Updated August 2026
Thymulin Dosage: Human Trials, Research Protocol, and Reconstitution
Research status: Thymulin is a zinc-dependent thymic nonapeptide (serum thymic factor, FTS-Zn, nonathymulin). Human administration was studied mainly in the 1980s. ≠ thymalin (20-day regimens), ≠ thymosin alpha-1, ≠ TB-500. There is no U.S. approved dose. The clearest human dose comparison used 1, 5, and 10 mg/day in RA — 5 mg/day had the strongest signal but is not a universal dose. The most reproducible current evidence is nonclinical: 1.5 mg/kg IP × 28 days with equimolar ZnCl2 in aged mice — do not convert to human HED.
There is no established U.S. dosage and no verified current approved international finished-product dosage. NIH/NCATS classifies nonathymulin as investigational; historical development was discontinued.
The best-known human dose comparison is two 1987 RA RCTs with nonathymulin at 1, 5, or 10 mg/day. 5 mg/day produced the strongest reported clinical signal — but the dose-response was non-monotonic, and accessible abstracts omit route, zinc formulation, and duration.
A separate experiment used 500 mcg SC once (n=5 RA). An MS trial used six months SC with no significant benefit — dose absent from abstract. The complete research protocol on this page replicates the 2026 aged-mouse tumor model: 1.5 mg/kg IP daily × 28 days with equimolar ZnCl2 — clearly labeled animal only.
Thymulin dosage in 30 seconds
| Question | Evidence-based answer |
|---|---|
| Molecule | Thymulin — zinc-dependent thymic nonapeptide (FTS-Zn when active) |
| Sequence | Pyr-Ala-Lys-Ser-Gln-Gly-Gly-Ser-Asn-OH |
| Free-peptide mass | ~858.85 Da · acetate commercial ~918.91 Da |
| Historical human doses | 500 mcg SC once; 1, 5, or 10 mg/day in RA |
| Recent mouse dose | 1.5 mg/kg IP once daily + equimolar ZnCl2 |
| Topical pilot | 0.0005% zinc-thymulin · 1–2 mL twice daily |
| Validated community protocol | None |
| Main dosing problem | Identity, zinc state, assay, route, incomplete trial reporting |
- No U.S. approved dose — NIH/NCATS investigational; development discontinued
- Historical RA RCTs: 1, 5, 10 mg/day — 5 mg/day strongest signal (non-monotonic)
- 500 mcg SC once documented (n=5 RA biological-response experiment)
- MS trial: 6 months SC — dose not in abstract; no significant benefit
- Topical pilot: 0.0005% · 1–2 mL BID = 5–10 mcg/application by arithmetic
- FTS (zinc-free) ≠ FTS-Zn (active) — zinc state is critical; equimolar ZnCl2 in modern animal work
- ≠ thymalin / Tα1 / TB-500 — 20-day thymalin cycles are not thymulin evidence
- Mouse replication: 1.5 mg/kg IP × 28 d + equimolar ZnCl2 — not a human protocol
What is thymulin?
Thymulin is a nine-amino-acid thymic peptide with sequence pyroglutamyl-alanyl-lysyl-seryl-glutaminyl-glycyl-glycyl-seryl-asparagine. It was historically called serum thymic factor or facteur thymique sérique. Nonathymulin is the INN for the defined synthetic peptide used in historical drug research.
The classic biochemical distinction is between FTS (zinc-free nonapeptide, little or no recognized activity in the traditional bioassay) and FTS-Zn (active form when peptide binds zinc in ~1:1 molar relationship). Zinc dependence is not marketing detail — it creates a biologically recognized epitope. ([PNAS zinc-epitope study](https://pmc.ncbi.nlm.nih.gov/articles/PMC391304/))
NIH/NCATS lists free-peptide formula C33H54N12O15, mass 858.8533 Da, CAS 63958-90-7, UNII 9H198D04WL. Thymulin acetate has higher gross mass (~918.91 Da commercial certificate) — do not interchange when calculating active peptide. ([Inxight Drugs](https://drugs.ncats.io/drug/9H198D04WL))
Identity and naming checks
The most common online error is importing a 20-day thymalin regimen into a thymulin page. Thymalin ≠ thymulin. Also distinct: thymosin alpha-1, TB-500/Tβ4, thymopentin, thymopoietin, PAT analogue, and homeopathic 5CH preparations.
Identity gate
Confirm FTS-Zn / thymulin vs thymalin, Tα1, TB-500, FTS-free, or unsure
Incomplete — confirm identity and zinc state before trusting protocols
A label stating only “thymulin 10 mg” leaves critical questions unanswered: zinc-free vs complexed, acetate vs free peptide mass, assay-corrected active moiety, and bioactivity. Analytics should resolve identity and zinc stoichiometry first.
