TB-500 Dosage Chart.
TB-500 is a synthetic seven-amino-acid fragment of thymosin beta-4 (Ac-LKKTETQ, the actin-binding stretch of the parent protein), sold for soft-tissue repair, tendon and joint recovery, and flexibility. Below are the doses people run and the syringe units to draw them at.
2–2.5 mg subcutaneously twice a week for 4–6 weeks, then 2.5 mg once weekly if you carry on. On a 10 mg vial mixed with 2 mL of bacteriostatic water that is 40 units and 50 units on a U-100 syringe, with the two dosing days about 72 hours apart.
This chart is the condensed version. For the full write-up (mechanism, stacking, sourcing and the rest), read the full TB-500 dosing guide.
Dosage Protocols
Units assume a 10 mg vial reconstituted with 2 mL of bacteriostatic water = 5 mg/mL, so 1 unit on a U-100 syringe is 0.05 mg (50 mcg). Different setup? Use the calculator. These are the ranges vendor and community protocols converge on; no human study of TB-500 has been published.
The low end of the range most sources converge on, and five doses out of one 10 mg vial.
Why this dose+
A cheap way to find out how you handle the injections before committing to a longer block. Pick it for a first vial, or if you bruise and lump easily. It is not a weaker-evidence choice than the tiers above it, because none of the three come from a human trial.
The schedule almost every TB-500 chart lands on, and the one to copy if you are not sure.
Why this dose+
A 10 mg vial covers exactly four doses, so one vial is two weeks of loading and the maths stays clean. Lock in two fixed days about 72 hours apart on day one, Mon and Thu for example, and keep them for the whole block.
A step-down after a loading block, not a starting point: half the weekly amount, one injection.
Why this dose+
Halving the weekly amount stretches a 10 mg vial to four weeks and keeps the injection count low. If you cannot name what the maintenance phase is maintaining, stopping is the cleaner choice.
- Thymosin beta-4 is a 43-amino-acid protein of about 4,963 Da.
- TB-500, as chemically identified in the product, is Ac-LKKTETQ: seven amino acids, about 889 Da.
- Every human trial cited for it used the full-length protein, given intravenously.
- A 2024 paper on the fragment itself states its biological effects have not been documented.
- No published study has given TB-500 to a person, so no dose-response curve exists.
- The 2010 Phase 1 ran 42 to 1,260 mg IV, but measured pharmacokinetics, not benefit.
- Later thymosin beta-4 programmes dose at 0.5 to 1.0 µg/kg IV, under 100 mcg for an adult.
- Doubling your weekly amount buys certain extra cost against speculative extra effect.
Weekly Schedule
Two fixed days roughly 72 hours apart is the near-universal setup. Pick the two you will actually remember and keep them identical for the whole block.
Missed a day? Take it within a day or so, otherwise skip it and resume your fixed days rather than doubling up. On maintenance, that optional second day is the step-down lever: keep it a week or two, then drop it.
TB-500 Reconstitution Calculator
Enter your vial size, how much water you added, and the dose you want; we'll tell you exactly how much to draw. A 10 mg vial with 2 mL of bacteriostatic water gives 5 mg/mL, which puts a 2.5 mg dose at 50 units on a U-100 syringe. The calculator flags draws too small to measure reliably.
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Standard insulin syringe
Concentration
5.00 mg/mL
1 unit = 50 mcg
Draw volume
0.500 mL
= 2.50 mg ÷ 5.00 mg/mL
Units to draw (1 mL syringe)
50.0 units
1 mL Syringe
50.0 IUFrom Vial to Injection in 6 Steps
Alcohol swab the TB-500 vial and the bacteriostatic water vial, and let both air-dry before you pierce them.
Run the bacteriostatic water down the inside wall of the 10 mg vial rather than squirting it onto the powder cake.
Roll the vial gently until the solution is completely clear. Shaking damages the peptide, and this step takes thirty seconds.
Use a fresh U-100 insulin syringe and the calculator. At 5 mg/mL, 2 mg is 40 units and 2.5 mg is 50 units.
Subcutaneous into the abdomen or flank is the default; intramuscular is also used. Rotate sites every time, and do not inject into a sore tendon or joint.
Keep the mixed vial at 2–8 °C, out of light, and never freeze it. Roughly 3–4 weeks is the usual working window, which comes from the benzyl-alcohol preservative in bacteriostatic water, not from a TB-500 stability study. Discard it if it turns cloudy. Needles go in a sharps container.
One 10 mg vial is exactly four doses at 2.5 mg, so a vial lasts two weeks on the standard tier, comfortably inside the usual mixed-storage window. Two millilitres is the sensible mix: it puts both working doses at 40–50 units, in the middle of a 100-unit barrel where a half-unit misread costs you about 1% of the dose.
What to Expect
A short timeline, because what is documented about this fragment is short.
Anything you notice this week is injection-site reaction, placebo, or the rest and load management you started at the same time. In rats the fragment is broken down fast, with the main metabolite peaking inside the first six hours, so there is no plausible route to a same-week structural change in tendon or muscle.
