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The Repair Crew

TB-500

Also known as Thymosin Beta-4 fragment · TB4 active region

At a glance

What it is
A lab-made fragment of thymosin beta-4. Its parent protein has been studied in wound healing; TB-500 itself has no human data.
Evidence
Practitioner experience onlyHow the tiers workThe parent protein Thymosin beta-4 has been studied in human trials for wound healing and dry eye, but TB-500 is a different molecule: FDA defines it as the acetylated seven-amino-acid fragment Ac-LKKTETQ, and states that because acetylation irreversibly alters charge, hydrophobicity and size, results for the non-acetylated heptapeptide cannot be extrapolated to it. Why this tier
Half-life
Not established in available literature
Routes
Subcutaneous
Category
Healing
FDA
Advisory vote passed
As of 3 August 2026. What that means
WADA
Prohibited (S2.3)
Amino acids
7
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Putting TB-500 on a schedule, with the vial it comes from and a log of each dose, happens in the app: Claritide for iPhone.

Evidence

Why this tier

The parent protein Thymosin beta-4 has been studied in human trials for wound healing and dry eye, but TB-500 is a different molecule: FDA defines it as the acetylated seven-amino-acid fragment Ac-LKKTETQ, and states that because acetylation irreversibly alters charge, hydrophobicity and size, results for the non-acetylated heptapeptide cannot be extrapolated to it. FDA has not identified any human exposure data on TB-500 by any route. In animals, the one controlled healing study of TB-500 we found, in rats after Achilles tendon repair (Biçer et al. 2026), reported repaired tendons that held significantly more force than the control group's; the authors call it exploratory. FDA reports zero FAERS adverse-event reports for it through 26 March 2025, which FDA itself footnotes as a reflection of how little anyone reports, not as evidence of safety.

Overview

What it is

TB-500 is a lab-made seven-amino-acid fragment of Thymosin Beta-4 (amino acids 17–23, with an acetyl cap), not the whole protein. Thymosin Beta-4 has 43 amino acids and is found in almost every cell; it was first isolated from calf thymus. Protocols treat it as working through the whole body, unlike BPC-157, so they do not tie the injection site to the injury. That idea comes from its parent protein and from animal and lab work; it has not been tested for TB-500 in people. It is used for soft tissue injury, multiple injury sites, and post-surgical recovery.

Mechanism

How it works

Read the molecule before the mechanism. TB-500 is the acetylated seven-amino-acid fragment Ac-LKKTETQ, residues 17–23 of the 43-amino-acid parent, Thymosin Beta-4. Everything that follows is Thymosin Beta-4's pharmacology, and FDA states that acetylation irreversibly alters charge, hydrophobicity and size, so results for the parent cannot be extrapolated to TB-500. The mechanism below is inherited by argument, not demonstrated for this compound. Thymosin Beta-4 is the main G-actin sequestering peptide in cells. Actin is the scaffolding protein that gives a cell its shape and lets it crawl; by binding free actin monomers, it regulates that scaffolding and therefore controls cell shape, motility and division. The practical result, in lab and animal studies, is that repair cells migrate toward wound sites. It upregulates migration across several cell types at once: keratinocytes, endothelial cells, stem cells. It also reduces inflammatory markers and has shown anti-fibrotic properties, meaning less scar tissue laid down during healing. TB-500 carries the stretch of the parent that binds actin. FDA says it remains to be determined whether that binding explains any healing effect, and in the one cell-culture test of TB-500 itself, it did not close scratch wounds in cultured cells.

Dosing

Commonly researched ranges

These are figures reported in published literature and practitioner protocols: a commonly researched range, not a recommendation. Claritide does not tell you what to take.
  • Loading2–2.5 mg

    Twice per week

    Weeks 1–4 on our peptide page; the recovery guide describes a 4–6 week loading phase. Totals roughly 4–5 mg per week.

  • Maintenance2–2.5 mg

    Once per week

    Weeks 5 onward. Protocols allow any injection site, on the view that TB-500 acts through the whole body.

  • Wolverine Stack total2–5 mg

    Per week, split into 2–3 injections

    The figure our BPC-157/TB-500 page gives when the two are run together.

  • Community 0.5 mg0.5 mg

    Twice per week

  • Community 1 mg1 mg

    Twice per week

  • Community 1.5 mg1.5 mg

    Twice per week

Cycle guidance
4–6 weeks alongside BPC-157, followed by a 2–4 week break before a second cycle if needed. Run solo, our recovery guide describes 6–10 weeks total (4–6 weeks loading, then 2–4 weeks maintenance).
Goals
Recovery
Legal standing

Where this sits with the FDA

Dated, sourced, and separate from whether it works. Removal from a warning list is not permission to compound.
Advisory vote passedas of 3 August 2026 · US

FDA 503A bulks list · nominated, nomination withdrawn, advisory committee recommended; rulemaking pending

An advisory vote is not a rule. TB-500 is not lawfully compoundable today: FDA would still have to write a rule, and it has not proposed one or given a date. McDermott Will & Schulte, a law firm that tracks FDA compounding, wrote in July 2026 that the rule could come in 2027 or take several years.

