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BPC-157
Descriptor:
A gastric-derived 15 amino acid peptide that promotes tissue repair and angiogenesis, likely through modulation of nitric oxide signaling and growth factor expression (e.g., vascular endothelial growth factor, VEGF).
Mechanism:
• Modulates nitric oxide (NO) pathways, improving endothelial function and tissue healing
• Upregulates VEGF expression to promote angiogenesis
• Impacts neurotransmitter systems and muscle regeneration pathways in preclinical models
Clinical Evidence:
• No published, peer-reviewed human clinical trials exist
• Most claims derive from animal models involving tendon, ligament, and gut healing
• Limited case report and anecdotal data in human contexts without controlled validation
Concerns:
• Theoretical cancer risk due to VEGF upregulation potentially accelerating tumor angiogenesis
• Manufacturing inconsistencies and impurity risks in non-pharmaceutical grade preparations
• Legal gray area: included on FDA’s compounding ban list; not recognized as a pharmaceutical agent
Verdict:
• Mechanistically interesting with substantial preclinical support
• Human applicability, safety, and ethical sourcing remain critical unresolved issues

Final Thoughts:
• BPC-157 is clearly a peptide that fascinates me. Of all the peptides I've evaluated, it's the one I've read the most about and made plenty of videos discussing. It's obviously a peptide in which the anecdote and popular hype surpasses the robustness of its data. That said, from a research oriented standpoint, its preclinical data is not by any means sparse; but there is room to strengthen our knowledge on the peptide's mechanism, optimized dosing and long-term safety concerns in humans. I am predominantly concerned about theoretical cancer risk given angiogenic properties of the peptide, and I would love to see well-conducted legitimate phase II and phase III trials evaluating BPC-157 in humans given the optimism reported by the public and in preclinical models.

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TB-500
Descriptor:
A synthetic fragment of Thymosin Beta-4 (amino acids 17–23) associated with tissue repair processes, although direct research on the fragment is sparse and frequently extrapolated from full-length TB-4 data.
Mechanism:
• Regulates actin cytoskeleton remodeling, facilitating cell migration and tissue regeneration
• May promote angiogenesis and wound healing processes based on extrapolated TB-4 data
• Limited direct evidence specific to TB-500 fragment activity
Clinical Evidence:
• No published, peer-reviewed human clinical trials investigating TB-500 specifically
• Claims about wound healing and hair regrowth remain speculative
• Common citation laundering: fragment data inferred from TB-4 full-length studies
Concerns:
• Citation laundering diminishes clarity between TB-4 and TB-500
• Lack of clinical transparency regarding fragment-specific effects
• Conflicting preclinical findings: while TB-4 shows anti-tumor potential, theoretical anti-apoptotic risks exist
Verdict:
• Highly speculative; true clinical efficacy unknown
• Mechanistically interesting but poor transparency


Final Thoughts:
True TB-500 appears to be seriously lacking in terms of research, and I’ve been quite critical of both the quality and credibility of such in my videos. TB-500 is touted as the angiogenic and hair-growth fragment of TB4, however research doesn’t exemplify this. The claims are all pulled from data on TB4 (rather than this 7 amino acid fragment). When compounds are repeatedly shown to exhibit anti-apoptotic properties, I am concerned with regards to unclear cancer augmenting risk. I would like to see long-term trials in humans assessing TB-500’s safety; however we haven’t even gotten basic preclinical data for this fragment alone.
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SS-31 (Elamipretide)
Descriptor:
A mitochondria-targeting tetrapeptide that binds cardiolipin, a phospholipid on the inner mitochondrial membrane, to stabilize mitochondrial structure and function.
Mechanism:
• Binds to cardiolipin, preserving mitochondrial cristae structure and improving electron transport chain efficiency
• Reduces mitochondrial reactive oxygen species (ROS) generation
• Enhances ATP production and mitigates mitochondrial dysfunction under stress
Clinical Evidence:
• Robust preclinical evidence improving mitochondrial function
• Human trials for mitochondrial diseases and heart failure ongoing
• Mild transient ocular side effects (blurred vision, photophobia) reported
Concerns:
• Ocular/retinal impact under continued investigation
• Long-term mitochondrial effects unknown

