Healing and RecoveryLimited researchinjurymuscletendoncardiacflexibility

TB-500

Also known as Thymosin Beta-4 fragment, TB4, LKKTETQ, Tbeta4 (17-23)

TB-500 is a synthetic version of the active region of thymosin beta-4, a protein found in nearly every human cell that regulates actin and cell movement. It is used for injury recovery, flexibility and general tissue repair, usually alongside BPC-157.

Reviewed by the amino101 editorial team. , first published .

Status
Investigational, not FDA approved. Prohibited by WADA for athletes.
Typical dose
2 to 5 mg
twice weekly during loading, then weekly or every other week
Route
Subcutaneous, Intramuscular
Subcutaneous, belly; does not need to be near the injury
Cycle
4 to 6 week loading phase, then maintenance or stop
Break: 4 to 8 weeks, or stop once the injury has healed
Storage
Fridge 2 to 8 C
fridge 2 to 8 C once mixed, use within 4 weeks; powder in the freezer or fridge away from light

Quick start

What people commonly do. Not a prescription.
Typical dose
2 to 5 mg
How often
twice weekly during loading, then weekly or every other week
Where
Subcutaneous, belly; does not need to be near the injury
Timing
any time, food does not matter
Effects timeline
flexibility and reduced stiffness 1 to 2 weeks, injury recovery 4 to 6 weeks
Storage
fridge 2 to 8 C once mixed, use within 4 weeks; powder in the freezer or fridge away from light
Cycle length
4 to 6 week loading phase, then maintenance or stop
Break between
4 to 8 weeks, or stop once the injury has healed

Overview

Thymosin beta-4 is a 43 amino acid protein that is one of the most abundant small proteins inside cells. It binds actin and controls how cells build their internal scaffolding, which is essential for cell migration, wound closure and blood vessel formation. TB-500 as sold on the research market is usually a short synthetic fragment, most often the 7 amino acid actin-binding segment, though some vendors sell the full length protein under the same name. This ambiguity matters when comparing products and doses.

Full length thymosin beta-4 has been studied in animals for cardiac repair after heart attack, corneal healing, skin wound closure and hair growth. Rodent and canine models show improved recovery of heart muscle, faster epithelial repair and reduced scarring. The protein appears to recruit progenitor cells into damaged tissue and dampen inflammation while it does so. Veterinary use in horses for tendon and ligament injuries is widespread and is where much of the practical experience with the compound comes from.

In humans, full length thymosin beta-4 was taken through phase 2 trials by RegeneRx for dry eye, corneal wounds and pressure ulcers, with modest positive results in eye conditions. Those trials used a pharmaceutical grade product, not the fragment that most people buy. There are no human trials of the fragment for sports injuries. The widespread use in racehorses and among athletes rests entirely on animal data and anecdote.

How it works

Thymosin beta-4 sequesters G-actin monomers and regulates actin polymerization, which controls how cells change shape and move. By releasing actin at the right moment it lets endothelial cells, keratinocytes and progenitor cells migrate into a wound. It upregulates matrix metalloproteinases that clear damaged tissue and promotes new capillary formation. It also reduces inflammatory cytokine release and lowers apoptosis in stressed cells. The short TB-500 fragment contains the actin-binding motif and is assumed to carry these effects, though it likely lacks some functions of the full protein. Because it is small and water soluble it distributes systemically rather than acting only where injected.

Molecular weight
about 889 Da for the 7 amino acid fragment; 4963 Da for full length thymosin beta-4
Length
7 amino acids (fragment) or 43 amino acids (full protein)
Type
Synthetic heptapeptide fragment of thymosin beta-4, the actin-binding region
Sequence
LKKTETQ

