Dosage guide

SS-31 Dosage

Mitochondrial peptide

SS-31 (elamipretide) has a clear trial dose to anchor to: 40 mg subcutaneously once daily. That is the regimen used in the MMPOWER-3 primary mitochondrial myopathy trial and in the FORZINITY product approved for Barth syndrome in 2025.[1][2]

Reviewed for accuracy · Last reviewed July 7, 2026

Dosing

Approved use (FORZINITY)40 mg subcutaneously, once daily
Trial dosing (MMPOWER-3)40 mg/day subcutaneously
RouteSubcutaneous injection
The 40 mg daily figure comes from the approved Barth syndrome label and trial protocols. Research use outside that indication has no established dose.

The important context is that this dose is tied to specific clinical settings, and the compound's results were mixed: it gained a narrow accelerated approval for Barth syndrome on a muscle-strength endpoint, while the larger mitochondrial myopathy trial did not meet its primary endpoints. Research use outside those indications has no established dose, and independently sourced material carries no guarantee of the testing an approved product does.

FAQ

What dose of SS-31 was used in trials?40 mg subcutaneously once daily, in both the MMPOWER-3 mitochondrial myopathy trial and the approved Barth syndrome product. There is no established dose for uses outside those indications.
Is there an approved SS-31 dose?Yes, for one narrow use. The FORZINITY label for Barth syndrome specifies 40 mg subcutaneously once daily. That approval does not extend to general research or anti-aging use.

References

  1. FORZINITY (elamipretide) injection: DailyMed labelDailyMed (U.S. National Library of Medicine) · 2025 · DailyMed setid 146bf34c-76f2-48db-ac07-fb29cce2cd75 · NDA 215244
  2. Efficacy and Safety of Elamipretide in Individuals With Primary Mitochondrial Myopathy: The MMPOWER-3 Randomized Clinical TrialNeurology · 2023 · PMID 37268435 · DOI 10.1212/WNL.0000000000207402
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This page is an independent educational reference and is not medical advice. Talk to a doctor before starting any compound.