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Research Use Only · Dosing data compiled from published literature · Not for human or veterinary use

SS-31 Dosage & Reconstitution

Elamipretide, Bendavia, MTP-131. Work out exactly what to draw for your own mix, see the doses used in research, and follow a week-by-week plan. Evidence tier: clinical.

1Set Up Your Mix

60 mg/mL · 60000 mcg/mL
All answers assume a standard 1 mL U-100 syringe, where 1 unit = 0.01 mL. That is the usual insulin syringe and the one every number here is based on.

Your Answer — SS-31Your Answer

33.3Draw To This Line
0.333That's This Many mL
1Doses In The Vial
0102030405060708090100 U-100 syringe · 1 mL · 100 units draw to 33.3
30 mg ÷ 0.5 mL = 60 mg/mL  →  20 mg ÷ 60 mg/mL = 0.333 mL  →  × 100 = 33.3 units
Looks good. Draw to 33.3 units on a 1 mL syringe. That is an easy amount to measure, and this vial gives you 1 doses.

2Week-By-Week Plan — SS-31

Start low, work up
WhenDoseHow OftenHow Many mLDraw ToNumber Of DosesPeptide Used
Trial low 4 mg 1× daily 0.067 mL 6.7 u 7 doses
Trial mid 20 mg 1× daily 0.333 mL 33.3 u 1 doses
Trial high 40 mg 1× daily 0.667 mL 66.7 u — doses
Trial max 60 mg 1× daily 1 mL 100 u — doses
Weeks until the top dose
6 weeks
Peptide used getting there
896 mg
Vials you'll need
30 × 30 mg
Once you're at the top dose
1680 mg / 4 wk · 56 vials
Where this plan came from
Built from this peptide's dose range
Where this came from: Built from the doses listed for this peptide below — start at the lowest and step up, using the studies cited on this page. Nobody publishes a week-by-week plan for this peptide, so we built one: the doses are the researched ones shown below, and we simply put them in order from lowest to highest. Treat it as a starting point, not an official schedule.

3Common Doses — SS-31

worked out for your mix
LevelDoseHow OftenHow Many mLDraw ToDoses In Vial
Weeks 1–2 4 mg daily 0.067 mL 6.7 u 14 56 mg
Weeks 3–4 20 mg daily 0.333 mL 33.3 u 14 280 mg
Weeks 5–6 40 mg daily 0.667 mL 66.7 u 14 560 mg
Week 7 onward
per 4 weeks from here on
60 mg daily 1 mL 100 u 28 1680 mg
Please read this. These numbers come from published research. They are here as reference, not as instructions. A lot of them come from lab studies rather than studies in people, and some of these peptides have never been given to a person at all.

About SS-31About This Peptide

Mitochondrial
Also known as
Elamipretide, Bendavia, MTP-131
Class
Mitochondrial
Route
Subcutaneous
Half-life
~2–3 h
Evidence tier
Clinical

A cardiolipin-targeting mitochondrial peptide — the only compound in this class with substantial registered human trial data, across Barth syndrome, primary mitochondrial myopathy and dry AMD. Results have been mixed, with several missed primary endpoints.

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Where These Numbers Come From

Clinical — Human trial or approved-label dosing published
Elamipretide in primary mitochondrial myopathy (MMPOWER-3) Karaa A, et al. Neurology, 2023
The largest registered trial; note the missed primary endpoint.
Find on PubMed ↗
Cell-permeable peptide antioxidants targeted to inner mitochondrial membrane Szeto HH. AAPS Journal, 2006
Foundational mechanism paper for the SS peptide series.
Find on PubMed ↗
Elamipretide binds cardiolipin and improves mitochondrial cristae Birk AV, et al. Journal of the American Society of Nephrology, 2013
Structural mechanism via cardiolipin binding.
Find on PubMed ↗

Newest Studies —

Not reviewed by us. This list is pulled straight from Europe PMC as papers are published. Nobody has checked whether these are any good, or whether they change anything above. The dose numbers on this page only ever change after a person reviews the evidence.

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