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MK-677 (Ibutamoren)
Descriptor:
A non-peptide ghrelin receptor agonist that stimulates endogenous growth hormone release and elevates IGF-1 levels.
Mechanism:
• Activates ghrelin receptors to stimulate pulsatile GH secretion
• Increases circulating IGF-1 levels via hepatic signaling
• Under clinical investigation for pediatric GHD (growth hormone deficiency)
Clinical Evidence:
• Clinical trials show increased GH and IGF-1
• Lumos Pharma conducting pediatric trials
• Anti-aging and bodybuilding uses remain off-label
Concerns:
• Appetite stimulation and edema common
• Worsening of insulin resistance possible
• Theoretical oncogenic risk via sustained IGF-1 elevation
Verdict:
• Mechanistically potent but requires metabolic caution

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MOTS-c
Descriptor:
A mitochondrial-derived peptide that regulates metabolic homeostasis, enhances insulin sensitivity, and promotes mitochondrial biogenesis.
Mechanism:
• Activates AMPK pathways
• Enhances mitochondrial biogenesis and oxidative capacity
• Modulates metabolic gene expression via PI3K/Akt and MAPK
• Exhibits "exercise mimetic" properties
Clinical Evidence:
• Strong preclinical data
• Early human trials suggest metabolic benefits
• Dosing and therapeutic application under investigation
Concerns:
• Long-term mitochondrial stimulation effects unknown
• Human safety profiles incomplete

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Tesamorelin
Descriptor:
A synthetic GHRH analog that stimulates endogenous GH release, FDA-approved for reducing visceral adiposity in HIV-associated lipodystrophy.
Mechanism:
• Binds GHRH receptors in pituitary
• Stimulates pulsatile GH secretion
• Increases circulating IGF-1 levels
Clinical Evidence:
• FDA-approved for HIV lipodystrophy
• Improves lipid profiles and reduces visceral fat
• Ongoing studies in aging and metabolism
Concerns:
• Risk of hyperglycemia and insulin resistance
• IGF-1 proliferation concerns theoretical

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CJC-1295 (with DAC)
Descriptor:
A long-acting GHRH analog engineered with Drug Affinity Complex (DAC) technology to extend half-life (~6–8 days).
Mechanism:
• Binds GHRH receptors, promoting GH secretion
• Sustains elevated IGF-1 levels through hepatic stimulation
Clinical Evidence:
• Preclinical and limited clinical data show elevated GH and IGF-1
• Primarily studied in anti-aging and physique enhancement clinics
Concerns:
• Extended half-life prolongs side effects (edema, joint pain)
• Theoretical risk of negative feedback on hypothalamic-pituitary axis
Verdict:
• Long-lasting, but long-term endocrine safety poorly characterized

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Melanotan II
Descriptor:
A potent cyclic analog of α-MSH that activates melanocortin receptors to increase melanin production, with appetite and libido side effects.
Mechanism:
• Activates MC1R, MC3R, MC4R, and MC5R receptors
• Stimulates tanning and affects hypothalamic pathways
Clinical Evidence:
• Limited human trials for tanning
• Anecdotal libido and appetite effects
Concerns:
• Hyperpigmentation, new nevi formation
• Potential melanoma promotion theoretically
Verdict:
• Effective at tanning
• Safety profile questionable for cosmetic/off-label use

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Semaglutide
Descriptor:
A GLP-1 receptor agonist enhancing insulin secretion, reducing appetite, and promoting weight loss, FDA-approved for type 2 diabetes and obesity.
Mechanism:
• Activates GLP-1 receptors to stimulate insulin and suppress glucagon
• Slows gastric emptying and reduces appetite
Clinical Evidence:
• Robust phase III trial data (STEP trials)
• 10–15% body weight reductions in clinical populations
Concerns:
• GI side effects common (nausea, diarrhea)
• Gallbladder disease and theoretical thyroid C-cell tumors
• There are scattered reports of ocular ischemic events independent of just diabetic background
• Retinopathy gets most of the press (esp. STEP trials) but broader retinal ischemia is a theoretical worry given GLP-1’s vascular effects
Verdict:
• Among the most impactful modern metabolic therapeutics

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Thymosin Beta-4 (TB-4)
Descriptor:
A naturally occurring 43-amino acid peptide involved in tissue regeneration, wound healing, and cellular migration processes.
Mechanism:
• Binds G-actin, regulating actin polymerization
• Promotes angiogenesis via VEGF upregulation
• Exhibits anti-inflammatory and cytoprotective effects
Clinical Evidence:
• Preclinical models show wound healing and cardiac repair benefits
• Human clinical trials limited and context-specific
Concerns:
• Conflicting tumor-related data; unclear whether the compound is preventative towards tumor growth or enabling
• Regulatory ambiguity in commercial sourcing
Verdict:
• Strong regenerative promise in preclinical data

