue repair while reducing inflammation to support healing.

Tissue repair, anti-inflammatory response, wound healing

Administration

SubQ injection

Secondary uses
Post-surgical recovery, neuroprotection, angiogenesis, skin health, anti-aging
Research status
Preclinical only
FDA status
Not approved; classified as Category 2 bulk drug substance (prohibited in compounding under Section 503A and 503B)

B7-33

aka Relaxin Analog, H2 relaxin analog

Advanced

How it works: A streamlined version of the hormone relaxin, studied for reducing scar-like tissue (fibrosis) in the heart and improving blood flow.

Cardiac fibrosis prevention; heart failure (research); anti-fibrotic

Real-world (reported)

NO ESTABLISHED HUMAN PROTOCOL

Administration

SubQ/IV (clinical research)

Timing

Any time

Cycle length

Research only

Real-world figures are community-reported, not medical advice.

Common side effects: Very limited: injection-site reactions; hypotension

Community take: [ANECDOTAL] Essentially no gray-market experience. Research compound only.

Onset
Research endpoints only
Half-life
~1–2h
Storage
Dry: Freeze –20°C; protect from light · Reconstituted: Refrigerate; use within 14 days
Reconstitution
Add 1 mL BAC water per manufacturer
Rare side effects
Hypotension; limited long-term data
Contraindications
Hypotension; CV disease; pregnancy
Drug interactions
Antihypertensives (additive)
Recommended bloodwork
BP monitoring; cardiac biomarkers
Stacks well with
ARA-290: anti-fibrotic complement. SS-31: cardiac protection.
Secondary uses
Pulmonary fibrosis; renal fibrosis; vasodilation
Research status
Preclinical robust; Phase 1 human pharmacokinetic data; no Phase 3
FDA status
No
Legal status
US: Research use only · UK: Legal for research · Canada: Legal research chemical · Australia: Schedule 4 · EU: Unregulated
Typical price
Not applicable

Conantokin G

aka CGX-1007, Con-G, CGX-1007, Conantokin-G

Moderate

How it works: A 17 amino acid peptide that selectively inhibits NR2B subunits of NMDA receptors with potential therapeutic applications for pain management.

Pain management, seizure prevention, neuroprotection

Research dose

1-100 mcg

Administration

Administered directly into the central nervous system, most preferably intrathecally.

Common side effects: Well-tolerated and does not display many of the typical NMDAR antagonist-induced side effects.

Secondary uses
Ischemic stroke neuroprotection, anti-apoptotic effects
Research status
CGX-1007 has received investigational new drug status by the US Food and Drug Administration with Phase I (safety) clinical trials recently completed.

Substance P

aka Neuropeptide, SP, Tachykinin

Moderate

How it works: Substance P is released by neurons when experiencing painful stimuli and helps transmit pain messages to the brain and spinal cord.

Pain transmission and modulation, nausea and vomiting prevention, depression/mood disorders, inflammation

Research dose

10-250 nmol/kg

Administration

Intravenous injection; intracerebral infusion

Common side effects: Mood worsening, increased REM latency, increased time awake, increased cortisol and thyroid stimulating hormone

Half-life
Not explicitly stated in sources
Rare side effects
Stevens–Johnson syndrome, neutropenia, angioedema, QT prolongation (with NK antagonists)
Secondary uses
Colitis, dental pain, anxiety disorders, stress response
Research status
Phase II Clinical Trials; Active Research
FDA status
Not directly approved as therapeutic peptide; NK1 antagonists (aprepitant) approved for chemotherapy-induced nausea/vomiting

ACE-031

aka ActRIIB-Fc, ActRIIB-IgG1 Fc, Activin Receptor Type IIB Decoy

ModeratePhase 2

How it works: ACE-031 is a soluble form of the activin receptor type IIB (ActRIIB) fused to the Fc portion of human IgG1 antibody. It acts as a decoy receptor that traps myostatin and related TGF-beta superfamily ligands, preventing them from binding to endogenous receptors and thereby promoting muscle growth. Clinical development was halted in 2013 due to safety concerns including epistaxis and telangiectasias

Duchenne muscular dystrophy research (clinical development discontinued); Muscle wasting and sarcopenia research; Myostatin pathway biology studies; Neuromuscular disease therapeutic development

