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Supplements/Peptide

SS-31 (Elamipretide)

Mitochondrial-targeted peptide for cardiolipin protection.

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Overview

Mitochondrial-targeted peptide for cardiolipin protection.

Natural sources
  • Synthetic peptide manufactured to pharmaceutical or research-grade purity
  • Subcutaneous injection, sublingual, or oral preparation depending on bioavailability
  • Compounded by a licensed pharmacy for clinical use
Common forms
  • Subcutaneous injection
  • Oral or sublingual lozenge
  • Nasal spray
  • Compounded topical

Mechanism of action

Binds cardiolipin, stabilizes mitochondrial cristae.

Pathways
  • · Binds cardiolipin, stabilizes mitochondrial cristae

Effects on the body

Supports
mitochondrial function

Organ system effects

Cardiovascular

SS-31 (Elamipretide) supports endothelial function, lipid profile, or blood-pressure regulation in cardiovascular trials.

Brain & CNS

SS-31 (Elamipretide) acts on hallmarks of aging including oxidative stress, mitochondrial dysfunction, and senescence signaling.

Evidence-based benefits

Improves mitochondrial function

Moderate evidence

Potential side effects

Common
  • · Injection site reactions
Rare
    Serious

      Drug interactions

      Prescription medications (general)
      Always disclose SS-31 (Elamipretide) use to your prescriber — additive, antagonistic, or pharmacokinetic interactions are possible.
      minor

      Safety & non-supplemental interactions

      Educational summary — always confirm with your clinician or pharmacist before starting, stopping, or combining with prescription therapy.

      Avoid if you are
      • ·Pregnant or breastfeeding (insufficient safety data)
      • ·Children under 18 (unless directed by a clinician)
      Other notes
      • ·Most research peptides are not FDA-approved for human use outside investigational protocols.

      Supplement interactions

      Pairs well with
      • Omega-3
        Anti-inflammatory cardiovascular synergy.
      • CoQ10
        Supports mitochondrial energetics in cardiac tissue.
      • NAD+ precursor (NMN or NR)
        Complementary mitochondrial and sirtuin support.
      Avoid combining with

      No specific avoidances listed.

      Dosing & bioavailability

      Typical dose
      40 mg subcutaneous
      Best form
      Most evidence is based on the subcutaneous injection form.
      Timing
      Consistent daily timing recommended; split larger doses if GI tolerance is a concern.
      With food?
      Either with or without food.

      Where to buy

      Affiliate links — we may earn a commission at no extra cost to you. Amazon code supplementsch-20 is auto-applied at checkout. We don't endorse specific brands; verify third-party testing (USP, NSF, Informed Sport) before purchase.

      Scientific evidence8Show studies
      RCTCirc Heart Fail · 2017

      Elamipretide in heart failure

      Daubert MA, et al.

      HFrEF patients

      Key findings

      Improved LV end-systolic volume.

      Open study
      Systematic reviewPubMed (NLM) · 1970

      PubMed: SS-31 (Elamipretide) — Improves mitochondrial function

      Live PubMed search

      Live results for "SS-31 (Elamipretide) Improves mitochondrial function" across the PubMed/MEDLINE peer-reviewed index.

      Key findings

      Opens current human and preclinical literature matching SS-31 (Elamipretide) and "Improves mitochondrial function". Filter by RCT, meta-analysis, or year on the results page.

      Open study
      Systematic reviewPubMed (NLM) · 1970

      PubMed: SS-31 (Elamipretide) — randomized controlled trial

      Live PubMed search

      Live results for "SS-31 (Elamipretide) randomized controlled trial" across the PubMed/MEDLINE peer-reviewed index.

      Key findings

      Opens current human and preclinical literature matching SS-31 (Elamipretide) and "randomized controlled trial". Filter by RCT, meta-analysis, or year on the results page.

      Open study
      Systematic reviewPubMed (NLM) · 1970

      PubMed: SS-31 (Elamipretide) — meta-analysis

      Live PubMed search

      Live results for "SS-31 (Elamipretide) meta-analysis" across the PubMed/MEDLINE peer-reviewed index.

      Key findings

      Opens current human and preclinical literature matching SS-31 (Elamipretide) and "meta-analysis". Filter by RCT, meta-analysis, or year on the results page.

      Open study
      Systematic reviewPubMed (NLM) · 1970

      PubMed: SS-31 (Elamipretide) — pharmacokinetics

      Live PubMed search

      Live results for "SS-31 (Elamipretide) pharmacokinetics" across the PubMed/MEDLINE peer-reviewed index.

      Key findings

      Opens current human and preclinical literature matching SS-31 (Elamipretide) and "pharmacokinetics". Filter by RCT, meta-analysis, or year on the results page.

      Open study
      Systematic reviewPubMed (NLM) · 1970

      PubMed: SS-31 (Elamipretide) — safety adverse events

      Live PubMed search

      Live results for "SS-31 (Elamipretide) safety adverse events" across the PubMed/MEDLINE peer-reviewed index.

      Key findings

      Opens current human and preclinical literature matching SS-31 (Elamipretide) and "safety adverse events". Filter by RCT, meta-analysis, or year on the results page.

      Open study
      Systematic reviewPubMed (NLM) · 1970

      PubMed: SS-31 (Elamipretide) — dose response

      Live PubMed search

      Live results for "SS-31 (Elamipretide) dose response" across the PubMed/MEDLINE peer-reviewed index.

      Key findings

      Opens current human and preclinical literature matching SS-31 (Elamipretide) and "dose response". Filter by RCT, meta-analysis, or year on the results page.

      Open study
      Systematic reviewGoogle Scholar · 1970

      Google Scholar: SS-31 (Elamipretide) — clinical evidence

      Live Scholar search

      Cross-database citation index for SS-31 (Elamipretide) as it relates to "clinical evidence".

      Key findings

      Includes preprints, theses, and journal articles. Useful for tracking citation counts and follow-on work.

      Open study
      Educational use only. This profile is not medical advice. Consult a qualified healthcare professional before starting any supplement, especially if you take prescription medication or have a chronic condition.

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