Targets cardiolipin in the inner mitochondrial membrane to stabilize electron transport chain function.
Medically reviewed by Dr. Jonathan Snipes, MD. Last reviewed May 6, 2026.
Your prescriber
Kim Callender, NP, FNP-BC
Lead prescriber. Medical director: Jonathan Snipes, MD.
Elamipretide (SS-31) lab report
Passed sterility and endotoxin
Tested by Eagle Analytical, lot LG342011024, report dated Oct 7, 2026.
Patient reviews
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SS-31 (Elamipretide) is a cell-permeable peptide that concentrates in mitochondria, specifically targeting the inner membrane where energy production occurs.
It binds to cardiolipin, a phospholipid in the inner mitochondrial membrane, stabilizing the electron transport chain and reducing reactive oxygen species (ROS) production.
Those focused on mitochondrial health, cellular energy production, and reducing oxidative stress. Excellent for age-related mitochondrial decline.
Generally well-tolerated. Discuss with provider for any mitochondrial disease history.
Ready to add Elamipretide (SS-31)?
A licensed provider reviews every order.
Pharmacy Price
$100
15mg/mL, 5mL vial (75mg total)
You pay pharmacy price. No markup.
Starting Dose
33 units (5mg)
Form
Injectable vial, 5mL
Your pharmacy label will read
ELAMIPRETIDE (SS-31)
15 MG/ML (5 ML)
The label shows strength per mL, not the total in the vial.
What that means
Dosing Protocol
33 units subcutaneous injection once daily, Monday to Friday. 33 units = 0.33mL × 15mg/mL = 5mg per injection. 8 to 12 weeks duration, may be cycled or extended.
Beyond Use Date
90 Days from compounding (USP <797>)
A licensed U.S. 503A compounding pharmacy assigns this date and prints it on your vial label. Always follow the label.
Ready to add Elamipretide (SS-31)?
A licensed provider reviews every order.
From our medical director's protocol for Elamipretide (SS-31). Where the evidence is thin, it says so.
The protocol uses 5 mg on a five-days-on, two-days-off schedule.
This dose is substantially lower than the 40 mg daily dose used in major clinical development programs and in the FDA-approved Barth syndrome product.
The 5 mg wellness protocol comes from clinical practice rather than a human trial establishing this dose for healthy adults.
Elamipretide targets cardiolipin within mitochondria and has been studied in several mitochondrial and metabolic disease programs.
Large human trials have generally focused on patients with diagnosed medical conditions rather than healthy adults.
In primary mitochondrial myopathy, a large Phase III study using 40 mg daily did not meet its primary walking or fatigue endpoints.
Elamipretide later received FDA accelerated approval for Barth syndrome, a rare inherited mitochondrial disorder.
No published human trial has established elamipretide for longevity, general mitochondrial support, cognition, exercise recovery, or nonspecific fatigue in healthy adults.
Research also has not established the effectiveness or expected response time of the 5 mg protocol used here.
Each order also carries the $39 prescriber review. Pharmacy prices are the pharmacy's own; we add nothing to them.
Ready to add Elamipretide (SS-31)?
A licensed provider reviews every order.
Ready to add Elamipretide (SS-31)?
A licensed provider reviews every order.
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All 2 Elamipretide (SS-31) samples tested for sterility and endotoxin passed both. Latest sample received by the lab Sep 29, 2026.
Every Elamipretide (SS-31) batch dispensed by a licensed U.S. 503A compounding pharmacy is independently tested by Eagle Analytical Services (FDA-registered, A2LA ISO 17025 accredited). Sterility testing checks that nothing grows in the sample; the USP <85> endotoxin test checks for bacterial toxins that can cause fever. Below is the lab's own report for each of the 2 most recent lots.
Eagle Analytical Services is an independent FDA-registered laboratory, A2LA accredited to ISO 17025, based in Houston, Texas. They have no commercial relationship with Rx Peps Direct. Rx Peps Direct prescribes; the pharmacy compounds and dispenses; Eagle tests every batch. Three separate companies. Results apply only to the tested sample as received. Browse our full quality program on the quality page.
Ready to add Elamipretide (SS-31)?
A licensed provider reviews every order.
Elamipretide (SS-31) is available by prescription after an online medical review and dispensed for human use by a licensed 503A pharmacy. That is what separates it from research-use-only vials sold without a prescription. There is no membership, just a medical review fee per order, and automatic refills are optional.
Complete a $39 medical review. Answer a short intake about your health history and your goals for Elamipretide (SS-31). The $39 fee is the only charge Rx Peps Direct collects, paid once, not a recurring subscription.
A licensed provider reviews it. A US-licensed clinician reviews your intake and, if Elamipretide (SS-31) is appropriate for you, writes a patient-specific prescription. The starting dose is typically 33 units (5mg).
The pharmacy compounds and ships it. A licensed 503A compounding pharmacy in Texas compounds Elamipretide (SS-31) and ships it pre-reconstituted by FedEx overnight in a reusable cooled case. Your fill is a 5mL injectable vial at 15mg/mL (75mg total), labeled "ELAMIPRETIDE (SS-31) 15 MG/ML (5 ML)", and you pay the pharmacy $100 per vial at wholesale, with no clinic markup, plus a $15 flat FedEx overnight shipping fee charged by the pharmacy.
Rx Peps Direct prescribes Elamipretide (SS-31) in the 28 states plus Washington, DC where its medical team is licensed. Start your $39 medical review or browse the full Longevity & Anti-Aging range. Comparing services first? See how Rx Peps Direct stacks up against seven other providers in our best telehealth for compounded peptides comparison.
Ready to add Elamipretide (SS-31)?
A licensed provider reviews every order.
Ready to add Elamipretide (SS-31)?
A licensed provider reviews every order.