TB-500
Also known as Thymosin Beta-4 fragment, TB4
A synthetic fragment of thymosin beta-4, taken for muscle, tendon and soft-tissue recovery and very often stacked with BPC-157.
Evidence grade C · 7 citations
- Regulatory status
- No FDA approval, and not on the 503A Bulks List, so a licensed pharmacy has no lawful route to compound it. FDA took TB‑500 to its Pharmacy Compounding Advisory Committee in July 2026 to consider adding it; the outcome was not published as of August 2026. What circulates is sold for research use, on an evidence base that has not reached human outcome trials.
- Common routes
- Subcutaneous injection
Overview
TB-500 is sold online as a research chemical, described as thymosin beta-4 or a fragment of it — a 43-amino-acid protein that occurs naturally in platelets, white blood cells and most nucleated cells in the body. That protein regulates the actin cytoskeleton and is bound up in cell migration, wound healing, blood vessel growth and inflammatory control. The peptide has a following in biohacking and athletic recovery circles, where it is routinely stacked with BPC-157.
One distinction gets blurred almost everywhere online and decides how to read everything below. The thymosin beta-4 that entered formal clinical trials, developed as a pharmaceutical, was a precisely characterized protein given under regulated conditions. What vendors sell as TB-500 is an unlicensed research chemical: no standard formulation, nobody overseeing how it is made, and no trial ever run under that name. Whatever human evidence exists — the Phase I safety work, the small pilots — attaches to the pharmaceutical protein rather than to the vial.
Grade C. Thymosin beta-4 has a better developed preclinical and early clinical literature than most peptides in this category, and the distance between what was studied and what is sold remains substantial. Efficacy in humans has never been established by a randomized controlled trial, for any indication.
Where to get TB-500
Everyone in our register selling TB-500. Sellers we hold an affiliate relationship with appear at the top of the list.
Editorial score · methodology
Editorial score · methodology
Editorial score · methodology
Editorial score · methodology
Editorial score · methodology
Editorial score · methodology
RxPepsDirect
Best for: a published list of the 28 states it serves, when most sellers publish none
Editorial score · methodology
Nava Health
Editorial score · methodology
TRT Kingdom
Editorial score · methodology
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How it works
Its central action is binding up free actin monomers, which controls how actin polymerizes and lets cells move. That matters for repair: it is what allows keratinocytes, endothelial cells and fibroblasts to migrate into damaged tissue and start rebuilding [1]. Animal models show it driving re-epithelialization, collagen deposition and new vessel formation, damping inflammatory cytokines at the wound, and possibly helping heart muscle cells survive when starved of blood.
Sequestering actin sets it apart from an ordinary growth factor — it operates upstream of several repair pathways at once instead of hitting one receptor. Skin wounds, the cornea, oxygen-starved heart tissue and neurological injury have all been research targets [1]. Whether what is sold commercially retains the activity of the protein that was studied is unknown, because nobody has published a direct comparison of the two.
What the evidence says
Read every human result here through one filter: which compound was actually used. The human data came from pharmaceutical thymosin beta-4 under Investigational New Drug conditions, not from research-chemical TB-500. A 2010 Phase I study gave it intravenously to healthy volunteers in single and repeated doses and found it generally well tolerated, sketching a preliminary safety picture [3]. In 2021 a first-in-human Phase I study of the recombinant version reported broadly favorable tolerability too [4]. Neither examined whether it treats anything.
The nearest thing to therapeutic evidence is two small studies and one indirect one. A 2012 report described thymosin beta-4 in skin wound healing across animal models and patients — but as a conference case series rather than a randomized trial [2]. A 2010 pilot in venous ulcers produced suggestive preliminary findings [6]. And a 2016 cardiac pilot used it to pretreat a patient's own endothelial progenitor cells before transplanting them after a heart attack, which is indirect — the protein acted outside the body, not injected into it — in a small sample [5].
An independent 2026 review in Sports Medicine assessed unapproved peptides in musculoskeletal injury and athletic performance, and found the clinical evidence for thymosin beta-4 fragments too thin to recommend them to either patients or athletes [7]. Nothing completed and peer-reviewed has shown either the research chemical or the protein improving muscle recovery, tendon healing or sports performance. Grade C.
Typical dosing
No therapeutic human dose exists, because no trial established one. The Phase I safety work used intravenous dosing in the region of 6 to 42 mg, which does not translate to the subcutaneous injections sold as research chemicals. The unregulated market commonly quotes 2 to 5 mg injected under the skin once or twice weekly, sometimes with a heavier loading period for the first few weeks — none of it grounded in any validated human pharmacokinetics or pharmacodynamics.