Where the research stands

Human trials
Randomized trials
Animal data
Extensive
Safety data
Limited
Regulatory
Not approved anywhere. Full length thymosin beta-4 reached phase 2 trials for eye conditions but was never approved.
WADA
Prohibited for athletes
Soft tissue injury and general recoveryModerate evidence
  • Tendon and ligament injury. Rodent and horse data, plus long veterinary use in racehorses; no human trial of the fragment for sports injury.
  • Muscle injury and flexibility. Mechanistic rationale from actin regulation and anecdote; no controlled data in people.
  • Skin wounds. Rodent studies including aged and diabetic mice show faster full thickness wound closure with full length thymosin beta-4.
Eye surface healingModerate evidence
  • Dry eye and neurotrophic keratopathy. Phase 2 randomized trials of thymosin beta-4 eye drops showed improved healing; this used the full protein, not the fragment sold as TB-500.
Cardiac repairEmerging
  • Heart muscle recovery after heart attack. Mouse studies show smaller scars and better function; a small human safety trial in heart disease was run but did not lead to further development.
Hair growthWeak or mixed
  • Hair regrowth. Mouse follicle stem cell studies only; human reports are anecdotal side observations.
Key findings
  • rodentImproved cardiac function and reduced scar size after induced heart attack in mice, with cardiomyocyte survival and vessel growth.
  • rodentAccelerated full thickness skin wound closure in rats and in aged or diabetic mice.
  • rodentPromoted hair follicle stem cell migration and hair growth in mice.
  • human RCTPhase 2 trials of thymosin beta-4 eye drops showed improved healing in neurotrophic keratopathy and dry eye symptoms.
  • rodentReduced inflammation and improved healing of tendon and ligament tissue in equine and rodent models.

Rodent and in vitro mean no human data for that finding. Human pilot means small, often uncontrolled. Human RCT means randomized and controlled. Clinical means an approved drug with regulatory data.

Levels over time

Modeled from the half-life. Illustrative, not measured.
Peak
about 1 hour after subcutaneous injection
Half-life
roughly 1 to 2 hours in plasma (estimated); the full protein persists longer in tissue
Cleared
about 12 hours for the fragment; tissue effects continue for days
Repeated dosing every 3.5 dDose
100%50%dose 13h7h10h14hnext dose at 4d, long after clearance
What this means for dosing

A half-life of 1.5 h against dosing every 3.5 d means each dose has cleared before the next. Nothing stacks; you start from zero every time, and the tissue effect is what carries over.

Plasma clearance is fast, but the community schedule of twice weekly then weekly rests on the idea that the peptide saturates tissue and that its effects on cell migration outlast its presence in blood, which is an assumption rather than a measured fact.

TB-500 dosage and protocols

The usual pattern is a 4 to 6 week loading phase at 2 to 2.5 mg twice weekly, then a drop to 2 mg every one to two weeks for maintenance or a full stop. Loading is a community convention, not something taken from a human trial, and many people simply dose twice weekly for the whole cycle.

GoalDoseFrequencyRoute
Loading phase2 to 2.5 mgtwice weeklySubcutaneous, abdomen
Maintenance2 mgevery 1 to 2 weeksSubcutaneous, abdomen
Acute injury, higher end5 mgtwice weekly for 2 to 4 weeksSubcutaneous or intramuscular
Flexibility and general recovery2 mgonce weeklySubcutaneous, abdomen
Timing

Timing relative to food, sleep or training does not appear to matter. Because it works systemically, the injection site is chosen for comfort, and people often separate it from BPC-157 by a few hours or use different sites so any injection reaction is easy to trace.

Community protocols typically load at 2 to 2.5 mg twice weekly for 4 to 6 weeks, then drop to 2 mg every one to two weeks.

Dose calculator

U-100 insulin syringe
Draw
- units
- mL at -
- doses per vial. - per unit.

Units are a volume on the syringe, not an amount of peptide. Concentration changes every time you change the water volume. The standalone calculator explains the math.

Common vial sizes and reconstitution
VialSuggested waterConcentrationLow dose draw
5 mg1 mL5 mg/mL40 units
10 mg1 mL10 mg/mL20 units

How to reconstitute TB-500

  1. 1

    Wash your hands and wipe the work surface. Swab both vial stoppers with alcohol and let them dry.

  2. 2

    Pick the water volume with the calculator above and write it on the vial. The concentration means nothing without it.

  3. 3

    Draw the bacteriostatic water into a mixing syringe.

  4. 4

    Insert at an angle and let the water run down the inside wall. Never squirt it straight onto the powder.

  5. 5

    Swirl gently or leave it to dissolve. Do not shake.

  6. 6

    Label with the date and water volume. Store in the fridge at 2 to 8 C and use within about 4 weeks.

  7. 7

    Unmixed vials keep for months in the fridge and longer in the freezer, sealed and out of light.

  8. Full walkthrough with syringe reading and site rotation: reconstitution guide.
Quality check
  • ✓
    White, fluffy cake

    Lyophilized powder should look like a small white puck or fluffy cake at the bottom of the vial. That is a proper freeze-dry.

  • ✓
    Clear after mixing

    Once dissolved the solution should be water-clear with nothing floating in it.

  • !
    Slight clumping

    Small clumps that dissolve with gentle swirling are fine. Shipping compacts powder.

