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TB-500

A fragment of Thymosin Beta-4. Drives cell migration and tissue repair, used for chronic soft-tissue stuff.

Healing
Evidence: Limited

TB-500: A fragment of Thymosin Beta-4. Drives cell migration and tissue repair, used for chronic soft-tissue stuff. TB-500 is a fragment of a natural healing protein your body already makes.

FDA
Not approved
WADA
Banned
Typical dose
Loading: 2-2.5mg twice weekly for 4-6 weeks
Half-life
~2-3 days
Route
Subcutaneous or intramuscular
Schedule
Loading 2x/wk → maintenance 1x/wk
In plain English

TB-500 is a fragment of a natural healing protein your body already makes. It's used for chronic injuries that won't resolve on their own, old shoulder issues, lingering tendon pain. You usually pair it with BPC-157 for a stronger combined effect.

Status & legalityWhat do these mean? →
Natty?
Not natty
FDA
Not approved

Not FDA approved for any indication.

Compounding
Not on 503A list

Recommended by FDA's advisory committee on July 23, 2026, against the recommendation of FDA's review staff. The vote is advisory, does not bind FDA, and no rulemaking has followed.

WADA
Banned (S2)
Prescribed

Not prescribed in conventional medicine.

Who it's for

  • Anyone with a chronic soft-tissue injury that won't resolve
  • Lifters running BPC-157 for synergy
  • Athletes in connective-tissue recovery phases

What to expect

  1. Week 1

    Mild fatigue first few days from the loading phase.

  2. Week 4

    Loading phase ends. Most users feel the underlying injury settling.

  3. Week 8

    Maintenance phase. Cumulative effect on chronic tissue.

Looking at TB-500? Your next 3 steps

  1. 1Work out your syringe units

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  2. 2See what to stack & monitor

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How it works (mechanism)

Active fragment of Thymosin Beta-4 that binds and sequesters G-actin, accelerating cell migration to wound sites. Promotes endothelial migration, capillary formation, and tissue repair across multiple organs.

Dosing protocol

Members only

Stacks well with

Members only

Stack essentials

Members only

Side effects

01Mild fatigue during loading
02Injection-site soreness
03Brief head-rush at injection

When NOT to use

  • Active malignancy
  • Pregnancy / nursing (no data)

Common mistakes

  • Skipping the loading phase, then wondering why nothing happened
  • Stopping at 4 weeks instead of completing the full cycle
  • Storing reconstituted vials at room temp instead of refrigerated

What it actually is

TB-500 is a synthetic version of a short active fragment of thymosin beta-4, a protein your cells make that is involved in tissue repair and cell migration. The important distinction on this page: the large and genuinely interesting scientific literature is about thymosin beta-4, the full protein, and mostly in animals. TB-500 is the fragment sold to consumers, and it is not the same thing as the molecule most of those papers studied. It is not approved anywhere and is banned in sport.

Thymosin beta-4's main job is binding actin, the protein that forms the internal scaffolding cells use to move. By regulating actin assembly it helps cells migrate into damaged tissue, which is the first step of repair, and it promotes new blood vessel formation. The proposed logic for injuries is that giving more of the signal recruits more repair cells to the site. That mechanism is well described in cell and animal work; whether injecting a fragment of it into a human shoulder does anything is a separate question that has not been answered.

Forms, and which is which

Lyophilised powder, subcutaneous or intramuscularHow all use happens

Reconstituted by the buyer. Sold as research chemical, so identity and sterility are unverified.

Verdict: The only form, fully unregulated supply.

Full-length thymosin beta-4Matching the actual literature

The molecule the published research is about. Rarely what is sold, and considerably more expensive to make.

Verdict: Closer to the science, and not what is in most vials.

Blends with BPC-157Convenience products

The standard 'healing stack'. Combines two compounds with no human efficacy evidence, and makes anything you notice unattributable to either.

Verdict: Two unknowns, one syringe.

Oral or topical preparationsNothing

A peptide of this size is not absorbed intact from the gut, and topical delivery into a tendon is not established.

Verdict: Not plausible by the route claimed.

What it is claimed to do, graded

Speeds soft-tissue and tendon repairNone shown

This is the reason essentially everyone takes it and there is no completed human trial demonstrating it. The supporting work is animal and cell-culture, using the full protein more often than the fragment.

Protects heart tissue after injuryNone shown

There is a real and interesting animal literature on cardioprotection by thymosin beta-4. It has not translated into a human result.

Reduces inflammationNone shown

Supported mechanistically and in animal models, and not demonstrated in any controlled human trial of TB-500.

Promotes hair growthNone shown

Rodent data only.

Is safe for long-term useNone shown

Nobody has studied it. Promoting cell migration and blood vessel formation is also, in principle, what you do not want happening around an undetected tumour, and that concern is untested rather than excluded.

Grades describe how much human evidence exists for that specific claim, not whether it will work for you or whether it is safe.