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IGF-1 LR3
Descriptor:
A synthetic long-acting analog of insulin-like growth factor-1 (IGF-1) designed for greater stability and reduced IGF-binding protein interference.
Mechanism:
• Binds IGF-1 receptor, activating PI3K/Akt and MAPK pathways
• Promotes cell proliferation, survival, and muscle growth
Clinical Evidence:
• Native IGF-1 studied for deficiency disorders
• IGF-1 LR3 itself lacks robust human trial data
Concerns:
• Oncogenic and insulin resistance risks theoretically possible
• Non-deficient use is off-label and speculative
Verdict:
• Mechanistically anabolic but clinically under-researched

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GHK-Cu
Descriptor:
A naturally occurring copper-binding tripeptide involved in tissue remodeling, anti-inflammation, and gene regulation.
Mechanism:
• Binds copper ions and regulates over 4,000 genes
• Stimulates collagen synthesis, angiogenesis, and fibroblast proliferation
• Modulates protease activity and scar tissue remodeling
Clinical Evidence:
• Topical formulations shown to improve skin elasticity and healing
• Human systemic use remains unapproved
Concerns:
• Poor systemic bioavailability
• Long-term systemic safety unknown
Verdict:
• Strong cosmetic and regenerative support topically

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Epitalon
Descriptor:
A synthetic tetrapeptide (Ala-Glu-Asp-Gly) modeled after epithalamin, a pineal extract purported to regulate circadian rhythms and telomere dynamics.
Mechanism:
• Proposed telomerase stimulation and telomere extension
• Regulates expression of antioxidant and DNA repair genes
• Modulates pineal melatonin secretion
Clinical Evidence:
• Most data derived from Soviet-era epithalamin studies
• Modern transparent trials are lacking
Concerns:
• Overextrapolation of anti-aging claims
• Lack of replicable, modern human studies
Verdict:
• Mechanistically intriguing but poorly validated

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Melanotan I (Afamelanotide)
Descriptor:
A synthetic analog of α-MSH activating melanocortin 1 receptors (MC1R), FDA-approved for photoprotection in erythropoietic protoporphyria (EPP).
Mechanism:
• Binds MC1R to stimulate eumelanin production
• Provides protection against UV radiation
• Exhibits anti-inflammatory effects via melanocortin signaling
Clinical Evidence:
• FDA- and EMA-approved for EPP
• Clinical trials show increased sun exposure tolerance
Concerns:
• Injection site reactions, nausea, headache
• Risk of unintended pigmentation changes
Verdict:
• Strong photoprotective efficacy validated in EPP

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Tirzepatide
Descriptor:
A dual GLP-1 and GIP receptor agonist ("twincretin") promoting insulin secretion, satiety, and weight loss, FDA-approved for type 2 diabetes and obesity.
Mechanism:
• Activates GLP-1 and GIP receptors
• Enhances insulin secretion, suppresses glucagon, slows gastric emptying
Clinical Evidence:
• SURPASS and SURMOUNT trials show superior weight loss and HbA1c reduction
• 20% body weight loss achievable in some cohorts
Concerns:
• GI side effects common
• Gallbladder disease and theoretical C-cell tumor risks
Verdict:
• Among the most powerful metabolic agents developed