Administration

SC

Timing

No specific time of day required; allow solution to reach room temperature before injection✓ Rotate injection sites

Cycle length

12 weeks (based on Phase 2 DMD protocol; trial was terminated early)

Half-life
Approximately 10-15 days (estimated from pharmacokinetic data)
Storage
Dry: ACE-031 protein solutions should be stored at 2-8 degrees Celsius (refrigerated). Protect from freezing and agitation. Protein solutions are sensitive
Contraindications
ACE-031 is a discontinued investigational compound not approved for any use; Individuals with hereditary hemorrhagic telangiectasia or vascular fragility dis; Active bleeding disorders or conditions predisposing to hemorrhage; Pregnancy (potential effects on angiogenesis and fetal development)Frequency dis
Research status
Phase 2
FDA status
Not approved
Legal status
US: Withdrawn From Market
Research evidence
moderate
Indications
Duchenne muscular dystrophy research (clinical development discontinued); Muscle wasting and sarcopenia research; Myostatin pathway biology studies; Neuromuscular disease therapeutic development
Chemical data
Complex fusion protein · 130000 Da
Amino acids
79 aa

Brimapitide

aka AM-111, D-JNKI-1, XG-102

ModeratePhase 3

How it works: Brimapitide (AM-111/D-JNKI-1) is a 31-amino acid cell-penetrating peptide that inhibits c-Jun N-terminal kinase (JNK), a stress kinase involved in cochlear cell apoptosis. Developed by Auris Medical for acute idiopathic sudden sensorineural hearing loss (ISSNHL), it was administered as a single intratympanic injection in a biocompatible gel. The Phase 3 HEALOS trial failed to meet its primary endp

Acute idiopathic sudden sensorineural hearing loss (ISSNHL, discontinued); Otoprotection following acute cochlear injury (investigational)

Administration

IM

Timing

Single intratympanic injection within 72 hours of hearing loss onset. Administered by ENT specialist under local anesthesia. Development discontinued.

Cycle length

Single administration (follow-up to 91 days)

Half-life
Extended intracellular half-life due to
Contraindications
Development discontinued. Formal contraindications were not established.; Active middle ear infection would preclude intratympanic injection.; Existing tympanic membrane perforation may affect gel retention and drug deliver; No drug interactions were formally characterized. Local intratympanic administra
Research status
Phase 3
FDA status
Not approved
Legal status
US: Withdrawn From Market
Research evidence
moderate
Indications
Acute idiopathic sudden sensorineural hearing loss (ISSNHL, discontinued); Otoprotection following acute cochlear injury (investigational)
Chemical data
CAS 1445179-97-4 · C164H286N66O40 · 3614 Da
Amino acids
113 aa

Risuteganib

aka ALG-1001, Luminate

ModeratePhase 2a

How it works: Risuteganib (Luminate/ALG-1001) is a first-in-class synthetic RGD-class peptide that regulates multiple integrin heterodimers involved in retinal disease. Administered by intravitreal injection, it targets oxidative stress, mitochondrial dysfunction, and inflammation in the retina. Phase 2a results in intermediate dry AMD showed 48% of patients achieved 8 or more ETDRS letter gain versus 7% with s

Intermediate dry age-related macular degeneration (Phase 2b/3); Diabetic macular edema (Phase 2)

Administration

IV

Timing

Intravitreal injection administered by a qualified retinal specialist under sterile ophthalmic conditions. Not a subcutaneous or systemic injection.

Cycle length

52 weeks (Phase 2b/3 primary endpoint)

Half-life
Approximately
Contraindications
Active ocular or periocular infection (general contraindication for intravitreal; Known hypersensitivity to risuteganib or any excipient; Formal contraindications have not been established as the drug is investigationa; No drug-drug interactions have been formally characterized. Risuteganib is admin
Research status
Phase 2a
Legal status
US: Investigational
Research evidence
moderate
Indications
Intermediate dry age-related macular degeneration (Phase 2b/3); Diabetic macular edema (Phase 2)
Chemical data
CAS 1307293-62-4 · C22H39N9O11S · 637.66 Da
Amino acids
23 aa

ACTH4-10Pro8-Gly9-Pro10

aka ACTH 4-10, Semax

Moderate

How it works: ACTH 4-10 functions as a neuroprotective compound that regulates the inflammatory cascade following acute spinal cord injury by increasing anti-inflammatory cytokine expression (IL-4, IL-10, IL-13). The mechanism appears to involve modulation of secondary injury processes, particularly neuroinflammation, through upregulation of anti-inflammatory signaling pathways.

