This page helps you understand what to track for SS-31. It is not medical advice, a prescription, or a recommendation to use this peptide. Discuss dose, route, timing, storage, and safety with a qualified healthcare professional.
Overview
SS-31 (elamipretide) is a synthetic 4-amino-acid peptide that selectively concentrates in mitochondrial inner membranes via electrostatic affinity for cardiolipin. It restores mitochondrial bioenergetics, scavenges reactive oxygen species at the source, and protects cristae architecture. Investigated in Phase 3 trials for primary mitochondrial myopathy, Barth syndrome, and dry age-related macular degeneration.
Also known as: Elamipretide, MTP-131, Bendavia.
Mechanism and timing snapshot
Concentrates in mitochondrial inner membrane (1000-fold) via cardiolipin binding. Restores efficient electron transport, reduces mitochondrial ROS, and stabilises cristae. Distinct from cytosolic antioxidants — addresses ROS at production site.
Tracking defaults
These values come from Peppi's catalog so records can be prefilled consistently. They should be reviewed against your clinician's instructions before logging real-world use.
Catalog protocol note
40 mg subQ once daily (clinical trial dose). Lower research doses 4–10 mg also used.
Routes and site notes
Chemistry
Vial, reconstitution, and storage
Safety notes
Common and rare side effects listed in the catalog
- Injection-site reactions
- Mild headache
- Allergic reactions
Contraindications and warnings
- Pregnancy
- Phase 3 trials mixed — primary endpoint failures in some studies, success in others.
Other considerations
- Targets mitochondrial dysfunction — not a 'general antioxidant'.
- Volume of injection at clinical dose is meaningful — split sites if needed.
- Most validated indications are mitochondrial myopathies; healthy-aging benefits less established.
Evidence and regulatory context
Stacking and cycle notes
Tracking tips
- High clinical dose (~40 mg) means meaningful injection volume — split sites if uncomfortable.
- Targets mitochondrial dysfunction specifically — not a generic antioxidant supplement.
- Long-term healthy-user data is sparse; most evidence is in disease populations.
References
Track it in Peppi
Keep SS-31 records organized.
Use Peppi for dose logs, vial inventory, storage dates, reminders, journal notes, photos, and clinician-ready reports.
FAQ
What should I track for SS-31?
Track the peptide name, dose amount and unit, route, vial label, timing, reconstitution or expiration dates, storage notes, and any symptoms or questions for clinician review.
Does Peppi tell me how to use SS-31?
No. Peppi organizes educational reference and your own records. Protocol decisions should come from a qualified healthcare professional.
Can I export SS-31 records?
Peppi is designed to keep dose logs, vial inventory, journal notes, and reports easier to review and export.
Last reviewed: May 6, 2026