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Humanin
Descriptor:
A mitochondria-derived 21–24 amino acid micropeptide, originally isolated from an unaffected brain region in an Alzheimer's patient. Encoded from the mitochondrial 16S rRNA (MT-RNR2 gene), Humanin is associated with cytoprotection against oxidative stress, apoptotic signaling, and mitochondrial dysfunction. Thought to play adaptive, but not curative, roles in disease and cellular stress responses.
Mechanism:
• Proposed to increase cellular resilience to oxidative stress and apoptosis
• Interacts with IGFBP proteins and apoptotic regulatory pathways
• May modulate mitochondrial signaling cascades; AMPK involvement suggested but unconfirmed
• Upregulation appears linked to cellular adaptation during oxidative damage
• Protective effects observed in neurodegeneration and ischemia models, though mechanisms remain incompletely defined
Clinical Evidence:
• Endogenous Humanin levels generally decrease with age, though findings are mixed across studies
• Elevated levels observed in type 1 diabetes and possibly late-stage type 2 diabetes
• "Rattin," the rodent equivalent, shows neuroprotection in ischemic brain and heart injury models
• Modified Humanin analogs demonstrate cytoprotective promise in preclinical models
• No robust human supplementation trials currently available
Concerns:
• No clinical validation for exogenous Humanin use
• Adaptive Humanin increases may simply reflect cellular distress, not guaranteed protection
• Complexity of Humanin’s signaling pathways limits therapeutic interpretation
• Contradictory findings regarding aging and disease-state expression
• Commercial promotion often exceeds the strength of available evidence
Verdict:
A mitochondrial micropeptide with intriguing cytoprotective effects in preclinical research. While Humanin's roles in aging, metabolism, and neurodegeneration are under investigation, human relevance remains speculative. Caution warranted until further trials emerge.

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PT-141 (Bremelanotide)
Descriptor:
A metabolite of Melanotan II (MT-II), PT-141 is a synthetic cyclic peptide that activates melanocortin receptors, primarily MC3R and MC4R. It is FDA-approved under the name Vyleesi for the treatment of hypoactive sexual desire disorder (HSDD) in premenopausal women.
Mechanism:
• Agonist of melanocortin receptors MC3R and MC4R
• Structurally similar to MT-II but with a C-terminal hydroxyl group replacing the amine
• Enhances sexual arousal through central melanocortin signaling, not vascular pathways
• Quick onset and effective via intranasal delivery
Clinical Evidence:
• FDA-approved as Vyleesi for HSDD with established PK data (half-life ~2.7 hours)
• Studied as alternative therapy in erectile dysfunction (including in patients non-responsive to PDE5 inhibitors)
• Palatin Technologies exploring its use adjunctively with GLP-1 agonists for obesity
• Data from rodent and human models supports central neuroendocrine activity
• Exhibits solid intranasal bioavailability in clinical settings
Concerns:
• Common side effects: nausea, flushing, injection site reactions, headache
• Transient increases in blood pressure noted
• Focal hyperpigmentation possible — FDA advises discontinuation if this occurs
• Alcohol may worsen flushing effects
• Structural similarity to MT-II invites caution regarding melanocortin-related adverse effects
Verdict:
An interesting case of a melanocortin peptide making it to market for a very specific indication. While PT-141’s clinical journey reflects strategic retooling of MT-II’s unintended effects, it’s backed by real data and utility. Its expanding evaluation in metabolic conditions may broaden its relevance beyond sexual health.

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Cagrilintide
Descriptor:
A long-acting amylin analog under investigation for obesity and type 2 diabetes. Often mistaken for a GLP-1 due to overlapping effects and its combo role in CagriSema.
Mechanism:
• Mimics amylin, a hormone co-secreted with insulin
• Delays gastric emptying, suppresses glucagon, promotes satiety
• Enhances leptin sensitivity via action in the brain’s area postrema
Clinical Evidence:
• Phase 2 trial showed 10.8% weight loss with cagrilintide 4.5mg weekly
• Combo drug CagriSema (semaglutide + cagrilintide) showed 15.6% weight loss in 32 weeks
• Trials report dose-dependent effects and tolerable GI side effects
• Ongoing REDEFINE trials are evaluating efficacy across metabolic parameters in different populations
Concerns:
• No head-to-head superiority over GLP-1s as monotherapy
• Common adverse effects include nausea and GI upset
• Potential links to amylin-amyloid pathways warrant further research into neurocognitive safety
Verdict:
An exciting metabolic peptide with significant fat-loss potential, especially in combination with semaglutide. Though not a GLP-1, it may co-star in reshaping obesity treatment. Long-term human safety still needs clarification.