This is the window in which people describe less stiffness or better tolerance of a painful range of motion. It is also the window in which an untreated soft-tissue niggle commonly settles on its own.
The convention says stop here and reassess before deciding whether to step down to maintenance or stop outright. A measurable baseline can be read now; without one, four to six weeks of impressions cannot separate the peptide from time, rehab and expectation.
The longest human exposure to any form of thymosin beta-4 in the published record is 14 consecutive days intravenously in the 2010 Phase 1, plus the multiple-dose arm of the 2021 first-in-human study. Nobody has published what months of subcutaneous fragment use does.
Set a baseline first. Pick one thing you can count before the first injection (degrees of shoulder rotation, pain at a named load, a timed hop or carry), record it weekly, and hold the dose, the days and your training steady for the six-week block.
Feeling Something? Check Here
- Brief redness or a small bruise at the injection site.
- A pinpoint of stinging as it goes in.
- No change whatsoever in the first two weeks.
- Mild tiredness on dosing evenings that has cleared by morning.
- A lump or hardening at the site that is still there days later.
- Itching or rash spreading beyond the injection site.
- Unusual fatigue or head-fog lasting several days.
- New joint swelling or warmth.
- Flushing or palpitations after a dose.
- Anything that makes you want to skip the next injection.
- Difficulty breathing, throat tightness, or swelling of the face, lips or tongue.
- Spreading redness with heat, pus or fever: an injection-site infection until proven otherwise.
- Chest pain or fainting.
- A new lump, or a mole that changes size, shape or colour.
- Sudden severe headache or a change in vision.
- Active or recently treated cancer, or surveillance for one: thymosin beta-4 is pro-angiogenic and pro-migratory by design, and TMSB4X has been identified in proteomic work as a prognostic marker in human tumours.
- Pregnancy or breastfeeding, or under 18.
- A previous hypersensitivity reaction to a peptide injection.
- Skin that is broken, infected, inflamed or recently tattooed. Vials, needles and syringes are never shared.
- Neonates, fluid replacement, and epidural or spinal administration: the FDA label bars bacteriostatic water, preserved with 0.9% benzyl alcohol, from all three.
- Competition under any anti-doping code: WADA classifies thymosin beta-4 as a prohibited growth factor, and validated mass-spectrometry assays for Ac-LKKTETQ in plasma and urine have existed since 2012.
FAQ
How many units of a U-100 syringe is 2.5 mg of TB-500?+
Fifty units, if you mixed a 10 mg vial with 2 mL of bacteriostatic water. That gives 5 mg/mL, and one unit on a U-100 syringe is 0.01 mL, so one unit equals 0.05 mg (50 mcg). On that same mix, 2 mg is 40 units and 5 mg is 100 units. Change the vial size or the water volume and every one of those numbers changes: a 5 mg vial in the same 2 mL makes each unit 0.025 mg, so 2.5 mg becomes 100 units, not 50. Always recalculate from the vial in front of you.
Is TB-500 the same thing as thymosin beta-4?+
No, and this is the most consequential misunderstanding about the compound. Analytical work published in Drug Testing and Analysis identified the active substance in TB-500 as Ac-LKKTETQ: the N-terminally acetylated 17–23 fragment of thymosin beta-4, seven amino acids, about 889 Da. Full-length thymosin beta-4 is 43 amino acids, about 4,963 Da. Sellers use the two names interchangeably. The molecules are not interchangeable, and the clinical literature belongs to the larger one.
What is TB-500's half-life?+
For TB-500 itself in humans, nobody has measured it; there is no published human pharmacokinetic study of the fragment. The closest real number is for full-length thymosin beta-4 given intravenously in the 2021 first-in-human Phase 1, where terminal half-life ran from 0.5 to about 2.08 hours and rose with dose. In rats given TB-500, the parent is degraded quickly: Ac-LK dominates in the first six hours, while Ac-LKK is still detectable at 72 hours. Any confident half-life figure on a product page is not sourced from human data on this molecule.
Why do the clinical trial doses look nothing like 2.5 mg?+
Because three separate worlds keep getting blended together. The 2010 Phase 1 gave 42 to 1,260 mg of full-length protein intravenously. The modern development programme, including the Phase 2b in acute myocardial infarction, gives 0.5 to 1.0 micrograms per kilogram intravenously, well under 100 mcg for an adult. Research-peptide users inject 2 to 5 mg of a smaller, different fragment subcutaneously. Comparing any two of those directly is meaningless, and a chart that cites a trial number to justify a vial number is doing exactly that.
Subcutaneous or intramuscular, and should I inject near the injury?+
Clinical reviews describe TB-500 as usually injected subcutaneously or intramuscularly, with limited oral bioavailability. Subcutaneous into the abdomen with rotated sites is the lower-risk default. The popular idea of injecting close to the injured tendon has no human evidence behind it and the proposed mechanism is systemic anyway (actin binding and angiogenesis, not a local depot effect), so deliberately injecting into or beside an inflamed joint or tendon adds real infection risk for a theoretical benefit.
