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SS-31 vial in a clear glass dish, studio render
SS-31 vial, illustration: 10 mg · 3 mL

RxLongevity · cGMP

SS-31

A small peptide that targets the inner membrane of mitochondria.

Strength & form
$10010 mg · 3 mL · Lyophilized
Consult first
SS-31 vial in a clear glass dish, studio render
Protocol
SS-31
Care path
Longevity
Strength
10 mg · 3 mL
Form
Lyophilized
Source
cGMP
Dispensing
Rx only

The process · SS-31

Your first
90 days.

From consult to refill: what happens, in order, and who decides. Timing depends on your physician and your protocol.

Physician’s decision

Step 01 of 07: Consult · async $39 · sync $49

Consult a physician

Start with an async consult ($39): a physician reviews your intake and history, no appointment needed.

State rules decide what can be prescribed where you live.Which consult?

Step 02 of 07: Decision · your physician

Physician review

Your physician reviews your history and decides whether SS-31 is right for you. Prescription items ship only after a physician approves them.

Your physician may ask for a live visit or labs before prescribing.

Step 03 of 07: Pharmacy · cGMP

Made to cGMP

SS-31 comes from a U.S.-licensed manufacturer working under current Good Manufacturing Practice (cGMP). It is not an FDA-approved drug product.

Step 04 of 07: Shipping · to your door

Shipped to your door

Once your physician approves it, your order ships to your door. Storage and handling instructions come with your prescription.

Step 05 of 07: First dose · lyophilized

Reconstitute, then dose

The vial arrives freeze-dried, as a dry cake, and is reconstituted with bacteriostatic water before the first dose.

Syringes, swabs and bacteriostatic water are on the store as a $20 starter kit.Starter kit ↗

Step 06 of 07: Check-in · physician’s decision

One physician

The same clinician who prescribes reviews how you respond. Any change to your dose is your physician’s decision.

Never change a dose without talking to your physician.

Step 07 of 07: Refill · Patient Support

Your next vial

How long a vial lasts depends on the dose and schedule your physician sets.

  1. 01 Consult
  2. 02 Review
  3. 03 Pharmacy
  4. 04 Shipping
  5. 05 First dose
  6. 06 Check-ins
  7. 07 Refills

01Overview

SS-31 (elamipretide) is a four-amino-acid peptide that concentrates in mitochondria and binds cardiolipin, a lipid of the inner mitochondrial membrane.

The FDA-approved elamipretide product is indicated only for Barth syndrome; this compounded version is not that product. Your physician decides whether it is right for you.

Dispensed as
SS-31
Strengths
10 mg · 3 mL (lyophilized)
50 mg · 3 mL (lyophilized)
Route
Subcutaneous injection
Sourcing
Made by a U.S.-licensed cGMP manufacturer
Access
Prescription only, after a physician consult

02Structure

Fig. 14 · SS-31C₃₂H₄₉N₉O₅

3D model

D-ArgDmtLysPheNH₂

Four residues: D-Arg-Dmt-Lys-Phe-NH₂. The first is a D-amino acid, Dmt is 2′,6′-dimethyltyrosine, and the C-terminus is an amide.

Ref. PubChem CID 11764719 · Coordinates: computed conformer (RDKit)

03How it’s taken

Subcutaneous injection. Your physician sets the dose and the schedule, and explains how to prepare and give each dose. Never change a dose without talking to your physician.

The vial arrives freeze-dried, as a dry cake. It is reconstituted with bacteriostatic water before the first dose, which keeps the compound stable until you need it. Syringes, swabs and bacteriostatic water are on the store as a $20 starter kit ↗.

Storage and handling instructions come with your prescription.

04How you get it

  1. Select your state. State rules decide what can be prescribed where you live.
  2. Consult a physician. Start with an async consult ($39) or a live consult ($49).
  3. Physician review. Your physician decides whether SS-31 is right for you and writes the prescription.
  4. Shipped to your door. Once approved, your order ships. Patient Support is at +1 (888) 471-9962.

05Sourcing

cGMP

Produced by a U.S.-licensed manufacturer under current Good Manufacturing Practice (cGMP). It is not an FDA-approved drug product.

06Questions

Do I need a prescription for SS-31?

Yes. SS-31 is prescription-only. Start with an async consult ($39) or a live consult ($49). A licensed physician reviews your history and decides whether it is right for you.

Which strengths are available?

On our store: 10 mg · 3 mL lyophilized, $100; 50 mg · 3 mL lyophilized, $235. Your physician decides which strength and schedule fit your protocol.

How does it arrive?

As a lyophilized (freeze-dried) cake in a sealed vial with a flip-off cap. It is reconstituted with bacteriostatic water before the first dose; your prescription explains how.

Who makes it?

Produced by a U.S.-licensed manufacturer under current Good Manufacturing Practice (cGMP). It is not an FDA-approved drug product.

How long does a vial last?

It depends on the dose and schedule your physician sets. Patient Support can help at +1 (888) 471-9962.

07Safety

Important safety information

Compounded SS-31 is not FDA-approved for any use, and its safety and effectiveness in people have not been established. The FDA-approved elamipretide product is indicated only for Barth syndrome; this is not that product.

Possible side effects include redness, swelling, itching or pain where it is injected, and allergic reactions. Not for use during pregnancy or breastfeeding.

Tell your physician about every condition and medicine before starting, and report any new symptom.

Compounded medications are prepared by state-licensed pharmacies for individual patients. They are not FDA-approved and have not been evaluated by the FDA for safety, effectiveness or quality. This page is general information and does not replace a consultation with a licensed physician, who decides whether a treatment is appropriate for you.