
SS-31 (30 mg Vial)
SS‑31 (elamipretide) is a mitochondria‑targeted tetrapeptide that selectively binds cardiolipin in the inner mitochondrial membrane, stabilizing electron transport chain complexes and reducing reactive oxygen species production while enhancing ATP synthesis. This peptide has demonstrated protective effects in preclinical models of heart failure, neurodegenerative disease, and age‑related muscle atrophy, and received FDA accelerated approval in 2025 as the first treatment for Barth syndrome. This educational protocol presents a once‑daily subcutaneous approach using the 30 mg vial format with practical reconstitution for insulin‑syringe measurements.
- Dose
- Research dosing varies
- Frequency
- Protocol dependent
- Timing
- As per research design
- Duration
- Study specific
Mitochondrial-targeted peptide. Cardioprotective research. Follow specific protocols.
| Week | Daily Dose | Units (per injection) (mL) |
|---|---|---|
| Weeks 1–2 | 5 mg (5000 mcg) | 50 units (0.50 mL) |
| Weeks 3–8 | 10 mg (10,000 mcg) | 100 units (1.0 mL) |
- •Peptide Vials (SS‑31, 30 mg each):
- •Insulin Syringes (U‑100, 1 mL capacity):
- •Bacteriostatic Water (30 mL bottles): Use 3.0 mL per vial for reconstitution.
- •Alcohol Swabs: One for the vial stopper + one for the injection site each day.
International Journal of Molecular Sciences (MDPI)
Elamipretide: comprehensive review of structure, mechanism of action, and therapeutic potential
View sourceBritish Journal of Pharmacology (PMC)
Cardiolipin‑binding mechanism and mitochondrial membrane stabilization by SS‑31
View sourceU.S. Food & Drug Administration (FDA)
FDA grants accelerated approval to elamipretide (Forzinity) as first treatment for Barth syndrome (2025)
View sourceJournal of the American College of Cardiology (JACC)
PROGRESS‑HF trial: safety and tolerability of elamipretide in heart failure patients
View sourceNeurology (AAN Journals)
MMPOWER‑2 trial: elamipretide in primary mitochondrial myopathy
View sourceBiochimica et Biophysica Acta (BBA) – Bioenergetics
Cardiolipin remodeling and cristae structure: role in mitochondrial function
View sourceJournal of Cardiovascular Pharmacology (PMC)
SS‑31 reduces oxidative stress and improves mitochondrial bioenergetics
View sourceAlzheimer’s Drug Discovery Foundation
Cognitive Vitality Report: SS‑31 (elamipretide) preclinical and clinical overview
View sourceOrphanet Journal of Rare Diseases (PMC)
Barth syndrome: clinical presentation, diagnosis, and emerging therapies
View sourceCenters for Disease Control and Prevention (CDC)
Vaccine administration: subcutaneous injection technique (angle, site selection, no aspiration)
View sourceJohns Hopkins Arthritis Center
Patient guide: how to give a subcutaneous injection (step‑by‑step instructions)
View sourceNCBI Bookshelf (StatPearls)
Best practices for injection: aseptic technique, preparation, and administration
View sourcePharmacologic Considerations of Subcutaneous Drug Administration (PMC)
Site rotation, absorption kinetics, and prevention of lipohypertrophy
View source
Educational content adapted from peptidedosages.com. Not medical advice.