How much bacteriostatic water should I add?+
Whatever volume gives you a comfortable draw. The water changes the concentration only, never the dose. A 10 mg vial in 2 mL gives 5 mg/mL, so 2.5 mg is 50 units on a U-100 syringe. The same vial in 1 mL gives 10 mg/mL and that same 2.5 mg becomes 25 units, where a one-unit misread costs you twice as much peptide. Aim for doses that land between roughly 20 and 60 units, add the water slowly down the vial wall, and swirl rather than shake.
How long does it keep once mixed?+
No stability study for reconstituted TB-500 has been published, so the common 3–4 week refrigerated window is convention rather than data. What is documented is the diluent: bacteriostatic water contains 0.9% benzyl alcohol as a preservative, which is what makes repeated entry into the vial reasonable at all. Reconstitute with plain sterile water instead and there is no preservative, so the vial should be treated as single-use. Keep it at 2–8 °C, out of light, and discard it if the solution turns cloudy or shows particles.
Will it show up on a drug test?+
In sport, assume yes. Thymosin beta-4 is classified by WADA as a prohibited growth factor, and a validated method for detecting Ac-LKKTETQ in plasma and urine was published in 2012, with equine doping-control assays reaching 0.02 ng/mL in plasma and 0.01 ng/mL in urine. It will not appear on a standard workplace or clinical drug screen, which tests for something entirely different. If you are tested in competition, there is no safe protocol here at any dose.
Can I stack it with BPC-157?+
There is no published human study of either compound alone for musculoskeletal repair, and none at all of the two together. No interaction data, no combined safety data, nothing. Beyond the unknown risk, stacking destroys your ability to learn anything: if something improves, you will not know which vial to credit or repeat. Run one at a time, against a measurement you took beforehand.
Sources
None of these describe a human taking TB-500, because no such study has been published. They cover the chemistry of the fragment, its metabolism in rats, and the human trials of full-length thymosin beta-4 that get cited in its place.
- ·Ruff D, Crockford D, Girardi G, Zhang Y. A randomized, placebo-controlled, single and multiple dose study of intravenous thymosin beta 4 in healthy volunteers. Ann N Y Acad Sci. 2010. PMID 20536472: 42–1,260 mg IV, single dose then the same dose daily for 14 days, no dose-limiting toxicity.
- ·First-in-human, randomized, double-blind, single- and multiple-dose Phase I study of recombinant human thymosin β4. J Cell Mol Med. 2021. PMC8419156: 0.05–25 µg/kg IV; terminal half-life 0.5–2.08 h, dose-dependent.
- ·Simultaneous quantification of TB-500 and its metabolites in vitro and in rats. J Chromatogr B. 2024. PMID 38382158: states that the biological effects of TB-500 have not been documented; Ac-LKKTE was the only metabolite with wound-healing activity in fibroblasts.
- ·Synthesis and characterization of the N-terminal acetylated 17-23 fragment of thymosin beta 4 identified in TB-500. Drug Test Anal. 2012. PMID 22962027: chemically identifies TB-500 as Ac-LKKTETQ and describes plasma and urine detection.
- ·ClinicalTrials.gov record NCT05984134, Phase 2b of recombinant human thymosin β4 (NL005) in acute myocardial infarction: 0.5 or 1.0 µg/kg IV daily for 7 days after PCI, 90 participants, completed, no results posted.
- ·ClinicalTrials.gov record NCT04555824, Phase 1a single ascending dose of recombinant human thymosin β4 in healthy volunteers: 0.05–25 µg/kg intravenous, 54 participants, completed.
- ·Discovery of thymosin β4 as a human exerkine and growth factor. Am J Physiol Cell Physiol. 2021. PMID 34495765: thymosin β4 rises acutely in human plasma with exercise, and notes its WADA classification as a prohibited growth factor.
- ·Therapeutic Peptides in Orthopaedics: Applications, Challenges, and Future Directions. JAAOS Glob Res Rev. 2026. PMC12753158: TB-500 is usually injected subcutaneously or intramuscularly; the evidence base is preclinical and veterinary, with human orthopaedic data lacking.
- ·FDA label for Bacteriostatic Water for Injection USP (Hospira), via DailyMed: 0.9% (9 mg/mL) benzyl alcohol preservative; must not be used in neonates, for fluid replacement, or in epidural or spinal anaesthesia.
The longer treatment of all of this (mechanism, stacking, vendor testing and how TB-500 compares with BPC-157) lives in the full TB-500 dosing guide.
Disclaimer: This content is for informational and research purposes only and is not medical advice. TB-500 is not an approved medicine in any jurisdiction, and the doses described here are vendor and community convention rather than trial-derived figures. Always consult a qualified healthcare professional before starting any peptide protocol. PeptideDeck is not responsible for individual use.