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FOXO4-DRI (Proxofim)
Descriptor:
A synthetic D-retro-inverso analog of the FOXO4 protein, developed to disrupt cellular senescence by promoting apoptosis in aging or damaged cells. Often discussed under the names FOX peptide, FOXO4-DRI, or Proxofim, it's being investigated as a senolytic with possible relevance in aging, cancer, fibrosis, and muscle homeostasis.
Mechanism:
• Disrupts binding between FOXO4 and p53, allowing p53 to induce apoptosis in senescent cells
• Promotes clearance of senescent cells (senolytic)
• Downregulates antioxidant defenses under oxidative stress
• Interacts with pathways tied to angiogenesis, glucose metabolism, red blood cell formation, and cell cycle arrest
Clinical Evidence:
• Preclinical mouse models show improved testicular microenvironments, pulmonary fibrosis reduction, renal restoration, and chemotoxicity protection
• Enhances radiosensitivity in non-small cell lung cancer and shows effects in triple-negative breast cancer models
• No human trials to date
• Under development by Cleara Biotech in the Netherlands, founded by FOXO4 researcher Dr. Peter de Keizer
Concerns:
• No human data—entirely preclinical at this point
• Conflicting roles in cancer: may suppress or promote tumor activity depending on context
• May interfere with chemotherapy response or resistance
• Complex interactions with oxidative stress, angiogenesis, and other forkhead family proteins
• Tumor suppressor role not clearly confirmed in human samples
Verdict:
A very cool and mechanistically unique senolytic. FOXO4-DRI shows promise in rodent models across multiple systems—from fibrosis to cancer—but remains speculative and untested in humans. As of now, more compelling as a scientific curiosity than a safe biohack.

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KPV
Descriptor:
A naturally occurring tripeptide fragment of α-MSH (alpha-melanocyte-stimulating hormone), composed of lysine, proline, and valine. KPV is increasingly used in oral blends or topicals for its proposed anti-inflammatory and reparative actions, especially in gut and skin applications.
Mechanism:
• Inhibits NF-κB and MAPK pathways, reducing secretion of inflammatory cytokines like TNF-α and IL-1β
• Taken up by PepT1 transporters under inflammatory conditions in intestinal tissue
• Potential antimicrobial effects observed against MRSA, staph, and Candida
• May penetrate skin or mucosal surfaces more effectively under damaged conditions
Clinical Evidence:
• Shown to reduce inflammation and improve outcomes in murine colitis models
• Improved healing in mouse models of chemotherapy-induced mucositis and eye trauma
• Antimicrobial effects demonstrated in rodents and in vitro
• 2025 study confirmed anti-inflammatory effects in keratinocyte models exposed to particulate matter
• No human trials to date
Concerns:
• No human data for oral or topical use
• Limited animal studies with small sample sizes
• Mechanistic overlap with angiogenic or reparative peptides may raise theoretical cancer risk
• Still unclear how best to formulate for transdermal or gut absorption
Verdict:
KPV appears to mimic many of the anti-inflammatory benefits of α-MSH while avoiding the melanocortin-linked pigmentation effects seen in other MSH analogs. Its potential in gut health and wound healing is promising but remains largely speculative due to the absence of human research. A peptide worth watching — but not yet ready for primetime.

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LL-37
Descriptor:
A 37-amino-acid human cathelicidin antimicrobial peptide derived from the cleavage of hCAP-18. LL-37 plays a key role in innate immunity with antimicrobial, immunomodulatory, and angiogenic properties — and is the only known human cathelicidin.
Mechanism:
• Expressed widely across epithelial, immune, GI, and reproductive tissues
• Disrupts bacterial biofilms and neutralizes lipopolysaccharides
• Modulates immune cell activity (macrophages, neutrophils, dendritic cells)
• Promotes angiogenesis and may support wound healing
Clinical Evidence:
• HEAL-LL37 Phase 2b Trial: Topical LL-37 in venous leg ulcers showed no significant benefit vs placebo; possible effect in large wounds; well tolerated overall
• Diabetic foot ulcer trial: Small Indonesian trial showed faster healing in mildly infected wounds; unclear impact on inflammation or bacterial load
• Melanoma case report: Severe dermatologic reaction to injectable LL-37 prompted discontinuation
• COVID-19 hypothesis: Limited, non-reproducible data suggest potential benefit, but lacks rigor and remains highly speculative
Concerns:
• Complex and contradictory effects in cancer — tumor-promoting in breast, lung, and ovary; tumor-suppressive in colon and gastric cancer
• Sparse and inconsistent human data
• One reported case of severe skin inflammation following injection
• Broad receptor expression complicates prediction of tissue-specific responses
Verdict:
LL-37 is a fascinating immunomodulatory peptide with clear antimicrobial and angiogenic effects — but the mixed results in human trials, unclear oncologic role, and scattered case data make it difficult to endorse for supplementation. Biohackers may be intrigued, but caution is warranted here.

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