Last change · 24 July 2026 · At the 23–24 July 2026 PCAC meeting the committee voted 8–6–1 to recommend adding TB-500 to the 503A bulks list, for wound healing.

Primary source

How it got here

  1. 22 April 2026

    FDA removed 12 peptide bulk substances from Category 2 after the nominators withdrew their nominations. Announced 15 April 2026, effective 22 April 2026. Removal from Category 2 is not permission to compound.

  2. 24 July 2026

    At the 23–24 July 2026 PCAC meeting the committee voted to recommend TB-500 for the 503A bulks list, against the recommendation of FDA’s own reviewers. FDA assessed it for wound healing.

    Vote 8–6–1 · Assessed for Wound healing

An advisory vote is not law. In July 2026 an FDA advisory committee voted in favour of adding several peptides to the 503A bulks list, over the explicit recommendation of FDA’s own scientific reviewers, who recommended against all seven. FDA would still have to write a rule, and it has not proposed one or given a date. None of these compounds is lawfully compoundable today.Note what FDA actually assessed: BPC-157 for ulcerative colitis, TB-500 for wound healing, KPV for wound healing and inflammatory conditions, MOTS-c for obesity and osteoporosis, Epitalon for insomnia, Semax for cerebral ischaemia, migraine and trigeminal neuralgia. Whatever emerges from rulemaking will be scoped to those indications.

Sport

WADA status

The 2026 Prohibited List entered force on 1 January 2026.
Prohibited (S2.3)Non-Specified, the harsher sanction range

The 2026 List names “Thymosin-β4 and its derivatives e.g. TB-500” under S2.3, Growth Factors. Non-Specified, which carries a harsher sanction range than S0.

The FDA reclassification has no effect whatsoever on WADA status. TB-500 stays S2.3 whether or not it lands on the 503A bulks list.

Reconstitution

Mixing recipes our sources document

Concentration (mg/mL) = vial mg ÷ diluent mL. On a U-100 barrel, 1 unit = 0.01 mL.
5 mg vial+2 mL bacteriostatic water
= 2.5 mg/mL
  • 100 units2.5 mg
  • 80 units2 mg
  • 60 units1.5 mg
  • 40 units1 mg
  • 20 units0.5 mg
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Expectations

Week by week

What our material describes people reporting. Individual responses vary widely.
  1. 1
    Week 1–2

    Subtle. Reduced inflammation and mild pain reduction are the commonly described early signals.

  2. 2
    Week 2–3

    Our recovery guide places initial noticeable change here, later than BPC-157, and reads that as a body-wide rather than local effect.

  3. 3
    Week 4–6

    Loading phase completes. Functional improvement in soft tissue injuries; the dosing schedule drops to weekly.

  4. 4
    Week 6–8

    Our recovery guide describes significant improvement in this window for TB-500 run solo.

Tolerability

Side effects

Grouped by how often our sources report them. Percentages appear only where a published trial figure exists.

Common

  • Injection site irritation

Uncommon

  • Mild fatigueTemporary.
  • Head rush shortly after injection

Rare

  • Temporary flu-like symptoms
Safety

Contraindications and interactions

Do not use if

  • Active or recent cancer, or a family history of cancer: TB-500 is pro-angiogenic
  • Pregnancy or nursing: no safety data exists
  • Under 25
  • Immunosuppressant therapy or organ transplant: TB-500 has immunomodulatory effects

Interactions

  • Immunosuppressantsavoid

    TB-500 has immunomodulatory effects that may work against the therapy.

  • Anti-cancer drugsavoid

    Pro-angiogenic: opposes anti-angiogenic therapy.

Absence from this list does NOT mean safety. It means lack of research.

Handling

Storage and cost

Storage
Lyophilized powder: refrigerator 2–8°C for several months, freezer −20°C for 1–2+ years. Reconstituted with bacteriostatic water: refrigerate and discard after 28 days. Never freeze reconstituted solution. Swirl, never shake.
Cost
$80–$120 per 4–6 week cycle (two 5 mg vials)
Combinations

Stacks with

Only pairings our own material actually documents. Stacking is the least evidence-based part of this field.
Deep dive

TB-500 in full

What it actually is

TB-500 is not Thymosin Beta-4. It is a synthetic copy of the seven-amino-acid stretch, residues 17 to 23, that holds the parent protein's actin-binding site. Thymosin Beta-4 itself is 43 amino acids long. It was first isolated from calf thymus, but it is found in almost every cell, and it is one of the most abundant intracellular proteins in mammalian cells.