  • ✕
    Collapsed or melted

    Powder stuck to the sides, glassy, or shrunken means it got hot in transit. Contact the vendor.

  • ✕
    Cloudy or particles

    Persistent cloudiness or visible particles after mixing means degraded or contaminated product. Do not use it.

What to expect
  1. Week 1 to 2

    Reduced stiffness and better range of motion are the earliest common reports; some people feel briefly tired or flushed after the first few doses.

  2. Week 3 to 6

    Injury recovery is usually judged here, with less pain under load in tendon or muscle problems; this is the end of the typical loading phase.

  3. Beyond week 6

    Maintenance dosing is meant to hold gains; if there has been no change by now, continuing is unlikely to help.

Interactions and stacking

BPC-157synergistic

The most common recovery stack; BPC-157 is dosed near the injury while TB-500 covers systemic cell migration and inflammation.

GHK-Cucompatible

Both promote cell migration and vessel growth and are combined for wound and surgical recovery; inject separately because of the copper.

Ipamorelincompatible

Growth hormone secretagogues are often run alongside recovery peptides; no known interaction, but the combination is untested.

IGF-1 LR3caution

Stacking two compounds that both drive cell growth and migration adds to the theoretical cancer concern without any safety data.

Active cancer treatmentavoid

Thymosin beta-4 is expressed in many tumor types and drives cell migration, so it should not be used by anyone with an active or recent cancer.

Blood pressure medicationcaution

Some users report head rush or lightheadedness after larger doses, which may add to the effect of antihypertensives.

Safety

Side effects and cautions
  • ▲Fatigue, lethargy or a head rush for a few hours after larger doses
  • ▲Headache
  • ▲Injection site redness or mild bruising
  • ▲Nausea or flushing shortly after a dose
  • ▲Occasional lightheadedness on standing
  • ▲Human data on the fragment used in the research market is essentially nonexistent.
  • ▲Thymosin beta-4 is expressed in many tumor types and drives cell migration, so it is a theoretical concern for anyone with active cancer.
  • ▲Prohibited by WADA and widely tested for in horse racing.
  • ▲Some users report fatigue, head rush or lethargy for a few hours after larger doses.
  • ▲Vendors sell both the 7 amino acid fragment and the 43 amino acid protein as TB-500. Check which you are buying.
Stop and reassess if
  • ■A new lump, mass or skin lesion appears, given the cell migration and tumor concern
  • ■Persistent fatigue or lightheadedness that does not settle after the first few doses
  • ■Signs of an allergic reaction such as hives, swelling or trouble breathing
  • ■You are diagnosed with cancer or begin cancer treatment
  • ■You will be drug tested for sport, since it is prohibited and widely screened for
Educational only. Dose ranges describe what appears in published research and community protocols. This is not medical advice and most of these compounds are not approved for human use. Talk to a clinician who knows your history.

Community poll

Self-reported by visitors. Not clinical evidence.
What is your experience with TB-500?
If you have used it, how well did it work for you?
Any side effects?
Where did you first hear about it?

TB-500: frequently asked

What is the difference between TB-500 and thymosin beta-4?

Thymosin beta-4 is the full 43 amino acid natural protein. TB-500 is a marketing name that usually refers to a synthetic 7 amino acid fragment (LKKTETQ) taken from the actin-binding region. The fragment is cheaper to make and is what most research vendors sell, although some ship the full protein under the same label.

Why is the dose so much higher than BPC-157?

TB-500 is dosed in milligrams rather than micrograms because animal studies used higher weight-based doses and because it works systemically rather than at a concentrated local site. The two peptides are not comparable on a per-milligram basis.

Do I need a loading phase?

The loading protocol is a community convention, not something derived from a human trial. The idea is to reach tissue saturation quickly and then maintain it. Many people skip loading and simply dose 2 to 2.5 mg twice weekly for the duration of their cycle.

Can it help with hair growth?

Mouse studies showed thymosin beta-4 promoted hair growth by activating follicle stem cells. There are no human trials for this purpose. Some people report thicker hair as a side benefit, but it is not a reliable primary use.

References

  1. Thymosin beta4 activates integrin-linked kinase and promotes cardiac cell migration, survival and cardiac repair. Nature, 2004
  2. Thymosin beta 4 accelerates wound healing. Journal of Investigative Dermatology, 1999
  3. Thymosin beta4 promotes hair growth via activation of follicle stem cells. FASEB Journal, 2004
  4. Thymosin beta 4 in dry eye and neurotrophic keratopathy, phase 2 clinical results. RegeneRx clinical program, 2015