Online recovery protocols habitually pair it with BPC-157. Neither compound has been studied in humans in a controlled trial, alone or together. Both are sold as research chemicals rather than medical products, and neither carries US approval for therapeutic use in people.
Safety & side effects
The full protein looked acceptably safe in Phase I trials in healthy adults [3] [4], with caveats that matter: those used pharmaceutical-grade material, given intravenously, under clinical supervision — not research chemicals of unknown purity injected at home. What it does over years, in any human population, has never been looked at. What ships as TB-500 is not made under Good Manufacturing Practice, and may carry the wrong dose, the wrong sequence, degraded peptide or outright contaminants.
Thymosin beta-4 and its fragments appear explicitly on the World Anti-Doping Agency Prohibited List under Section S2, covering peptide hormones, growth factors and related substances. For any athlete under WADA-aligned rules it is straightforwardly banned. Beyond sport, it is approved for no human indication anywhere, and use outside a licensed trial is unregulated. Anyone using it is accepting risk that nobody has measured, from a product whose manufacturing nobody inspects.
Frequently asked questions
Is TB-500 the same as thymosin beta-4?
Depending on the vendor it is described as the full sequence or as a fragment of it. The difference that matters is not chemical but regulatory: the thymosin beta-4 in formal human trials was pharmaceutical-grade, precisely characterized and given under trial conditions, while what sells online has no equivalent quality assurance. You cannot assume trial data for the former apply to the latter.
Is there human trial evidence?
Not for the product sold under that name. Human studies exist for the pharmaceutical protein — mainly Phase I safety trials in healthy volunteers, along with a few small pilots covering wound healing and the heart. None studied TB-500 as it is actually sold, and none showed the compound treating anything in a large randomized trial.
Is it banned in sport?
Yes, explicitly — thymosin beta-4 and related peptides are named on the WADA Prohibited List under Section S2. Any athlete competing under WADA-aligned anti-doping rules is prohibited from using it, and can be sanctioned on a positive test or an admission of use.
How does it compare with BPC-157?
Both are unapproved research peptides resting mostly on preclinical work, and the recovery forums usually run them together. BPC-157 is a gastric peptide fragment with thirty years of rat data covering the gut lining and tendon repair, and not a single human trial. This one attaches to a protein with a more developed wound-healing literature and a few Phase I safety studies in humans — run on the pharmaceutical version rather than the vial, and tested safety rather than whether it works. Both sit at grade C.
Is it legal to buy?
It is not federally scheduled, so an adult possessing some is generally not committing a federal crime. It also cannot lawfully be sold for people to consume, carries no FDA approval for anything, and is banned under WADA rules. Buying from unregulated vendors means accepting manufacturing risks nobody has characterized.
Would it help a muscle or tendon injury?
The preclinical biology is genuinely plausible — the protein drives cell migration and vessel growth in animal wound models. Plausible biology is not demonstrated benefit, and the gap between them is where most of this market lives. No controlled human trial has shown either compound speeds muscle or tendon healing against placebo. Absent that, efficacy claims for injury recovery are extrapolation.
Sources
- [1] Kleinman HK, Sosne G Thymosin β4 Promotes Dermal Healing. Vitam Horm (2016). PMID 27450738
- [2] Treadwell T, Kleinman HK, Crockford D, et al. The regenerative peptide thymosin β4 accelerates the rate of dermal healing in preclinical animal models and in patients. Ann N Y Acad Sci (2012). PMID 23050815
- [3] Ruff D, Crockford D, Girardi G, et al. A randomized, placebo-controlled, single and multiple dose study of intravenous thymosin beta4 in healthy volunteers. Ann N Y Acad Sci (2010). PMID 20536472
- [4] Wang X, Liu L, Qi L, et al. A first-in-human, randomized, double-blind, single- and multiple-dose, phase I study of recombinant human thymosin β4 in healthy Chinese volunteers. J Cell Mol Med (2021). PMID 34346165
- [5] Zhu J, Song J, Yu L, et al. Safety and efficacy of autologous thymosin β4 pre-treated endothelial progenitor cell transplantation in patients with acute ST segment elevation myocardial infarction: A pilot study. Cytotherapy (2016). PMID 27288307
- [6] Guarnera G, DeRosa A, Camerini R, et al. The effect of thymosin treatment of venous ulcers. Ann N Y Acad Sci (2010). PMID 20536470
- [7] Mendias CL, Awan TM Safety and Efficacy of Approved and Unapproved Peptide Therapies for Musculoskeletal Injuries and Athletic Performance. Sports Med (2026). PMID 41966639
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Evidence on this page was last reviewed July 2026. This is background information, not a substitute for a clinician.