That distinction is the single most important fact on this page, and it is the reason this compound sits in the lowest evidence tier. The research everyone cites is research on the parent protein. The fragment sold as TB-500 has not been studied separately in humans.

How it works

Actin is the protein scaffolding inside a cell. It determines shape, and it is what a cell contracts and extends to crawl. Thymosin Beta-4 is the primary G-actin sequestering peptide, meaning it binds free actin monomers and controls how much scaffolding is available to build with. Regulating that supply regulates cell shape, motility and division.

Applied to a wound, that translates into cell migration: in lab and animal studies of thymosin beta-4, repair cells moved toward the damaged site, across keratinocytes, endothelial cells and stem cells. Protocols assume TB-500 does the same from the bloodstream, which is why they do not tie the injection site to the injury, unlike BPC-157. In horses, TB-500 did reach the blood after a shot, peaking within 1 to 2 hours. Whether it acts on tissue from there has been tested once, in rats: in a 2026 study, daily TB-500 injections given away from the injury were followed by stronger repaired Achilles tendons (more below). How it would work is still open: FDA says it remains to be determined whether actin binding explains any healing effect, and in the one cell-culture test of TB-500 itself, it did not close scratch wounds in cultured cells, while one of its breakdown products did.

Two further effects show up consistently in the animal literature: reduced inflammatory markers, and anti-fibrotic activity that may mean less scar tissue in healed tissue.

What the evidence actually supports

Thymosin Beta-4 accelerated dermal wound healing across multiple animal models with improved closure rates and reduced scarring, and has been through human clinical trials for wound healing and dry eye with a favourable safety profile. Anti-inflammatory effects have been shown in corneal, dermal and cardiovascular wound models.

None of that is a study of TB-500. The one controlled healing study of TB-500 in animals that we found is a 2026 rat study of Achilles tendon repair (Biçer et al.). Rats given TB-500 daily for 30 days had repaired tendons that held significantly more force than the control group's, and scored better than control on both microscope scores. Adding BPC-157 did no better than TB-500 alone. The paper calls its peptide synthetic thymosin beta-4 without giving its sequence, and the authors call the study exploratory: larger animal studies come next, then people.

In people, the one report that touches the combination is Lee and Padgett's 16-patient retrospective of knee pain, in which 4 patients had BPC-157 plus TB4. Sixteen patients, retrospective, no control arm.

The Playbook is explicit that TB-500 solo sits in the "practitioner experience only" tier. We keep that label here: one rat study is an early signal, and the fragment has still not been studied in people.

Running it

The commonly cited protocol has two phases. Loading is 2–2.5 mg subcutaneously twice per week, roughly 4–5 mg weekly, for the first four weeks. Maintenance drops to 2–2.5 mg once per week. Our recovery guide describes 6–10 weeks total when run solo.

Reconstitution is the same arithmetic as BPC-157: a 5 mg vial with 2 mL of bacteriostatic water gives 2.5 mg/mL. That puts a 2.5 mg dose at 100 units, a full U-100 syringe. If a full barrel is unwelcome, less water gives a higher concentration and a smaller volume.

The twice-weekly and then weekly schedule is one of the practical arguments for TB-500 over daily compounds. It is easier to stay adherent to eight injections a month than to sixty.

The honest cautions

TB-500 is pro-angiogenic. As with BPC-157, that puts active or recent malignancy and a family cancer history at the top of the list, and makes concurrent anti-cancer therapy a hard stop rather than a caution.

The immunomodulatory activity is the second flag. The Playbook singles out immunosuppressant therapy and organ transplant recipients specifically. If the goal of your medication is to hold the immune system down, a compound that modulates it is working against you.

TB-500 is on the WADA prohibited list.

References

Sources

  1. 1
    Goldstein et al., 2005 · Thymosin beta4: a multi-functional regenerative peptide, Expert Opin Biol Ther 5(1)
  2. 2
    Sosne et al., 2010 · Biological activities of thymosin beta4, FASEB J 24(7)
  3. 3
    Malinda et al., 1999 · Thymosin beta4 accelerates wound healing, J Invest Dermatol 113(3)
  4. 4
    FDA · TB-500 briefing document for the Pharmacy Compounding Advisory Committee, 15 May 2026: the acetylated 17–23 fragment and its actin-binding region; thymosin beta-4 first isolated from calf thymus and expressed in almost every cell type; the in-vitro scratch test (Rahaman 2024) and horse pharmacokinetics (Ho 2012); FAERS searched through 26 March 2025
  5. 5
    Lee & Padgett, 2021 · Intra-Articular Injection of BPC 157 for Multiple Types of Knee Pain
  6. 6
    Biçer et al., 2026 · Effects of BPC-157 and TB-500 on Achilles tendon healing in rats: A histopathological and biomechanical study, Jt Dis Relat Surg 37(3)

Every record in this library is free to read, and it stays free. Your own schedule, vials and log live in the app: Claritide for iPhone.