Anti-aging injectable

SS-31

By Hack SmithLast updated: How we research

Protects mitochondria to boost cellular energy

Common Uses
  • Mitochondrial Health/Energy
  • Anti-Aging/Longevity
Evidence Grade
A — Strong — Human clinical trial data
Human randomized controlled trial data available.
Safety Notes

Most efficacy data comes from animal and in vitro studies - human safety data is limited primarily to Barth syndrome populations Long-term safety profile is not yet established due to recent approval (2025) Safety in pregnant or lactating women has not been established

Mechanism of Action

SS-31 (elamipretide) is a mitochondria-targeting tetrapeptide that selectively concentrates in the inner mitochondrial membrane where it binds to cardiolipin, a phospholipid essential for electron transport chain organization. By stabilizing cardiolipin and optimizing electron transfer, SS-31 reduces electron leak and the generation of reactive oxygen species (ROS) at their source, while simultaneously enhancing ATP synthesis efficiency. Key Pathways: Cardiolipin stabilization in inner mitochondrial membrane, PINK1/Parkin-mediated mitophagy activation, MitoGSH/mitoGPX4 antioxidant pathway activation, Mitochondria-dependent ferroptosis inhibition By reducing mitochondrial ROS production and improving ATP synthesis, SS-31 helps restore cellular energy capacity and reduces oxidative damage that accumulates with aging and disease. This translates to improved organ function in energy-demanding tissues like heart and kidney, with observed benefits including reduced inflammation, preserved mitochondrial integrity, and protection against stress-induced cellular damage.

Common Dose Reference Ranges

Educational reference ranges only — discuss actual dosing with a qualified healthcare provider.

Low
1
mg
Standard
4
mg
High
10
mg
📖 Used in these guides
⏳ Anti-Aging Guide⚡ Energy & Vitality Guide
📖 Related guides
Mitochondrial Peptides Explained: SS-31, MOTS-C, NAD+ and MoreBest Peptides for Anti-Aging & Longevity: A Ranked GuideBest Peptides for Energy & Vitality: A Ranked Guide
🔬 Related compounds
EpitalonFOXO4-DRIMOTS-C5-Amino-1MQ
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Full SS-31 protocols — frequency, timing, cycle length, reconstitution & research

Frequency: Daily
Half-life: Approximately 4-6 hours (estimated)
Cycle length: 5 weeks
Side Effects
  • Injection site reactions
  • Limited long-term safety data
Compatible Stacks
MitoQNAD+ Precursors (NMN/NR)Coenzyme Q10SulforaphanePQQ (Pyrroloquinoline Quinone)
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