Spinal cord injury recovery, neuroprotection, brain ischemia treatment

Administration

Intranasal

Common side effects: None reported in this study

Secondary uses
Anti-inflammatory cytokine regulation
Research status
Preclinical — rat model studies ongoing

ACTH(4-7)PGP

aka Semax

Moderate

How it works: ACTH-like peptides modulate gene expression in brain regions affected by ischemic damage. The peptides significantly reduce disturbances in neurotransmitter function and inflammatory response pathways caused by ischemia, normalizing the profile of differentially expressed genes (DEGs) in both penumbra-associated and ischemic core regions of the brain.

Neuroprotection in ischemic stroke, ischemic brain injury recovery

Community take: ACTH(4-7)PGP (Semax) shows neuroprotective potential in preclinical ischemic stroke models, with differential effectiveness depending on brain region and degree of ischemic damage. The peptide modulates hundreds of genes associated with inflammation and neurotransmitter function.

Research status
Preclinical (Rat model studies)

Efocipegtrutide

aka HM15211, HM15211, LAPS Triple Agonist

Moderate

How it works: Efocipegtrutide is a long-acting glucagon, GIP and GLP-1 triple full agonist conjugated with human immunoglobulin constant region.

MASH (metabolic dysfunction-associated steatohepatitis), obesity, non-alcoholic fatty liver disease, hepatic fibrosis

Secondary uses
Idiopathic pulmonary fibrosis, primary biliary cholangitis, primary sclerosing cholangitis
Research status
Phase 2 development; Phase 2b clinical study is being investigated in biopsy-confirmed MASH subjects with fibrosis.
FDA status
FDA granted fast track designation for MASH treatment. Received orphan drug designation from FDA and EMA for idiopathic pulmonary fibrosis, primary biliary cholangitis, and primary sclerosing cholangitis.

Klotho KL1 Domain

aka Longevity Factor Klotho - KL1 Structural Repeat, KL1, KL1 domain, KL1 internal repeat

Moderate

How it works: KL1 induces metabolic remodeling of the hippocampus and enhances cognition while countering cognitive aging.

kidney fibrosis prevention, cognitive enhancement, anti-aging, neuroprotection, cellular senescence inhibition

Research dose

10-10 μg/kg, Single dose (preclinical studies)

Administration

Subcutaneous injection; intravenous injection (preclinical mouse models)

Common side effects: Not reported in preclinical studies; full-length Klotho elevation causes calcium/phosphorus metabolism disturbance

Onset
Acute metabolic effects within 4 hours; cognitive effects assessed 24-40 hours post-dose
Half-life
Not explicitly stated in available literature
Storage
Dry: Standard protein storage conditions recommended; Klotho protein is unstable and affected by freeze-thaw
Contraindications
High serum Klotho causes disturbance of calcium and phosphorus metabolism such as hypocalcemia and hypophosphatemia, but KL1 domain treatment suppresses pancreatic cancer without disturbing phosphate levels
Secondary uses
COVID-19-associated acute kidney injury amelioration, pancreatic cancer suppression, oxidative stress resistance
Research status
Preclinical; Phase 1b clinical trials underway for full-length Klotho (related approach)
FDA status
Not approved; preclinical research stage

Klotho-derived Peptide 1

aka KP1, KP1, Klotho-derived peptide, KL1 domain peptide

Moderate

How it works: KP1 mimics the anti-fibrotic action of Klotho by constraining TGF-β signaling.