Pros and cons

Pros
  • The underlying thymosin beta-4 biology is real and well characterised, not invented marketing
  • The underlying thymosin beta-4 biology is well described in cell and animal work
  • Widely available and inexpensive
Cons
  • Zero completed human efficacy trials for the injury use it is overwhelmingly taken for
  • No published human pharmacokinetic study exists for the TB-500 fragment, so the half-life figures circulating in dosing protocols are not established
  • FDA found no identifiable human exposure data by any route, which means 'well tolerated' is an absence of reports rather than a safety finding
  • The impressive paper count is thymosin beta-4 literature, not TB-500 literature — that gap is routinely used to oversell it
  • Banned by WADA, so tested athletes are out
  • Research-chemical supply with unverified identity, purity and sterility
  • Pro-angiogenic activity is a theoretical cancer concern nobody has excluded

When to stop

  • Any new lump, unexplained weight loss, or other cancer red flag
  • Injection-site reaction that spreads or becomes hot and painful
  • Pain that worsens rather than improves over a full cycle — that is a signal to get imaged, not to redose
  • You are entering a tested competition window

Interactions

Active or suspected cancerAvoid

Promoting cell migration and new blood vessels is the mechanism you least want near a tumour. Untested, and the theoretical concern is serious.

BPC-157Caution

The usual pairing. Nothing is known about the combination in either direction, and it makes any effect or side effect impossible to attribute.

AnticoagulantsMonitor

No interaction data exists in either direction. Listed because angiogenic activity and anticoagulation both act on vascular tissue, which is a reason to watch rather than a documented interaction.

Physical rehabilitationCompatible

Not an interaction. Loading protocols and graded rehab are what actually have evidence for tendon healing, and are the thing most users skip.

Corticosteroid injectionsMonitor

Steroids impair tendon healing. Nobody has studied whether the combination cancels out.

Is this for you?

Probably worth reading further if
  • People with a chronic soft-tissue problem who understand they are running an experiment, not a treatment
  • Anyone who is doing the loading protocol and the rehab, not the peptide instead of the rehab
Skip it if
  • You have active cancer or an undiagnosed lump
  • You are drug-tested in sport
  • You are pregnant or nursing
  • You are using it in place of physiotherapy or a diagnosis for an injury you have never had imaged

The one number

0 phase 3 trials and 7 indexed randomised-trial records, none of them of TB-500 for injury repair
Pepdex evidence index — counts are indexed PubMed records, not deduplicated trials; PubMed query for thymosin beta-4 / TB-500

Sources for the claims above

Drug & supplement interactions

  • Limited documented drug interactions
  • Theoretical caution with pro-angiogenic compounds in malignancy contexts

Community patterns

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AI Coach, live sample
Member answer
is 250mcg of bpc enough for a knee injury?
For a knee, is the standard working dose and a solid place to start. The trick with BPC is consistency, give it weeks, not days. , run it , and don't drop below , results tend to fall off under that line. If nothing's moved by week 3, that's when earns its place.
how much bac water for a 10mg reta vial?
is the standard play for a 10 mg reta vial. That gives you , clean unit math across the whole titration: on a 100-unit insulin syringe. Run instead if you want fewer, more concentrated shots. Most people titrate up over , and that mix keeps the numbers cleanest.
what should i track on bloodwork for tirzepatide?
Lipid panel, ALT/AST (liver enzymes), and an A1C, baseline before you start then every 3 months. If you've got metabolic-syndrome history, add fasting glucose and insulin so you can actually watch insulin sensitivity improve. You don't need a big hormone panel for a GLP-1.

Numbers redacted in this preview. Members get the full answer, on their own stack.

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Frequently asked

What is TB-500?+
TB-500 is a fragment of a natural healing protein your body already makes. It's used for chronic injuries that won't resolve on their own, old shoulder issues, lingering tendon pain. You usually pair it with BPC-157 for a stronger combined effect.
Is TB-500 FDA approved?+
Not FDA approved for any indication.
Is TB-500 legal?+
TB-500 is not FDA-approved, so there is no approved prescription version. Most supply is sold as "research only" by peptide vendors. A compounding pharmacy may only use substances the FDA permits for compounding, and many research peptides are not permitted — do not assume a compounded prescription is available. Possession is generally not criminalized but distribution without authorization may be. Verify local laws.
Is TB-500 banned by WADA?+
TB-500 is on the WADA prohibited list under Banned (S2).
Are you still natty after taking TB-500?+
No. TB-500 is a performance-enhancing peptide and would disqualify a strict natty claim.
Do doctors prescribe TB-500?+
Not prescribed in conventional medicine.
What's the typical dose of TB-500?+
Dosing depends on your goal, experience, and tolerance. The full TB-500 protocol (dose, frequency, and how to titrate) is in the members section on the entry page.
What are the side effects of TB-500?+
Common side effects include: Mild fatigue during loading; Injection-site soreness; Brief head-rush at injection. Less common effects and full safety details are on the entry page.
How long until TB-500 starts working?+
Mild fatigue first few days from the loading phase.
What can you stack with TB-500?+
TB-500 is commonly combined with complementary compounds. The full stacking protocol (what to pair, dosing, and timing) is in the members section on the entry page.
Where do people get TB-500?+
Pepdex does not sell, ship, or recommend suppliers. TB-500 is not FDA-approved; prescription versions require licensed clinical care, and "research only" markets carry real legal and quality risks. /coa explains how to verify a Certificate of Analysis and /guides/scam-vendor-spotting covers the red flags.
TB-500 vs BPC-157, which is better?+
BPC-157 vs TB-500 for healing: which to pick, and why most users run them together as the canonical healing stack. Full head-to-head comparison: https://pepdex.co/compare/bpc-157-vs-tb-500
TB-500 vs GHK-Cu, which is better?+
TB-500 vs GHK-Cu: cell migration and tissue repair vs collagen and copper-driven healing. Full head-to-head comparison: https://pepdex.co/compare/tb-500-vs-ghk-cu

Common questions about TB-500