SS-31 protocols?

I feel ya. I've been on 5mg daily for 11 days. Starting Mots-c on day 14. 5mg daily with two days off (3/2). Ss-31 will probably always be part of the rotation since I have felt some energy and focus gains.
I may have plagiarized your "pep in the step" when writing.. lol
 
Elamipretide (SS-31), a synthetic tetrapeptide, is being investigated for its potential to help individuals with damaged mitochondria. SS-31 is designed to selectively target mitochondria, aiming to restore their function, particularly in conditions like mitochondrial diseases and aging.
Thanks again. I just started reading about SS-31 a week ago. I didn't know that Elamipretide was the name for it, or that its peptide class is tetrapeptide.
 
Trial dosages are in the range of 20mg (low dose trials)-40mg/day sub-q. Based on that, there's no reason to think less than 1mg/day is going to do literally anything besides give your an occasional bruise from the injection. Here's an example for dry eye age related macular dysfunction. https://clinicaltrials.gov/study/NCT06373731?intr=Elamipretide&rank=4

This is a peptide where human clinical trial data actually exists. 500mcg is pointless.

Similarly, from another study by the same company, SS-31 was well-tolerated at 40mg/day (though not effective for a rare disorder):

2023 Jul 18
After screening, eligible participants were randomized 1:1 to receive either 24 weeks of elamipretide [SS-31] at a dose of 40 mg/d or placebo subcutaneously...

Subcutaneous elamipretide treatment did not improve outcomes in the 6MWT [Six-Minute Walk Test] and PMMSA TFS [Primary Mitochondrial Myopathy Symptom Assessment Total Fatigue Score] in patients with PMM [primary mitochondrial myopathy]. However, this phase-3 study demonstrated that subcutaneous elamipretide [SS-31] is well-tolerated.
 
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From a small study (PDF) using rats:

"Our data show the potential of SS-31 as a novel therapeutic in cardiac arrest"

"Previous studies tested SS-31 using different dosages invarious diseases [3] and 0.05mg/kg/h is a commonly used dosage for continuous administration with consistent effectiveness"

"Mitochondrial dysfunction is believed to play an important role for the pathogenesis of cardiac arrest."

"The wide spectrum of protective action makes SS-31 a promising therapeutic agent in CA [cardiac arrest], where multiple organs are affected."
 
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I tried MOTSc for about two weeks but didn't have any increased energy or anything. Then I realized I should have started with SS-31 first to prime my system so to speak so I stopped it LOL..... That's around the same time of my Tirz stall aka its never really worked for me.

So I came up with the plan to do a cycle of NAD & AOD between cycling off the Tirz. I do notice increased energy with the NAD+ as well, I was impressed since I've never had consistent responses from Sema or TIrz, FINALLY something my body is working with.

I'll start Reta January first, as long as I make it that long. Then I'll drop the AOD mid January and start the SS31, followed by the MOTSc....... I'll need a calendar to keep these things straight lol
I was told that you use as-31 first, then MOTS-C, because the first one heals and optimizes, but I don’t know if it’s true.
 
I think most are quoting Dr. Seeds protocol, although I have not been able to confirm, it is certainly my motivating reason to buy into ss-31 then mots.
From his book:
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William A. Seeds, MD is a board-certified surgeon practicing medicine for over 30 years. He is Founder and Chairman of the International Peptide Society, Faculty Developer and Lecturer of the A4M Peptide Certification Program, and a leading peptide therapy researcher. He is Chief of Surgery and Orthopedic Residency Site Director for University Hospital, Conneaut, and Medical Director of Orthopedic Rehab and Sports Medicine at the Spire Institute, a USA Olympic training site. Dr. Seeds has been honored at the NFL Hall of Fame for his medical expertise and in treating professional athletes, and serves as Professional Medical Consultant for the NHL, MBL,NBA, and NBC’s Dancing with The Stars.


HERE is one of his podcast interviews, many more links on youtube.



HERE is another example from a random user I found:
It’s a matter of mitochondrial genomics and their ability to self replicate (only other self replicating organelle I can think of are peroxisomes in animals).

Remember: The mitochondrial membrane have the proteins responsible for the cell to produce “energy” and “breathe” for the cell — the electron transport system. So a partially denatured and damaged membrane of mitochondria (phospholipid cardiolipin) make it harder for the cell to do its normal function, producing proteins, etc…leading to be harder for tissues and organs to function properly and the body being tired and lack ability to properly function.

Mitochondria are self replicating. If one has mitochondrial breakdown of membranes due to ROS — reactive oxygen species — free radicals…at any point mutations (or others) in the mitochondrial genome is likely to reproduce/self-replicate mitochondria with those same mutations (F1 generation).

Furthermore, like any other genome or organism — remember though it is the mitochondria is an organelle — and, it is subject to both epigenetics and pleiotopy. If the mitochondria are exposed to ROS, these ROS have an effect on gene expression resulting in possible mitochondria expressing genes (phenotypes) that underwent mutation. Pleiotropy — if an affected mitochondria results in mutations prior to self replication, and if gene is pleiotropic (but consider all genes are pleiotropic to some degree) that has expression of that mutation will result in many phenotypic changes that are deleterious in the normal functioning of that mitochondria and hence likely the entire cell.

Therefore, healing properties of SS-31 will have a greater effect on mitochondrial function within cells and (theoretically) other peptides will be more effectual in helping the body.

This an oversimplified description of genetics of mitochondria or the cell itself.

Main point— SS31 or Humarin (HGN) should come before MOTS-C which directly stimulates the present mitochondria (at time of use ) to performing better.

I mentioned peroxisomes notable function is to “neutralize” reactive oxygen species in the cell or detox the cell of free radicals. Also they are involved in metabolism (catabolism) of fatty acids in the cells. Due to the structure of fatty acids— they are hydrogen rich — the hydrogen density exposes them to reactive oxygen species. I am not aware of any peptide that helps peroxisomes function better.
 

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