Kidney fibrosis, hepatic fibrosis, cellular senescence inhibition

Administration

Intravenous injection; exhibits highly selective accumulation in injured liver after intravenous injection

Half-life
Not explicitly stated in reviewed literature
Secondary uses
Cognitive enhancement, anti-inflammatory effects, longevity support
Research status
Preclinical; mouse models of renal and hepatic fibrosis

Endomorphin-1

aka EM-1, EM-1, EM1

Moderate

How it works: Endomorphin-1 selectively binds to μ-opioid receptors to suppress pain signals and produce analgesia.

analgesia, pain relief (acute, chronic, neuropathic, and inflammatory pain)

Administration

Intracerebroventricular injection; intrathecal injection; subcutaneous injection (in preclinical studies)

Common side effects: tolerance to inhibitory effects (observed over repeated administration)

Rare side effects
respiratory depression, inhibition of gastrointestinal motility
Secondary uses
vasodilation
Research status
Preclinical research; no clinical trials
FDA status
Not approved

Deltorphin II

aka [D-Ala2]deltorphin II; Tyr-D-Ala-Phe-Glu-Val-Val-Gly-NH2, [D-Ala2]Deltorphin II, DADELT II, D-Ala2-deltorphin II

Moderate

How it works: Selective delta opioid receptor agonist with antinociceptive activity.

Cardioprotection in ischemia/reperfusion injury, pain relief (antinociception), neuropathic pain

Research dose

0.12-0.12 mg/kg

Administration

Intravenous injection; intracerebroventricular injection; intrathecal (spinal); topical (nociceptor studies)

Common side effects: Hypothermia (at high doses)

Onset
Maximal effects at 10 minutes with significant antinociception lasting 40-60 minutes following intracerebroventricular administration
Contraindications
Not established in available literature
Secondary uses
Memory consolidation, motor stimulation (central), peripheral nociceptor inhibition after nerve injury
Research status
Preclinical research (animal models)
FDA status
Not approved
Legal status
US: Research use only · EU: Research use only

Abaloparatide

aka Tymlos, BA-058

ModerateApproved

How it works: Abaloparatide is a 34-amino-acid synthetic analog of human parathyroid hormone-related protein (PTHrP) developed by Radius Health and marketed as Tymlos. FDA-approved in April 2017 for postmenopausal osteoporosis at high fracture risk, and expanded in 2022 to include men with osteoporosis, abaloparatide acts as a selective PTH1 receptor agonist favoring the RG conformation to promote bone formatio

Postmenopausal osteoporosis at high fracture risk; Male osteoporosis at high fracture risk; Glucocorticoid-induced osteoporosis (off-label)

Administration

SC

Timing

Same time each day; no food restrictions✓ Rotate injection sites

Cycle length

Up to 2 years

Half-life
Approximately 1 hour
Storage
Dry: Refrigerate at 2-8 degrees C before first use. After first use, store at room temperature (20-25 degrees C) for up to 30 days. Do not freeze.
Contraindications
Patients at increased risk for osteosarcoma (Paget disease of bone, unexplained; Pre-existing hypercalcemia; Pregnancy (embryo-fetal toxicity observed in animal studies); Known hypersensitivity to abaloparatide or excipientsFrequency distribution of r
Research status
Approved
FDA status
FDA approved
Legal status
US: Approved
Research evidence
high
Indications
Postmenopausal osteoporosis at high fracture risk; Male osteoporosis at high fracture risk; Glucocorticoid-induced osteoporosis (off-label)
Chemical data
CAS 247062-33-5 · C174H300N56O49 · 3960.59 Da
Amino acids
255 aa

Botulinum Toxin

aka Botox, OnabotulinumtoxinA, AbobotulinumtoxinA

ModerateApproved

How it works: Botulinum toxin type A is a neurotoxin produced by Clostridium botulinum that blocks acetylcholine release at neuromuscular junctions. It is FDA-approved for multiple therapeutic and cosmetic indications including chronic migraine, cervical dystonia, spasticity, blepharospasm, overactive bladder, hyperhidrosis, and glabellar lines.New to cosmetic peptides?Browse all cosmetic peptides →Table of Con

Chronic migraine prophylaxis; Cervical dystonia; Upper and lower limb spasticity; Blepharospasm; Cosmetic treatment of facial wrinkles; Axillary hyperhidrosis; Overactive bladder

Administration

IM

Timing

No specific time of day; administered in clinic by trained healthcare professional

