SS-31 (Elamipretide) vs Tesamorelin

A detailed comparison to help you understand the differences and choose the right peptide for your research goals.

SS-31 (Elamipretide)

SS-31, also known as Elamipretide or Bendavia, is a mitochondria-targeted tetrapeptide. It has been studied extensively for mitochondrial diseases, heart failure, and age-related decline in mitochondrial function.

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Tesamorelin

Tesamorelin is a synthetic analog of growth hormone-releasing hormone (GHRH). It is FDA-approved under the brand name Egrifta for reducing excess abdominal fat in HIV-infected patients with lipodystrophy.

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Side-by-Side Comparison

AspectSS-31 (Elamipretide)Tesamorelin
MechanismConcentrates in the inner mitochondrial membrane where it binds to cardiolipin, stabilizing electron transport chain function, reducing reactive oxygen species, and improving ATP production efficiency.Stimulates the pituitary gland to produce and release growth hormone by binding to GHRH receptors. Increases IGF-1 levels which promotes lipolysis and reduces visceral adipose tissue.
Typical DosageClinical trials have used IV infusions of 0.25mg/kg for acute conditions. Subcutaneous dosing protocols for research use typically range from 1-5mg daily.FDA-approved dose: 2mg administered subcutaneously once daily. Research protocols may use various dosing schedules.
AdministrationCan be administered IV or subcutaneously. Most clinical research has used IV administration for cardiac conditions.Subcutaneous injection into the abdomen. Rotate injection sites. Best administered at the same time daily, preferably in the evening.
Side EffectsGenerally well-tolerated. Clinical trials reported injection site reactions and occasional headache.Common side effects include injection site reactions (erythema, pruritus), joint pain, peripheral edema, and muscle pain. May cause elevated blood glucose.
Best For

What They Have in Common

Both SS-31 (Elamipretide) and Tesamorelin are commonly used for:

Key Differences

Unique to SS-31 (Elamipretide):

Unique to Tesamorelin:

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