
TB-500
Thymosin β4 fragment
Thymosin beta-4 has a real preclinical file on cell migration, corneal and cardiac repair. TB-500 is the marketed fragment of it.
General profile
- Class
- Healing and tissue
- Evidence
- Early or preclinical only
- Studied dose range
- 2–2.5 mg
- Frequency in protocols
- 2× weekly loading, then weekly
- Route
- Subcutaneous
- Half life
- ~2–3 days
- Reconstitution
- 3 mL bacteriostatic water per 5 mg vial
- Storage
- Refrigerated, ~60 days
Timing and cycling in the literature
Usually dosed in the evening window
Twice weekly during a loading phase, then weekly
Multi-day half-life means clock time barely matters. Consistency of the weekly day matters more than the hour.
Reported cycle: 6 weeks on, 4 weeks off
Protocols use a loading phase of four to six weeks then a maintenance or washout phase. The multi-day half-life means tissue levels keep climbing well after the last dose.
Watch for: Head rush or lethargy in the first week, and the same angiogenesis caution as BPC-157.
What it conflicts with
Three separate questions, kept separate. A hard stop means the mechanisms must not run together at all and timing does not fix it. A syringe rule means the same day is fine but one barrel is not. Redundancy is not dangerous, it is paying twice to hit one target.
- Hard stopBody level hard stop
TB-500 + The window right after cardiac surgery
Not alongside an active cardiac recovery regimen
Bleeding risk and the cardiac drug regimen come first. Pro-angiogenic and vasodilatory compounds can clash with that care. Physician territory, not a timing problem.
- Hard stopBody level hard stop
TB-500 + Active cancer, pregnancy or heavy immunosuppression
Absolute stop with an active cancer history
Angiogenesis is the whole mechanism people are chasing here, and it acts everywhere in the body, not only in the tendon you care about. Active cancer, pregnancy, major cardiac care and heavy immunosuppression override every stack preference.
- Hard stopTiming
TB-500 + Wolverine (BPC-157 + TB-500)
Duplicate ingredient
TB-500 is already in the blend and has a multi-day half-life, so an additional standalone dose accumulates fast.
- Separate syringesSame day fine, same syringe not
TB-500 + Melanotan II
Keep Melanotan II alone in the barrel
Same rule: own draw, and introduce it at least a week apart from any other new compound so a reaction is readable.
- Separate syringesSame day fine, same syringe not
TB-500 + BPC-157
Valid protocol pair, separate syringes by default
Complementary jobs, local repair signalling versus cell motility and systemic repair logistics. Co-draw stability data is thin, so the default is two syringes on the same day.
- Pick oneRedundant, pick one
TB-500 + Wolverine (BPC-157 + TB-500)
Same target hit twice
Wolverine is BPC-157 plus TB-500. Running both doubles one half of the pair.
- Pick oneTiming
TB-500 + BPC-157
Commonly paired in the literature
These two are studied together in repair models with no reported interaction. Still give them separate injection sites so any local reaction is traceable to one compound.
Most syringe compatibility claims here are practice and expert consensus, not peer reviewed mixing studies. A clear liquid after mixing does not prove the compounds are still active, and cloudiness, particles or gelling means discard. Active cancer, pregnancy, major cardiac care and heavy immunosuppression override every stack preference on this page.
See how TB-500 fits your week
The injection scheduler spaces doses using the clinical timing data, flags the pairs above before you draw them, and tells you why.
Model this in the injection schedulerThe studies
Human trials: Early-phase Tβ4 trials exist in dry eye and pressure ulcers. TB-500 itself has none.
Open questions: The fragment is treated as interchangeable with full Tβ4 in marketing, which the data does not establish.
Published papers
Indexed from Europe PMC and refreshed weekly. Each link opens the paper itself.
- Vestibular Evoked Myogenic Potential in Vestibular Migraine: A Systematic Review of Diagnostic Utility
Audiol Res · 2026 · Review. Bhat M, Rao K, Hegde S, Kumar K, Khandagale A, Prajwal KM, Gafoor SA.
- Therapeutic Peptides in Orthopaedics: Applications, Challenges, and Future Directions
J Am Acad Orthop Surg Glob Res Rev · 2026 · Review. Rahman OF, Lee SJ, Seeds WA.
- Injectable Peptide Therapy: A Primer for Orthopaedic and Sports Medicine Physicians
Am J Sports Med · 2026 · Review. Mayfield CK, Bolia IK, Feingold CL, Lin EH, Liu JN, Rick Hatch GF, Gamradt SC, Weber AE.
- Therapeutic Peptides in Aesthetic, Metabolic and Endocrine Conditions: Effects, Safety, Clinical Applications, and Future Perspectives
Int J Mol Sci · 2026 · Review. Renke G, Chinellato L.
- Safety and Efficacy of Approved and Unapproved Peptide Therapies for Musculoskeletal Injuries and Athletic Performance
Sports Med · 2026 · Review. Mendias CL, Awan TM.
- Annual Banned-Substance Review 18th Edition-Analytical Approaches in Human Sports Drug Testing 2024/2025
Drug Test Anal · 2026 · Review. Thevis M, Kuuranne T, Geyer H.
- Therapeutic peptides in gerontology: mechanisms and applications for healthy aging
Front Aging · 2026 · Review. Mavrych V, Shypilova I, Bolgova O.
- Rare Earth Element-Induced Condensation of the Block V of the Repeats-in-Toxin Domain from CyaA from <i><i>Bordetella pertussis</i></i> for Separations
Langmuir · 2025. Ortuno Macias LE, Khoury F, Bera MK, Bu W, Lin B, Banta S, Tu RS.
- Annual Banned-Substance Review 17th Edition-Analytical Approaches in Human Sports Drug Testing 2023/2024
Drug Test Anal · 2025 · Review. Thevis M, Kuuranne T, Geyer H.
- Comparative effects of dietary sodium butyrate and tributyrin on broiler chickens' performance, gene expression, intestinal histomorphometry, blood indices, and litter
Sci Rep · 2025. Ismael E, Kamel S, Elleithy EMM, Bekeer MR, Fahmy KNE.
Search the full literature
- PubMed: all indexed papers
Every indexed paper, newest first. Filter to Clinical Trial or Review in the sidebar.
- PubMed: human clinical trials only
The honest test of an evidence claim. An empty result is itself an answer.
- ClinicalTrials.gov registrations
Registered, ongoing and completed trials, including ones that never published.
- Europe PMC full text
Often surfaces open-access full text that PubMed only abstracts.