Cycle length

Ongoing; repeated every 12 weeks as needed

Half-life
Intracellular half-life of the catalytic light chain is estimated at several wee
Storage
Dry: Store unopened vials refrigerated at 2-8C (or frozen at or below -5C for some formulations). Reconstituted solution: store refrigerated and use within
Reconstitution
Sterile 0.9% salineUse within: 24 hours
Contraindications
Known hypersensitivity to botulinum toxin or any formulation component; Infection at the proposed injection site; Pre-existing neuromuscular disorders (myasthenia gravis, Lambert-Eaton syndrome,; Pregnancy and breastfeeding (Category C; insufficient data)Frequency distributio
Research status
Approved
FDA status
FDA approved
Legal status
US: Approved
Research evidence
high
Indications
Chronic migraine prophylaxis; Cervical dystonia; Upper and lower limb spasticity; Blepharospasm; Cosmetic treatment of facial wrinkles; Axillary hyperhidrosis; Overactive bladder
Chemical data
CAS 93384-43-1 · Complex protein · 149000 Da
Amino acids
296 aa

Cebranopadol

aka GRT-6005, TRN-228

ModeratePhase 3

How it works: Cebranopadol (GRT-6005) is a first-in-class oral analgesic with dual agonist activity at nociceptin/orphanin FQ peptide (NOP) and mu-opioid (MOP) receptors. Developed by Tris Pharma, it has completed two positive Phase 3 trials (ALLEVIATE-1 and ALLEVIATE-2) for acute pain and holds FDA Fast Track designation for chronic low back pain. NDA submission is planned for 2025.New to pain peptides?Browse

Moderate-to-severe acute pain (Phase 3 completed); Chronic low back pain (FDA Fast Track designation); Chronic neuropathic pain (Phase 2 completed)

Administration

Oral

Timing

Once-daily dosing supported by long half-life (62-96 hours terminal)

Cycle length

2 days (acute); ongoing (chronic)Step-wise Titration (4 weeks)

Half-life
: 6
Storage
Dry: Room temperature (20-25 degrees C). Protect from light and moisture.
Contraindications
Known hypersensitivity to cebranopadol or any excipient; Severe respiratory depression or severe bronchial asthma in unmonitored settings; Concurrent use of monoamine oxidase inhibitors (MAOIs) or within 14 days of disc; CNS depressants (benzodiazepines, alcohol, other sedatives) may potentiate sedat
Research status
Phase 3
FDA status
Not approved
Legal status
US: Investigational
Research evidence
moderate-high
Indications
Moderate-to-severe acute pain (Phase 3 completed); Chronic low back pain (FDA Fast Track designation); Chronic neuropathic pain (Phase 2 completed)
Chemical data
CAS 863513-91-1 · C24H27FN2O · 378.48 Da
Amino acids
46 aa

Dermorphin

aka Tyr-D-Ala-Phe-Gly-Tyr-Pro-Ser-NH2, Dermorphine

ModeratePhase 3

How it works: Dermorphin is a naturally occurring opioid heptapeptide first isolated from the skin of the South American tree frog Phyllomedusa sauvagei. It contains the unusual D-alanine residue at position 2 and demonstrates 30- to 40-fold higher affinity for mu-opioid receptors compared to morphine, making it one of the most potent naturally occurring opioid peptides known.New to pain peptides?Browse all pai

Opioid receptor pharmacology research; Analgesic mechanism studies; Receptor binding and selectivity investigations

Administration

SC

Timing

As needed for analgesic testing in research settings

Cycle length

Single administration studies; not intended for repeated dosing protocols

Half-life
Approximately 1-
Storage
Dry: Store lyophilized powder at -20C protected from light and moisture. Reconstituted solutions should be stored at -80C in single-use aliquots. Avoid rep
Reconstitution
Sterile water
Contraindications
Respiratory insufficiency or pre-existing respiratory depression; Concurrent use of other CNS depressants or opioid compounds; Pregnancy (no safety data; opioid class concerns); Pediatric subjects (no safety data)
Research status
Phase 3
FDA status
Not approved
Legal status
US: Preclinical Research
Research evidence
low
Indications
Opioid receptor pharmacology research; Analgesic mechanism studies; Receptor binding and selectivity investigations
Chemical data
CAS 77614-16-5 · C40H50N6O9 · 803.92 Da
Amino acids
233 aa

Teriparatide

aka Forteo, rhPTH(1-34)

ModerateApproved

How it works: Teriparatide is a recombinant form of the first 34 amino acids of human parathyroid hormone (PTH(1-34)), developed by Eli Lilly and marketed as Forteo. FDA-approved in November 2002, it was the first osteoanabolic agent for osteoporosis. In the landmark Fracture Prevention Trial, teriparatide 20 mcg daily reduced vertebral fractures by 65% and nonvertebral fractures by 53% in postmenopausal women.

Postmenopausal osteoporosis at high fracture risk; Male osteoporosis (primary or hypogonadal); Glucocorticoid-induced osteoporosis

Administration

SC

Timing

Same time each day; no food restrictions✓ Rotate injection sites

Cycle length

Determined by clinical judgment (no limit)

Half-life
Approximately 1 hour
Storage
Dry: Refrigerate at 2-8 degrees C at all times. Do not freeze. Pen usable for 28 days after first injection.
Contraindications
Patients at increased risk for osteosarcoma (Paget disease, unexplained alkaline; Pre-existing hypercalcemia; Pregnancy (Category C; may cause fetal harm); Known hypersensitivity to teriparatide or excipientsFrequency distribution of re
Research status
Approved
FDA status
FDA approved
Legal status
US: Approved
Research evidence
high
Indications
Postmenopausal osteoporosis at high fracture risk; Male osteoporosis (primary or hypogonadal); Glucocorticoid-induced osteoporosis
Chemical data
CAS 52232-67-4 · C181H291N55O51S2 · 4117.8 Da
Amino acids
34 aa

Ziconotide

aka Prialt, SNX-111, omega-conotoxin MVIIA

ModerateApproved

How it works: Ziconotide (Prialt) is a synthetic 25-amino acid peptide derived from the venom of the marine cone snail Conus magus. It is FDA-approved for intrathecal management of severe chronic pain in patients refractory to other therapies. Ziconotide selectively blocks N-type voltage-gated calcium channels (Cav2.2) in the spinal cord dorsal horn, inhibiting neurotransmitter release and pain signal transmiss

Severe chronic pain refractory to systemic analgesics; Cancer-related pain; Neuropathic pain; Pain refractory to intrathecal morphine

Administration

IV

Timing

Start at 2.4 mcg/day (0.1 mcg/hour). Titrate upward by no more than 2.4 mcg/day at intervals of no more than 2-3 times per week. Slow titration is cri

Cycle length

Long-term continuous therapy

Half-life
4.6 hours (CSF)
Contraindications
History of psychosis (black box contraindication); Known hypersensitivity to ziconotide or any formulation components; Conditions compromising intrathecal drug delivery (e.g., infection at injection; CNS depressants (opioids, benzodiazepines, anticonvulsants) may potentiate dizzi
Research status
Approved
FDA status
FDA approved
Legal status
US: Approved
Research evidence
high
Indications
Severe chronic pain refractory to systemic analgesics; Cancer-related pain; Neuropathic pain; Pain refractory to intrathecal morphine
Chemical data
CAS 107452-89-1 · C102H172N36O32S7 · 2639.14 Da
Amino acids
229 aa

Example stacks

Beginner

Healing - Beginner

BPC-157 injected locally near the injury is the most direct and well-studied healing protocol.

Primary
BPC-157300 mcg/day - Near injury site
  • • Inject subcutaneously as close to the injury as safely possible
  • • Oral BPC-157 on empty stomach for gut injuries
  • • Refrigerate and use within 4 weeks of reconstitution
Intermediate

Healing - Intermediate

BPC-157 manages local repair while TB-500 works throughout the body. Especially valuable for tendons and ligaments where blood supply is poor.

Primary
BPC-157250 mcg/day - Near injury site
Support
TB-5002-2.5 mg/week - 2 injections per week
  • • Use BPC-157 locally and TB-500 anywhere - it works systemically
  • • Split TB-500 into two equal injections
  • • Add vitamin C and collagen-rich foods

Community outcome data

Collected from users researching this goal. Not a clinical database - for general reference only.

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For educational and research purposes only. Not medical advice. Always consult a qualified healthcare provider before using any research compound.