Names that are not interchangeable
| Name | What it usually means | Reusable for thymulin? |
|---|---|---|
| Thymulin / FTS-Zn | Zinc-associated active nonapeptide | This page's subject — verify zinc state |
| FTS | Often zinc-free nonapeptide | Only after zinc state and bioactivity defined |
| Nonathymulin | INN synthetic nonapeptide | When formulation, route, zinc match study |
| Thymulin acetate | Acetate research material | Do not assume zinc-complexed or active-moiety = label mass |
| Thymalin | Thymic extract / peptide mixture | No — 20-day schedules cannot transfer |
| Thymosin alpha-1 | Different 28-aa peptide | No |
| TB-500 / Tβ4 | Different actin-binding system | No |
| PAT analogue | Synthetic thymulin analogue | No — analogue doses ≠ thymulin |
Before any laboratory administration, establish intact mass, sequence (including N-terminal pyroglutamate), quantitative peptide assay, counterion/water content, zinc molar ratio, bioactivity assay, sterility/endotoxin, and stability-indicating methods. An HPLC purity percentage cannot answer most of these questions.
Product, zinc, salt, and assay checks
Current animal work used thymulin acetate plus equimolar ZnCl2. “Equimolar” means one mole of zinc reagent for each mole of peptide — not equal mass. For 1 mg free peptide: ~0.001164 mmol → ~0.159 mg anhydrous ZnCl2. That example is laboratory stoichiometry, not a self-mixing instruction.
Zinc state gate
Zinc-free FTS vs FTS-Zn vs acetate + equimolar ZnCl2 vs unknown
Not reproducible
Community protocols often assume any “thymulin” vial is active. Without zinc content assay and bioactivity testing, dose and effect cannot be reproduced.
Equimolar stoichiometry example (educational only)
1 mg peptide ≈ 0.001164 mmol → ≈ 0.1587 mg anhydrous ZnCl2
Laboratory stoichiometry example only — not a self-mixing instruction. Correct mass changes with hydrate form, acetate salt, assay potency, pre-existing zinc, pH, and validated formulation procedure.
Quality attributes before dosing math
| Quality attribute | Question it answers |
|---|---|
| Intact-mass spectrometry | Principal peptide consistent with nine-residue sequence? |
| Sequence confirmation | N-terminal pyroglutamate and correct residue order? |
| Quantitative peptide assay | Milligrams of active peptide vs total lyophilized material? |
| Zinc content and molar ratio | Absent, intended ratio, or uncontrolled excess? |
| Biological activity assay | Zinc-dependent activity in qualified assay? |
| Sterility / endotoxin / particulate | Acceptable for intended route? |
U.S. and international status
There is no U.S. prescribing label or FDA-established dosage for thymulin. The [FDA UNII record](https://precision.fda.gov/uniisearch/srs/unii/9H198D04WL) identifies the substance but notes UNII does not imply regulatory review or approval.
The [NIH/NCATS drug record](https://drugs.ncats.io/drug/9H198D04WL) describes nonathymulin as investigational and states historical development for ischemic heart disorders and rheumatoid arthritis was discontinued. No currently approved finished thymulin/nonathymulin medicine with verified national prescribing dose was identified in major accessible registries.
Historical clinical development and publication do not equal a current national label. Absence of verified current approval is not proof no historical authorization ever existed — but there is no defensible universal dose.
Dosage used in human clinical research
The table reports administered exposures from primary human literature. A historical dose is not a recommendation, and missing route, formulation, or duration should remain missing rather than filled with assumptions.
Human trial evidence
RA 1/5/10 mg/day · 500 mcg SC · MS · topical · ex vivo — no universal dose
Human RCT
1, 5, or 10 mg/day
- Frequency / route
- Daily; route not in PubMed abstract
- Duration
- Not reported in abstract
- Population
- Two RCTs, rheumatoid arthritis
- Main result
- 5 mg/day strongest signal (56% improved vs 17% placebo); non-monotonic — incomplete methods prevent modern protocol
| Human-evidence question | Finding |
|---|---|
| U.S. approved dosage | None |
| NIH/NCATS status | Nonathymulin investigational; historical development discontinued |
| Strongest human dose comparison | RA RCTs: 1, 5, 10 mg/day — 5 mg/day best reported signal |
| Documented SC human amount | 500 mcg once (n=5 RA biological-response experiment) |
| MS six-month SC trial | Dose absent from abstract; no significant clinical benefit |
| Topical pilot exposure | 0.0005% · 5–10 mcg per application by arithmetic |
| Modern mouse dose | 1.5 mg/kg IP daily × 28 d + equimolar ZnCl2 — not a human dose |
| Validated community protocol | None |
| Main dosing problem | Identity, zinc state, assay, route, incomplete old trial reporting |
Rheumatoid arthritis: 1, 5, and 10 mg/day
The best-known human dose comparison is a 1987 report of two randomized, double-blind, placebo-controlled RA trials. Participants received nonathymulin at 1, 5, or 10 mg/day. 5 mg/day was most effective: 56% globally improved vs 17% placebo (p < 0.02). The response did not track with clear immunological changes. ([Amor et al., 1987](https://pubmed.ncbi.nlm.nih.gov/3310925/))
Limitations: nearly four decades old; abstract omits route, zinc formulation, exact duration; non-monotonic dose-response (5 mg > 1 or 10 mg); did not establish benefit for healthy aging, infection, or nonspecific immune support. Withdrawals in the 5 mg group after thrombocytopenia (month 3) and vasculitis (month 5) deserve mention — causality not established.
Single 500 mcg subcutaneous exposure
A 1984 RA experiment administered 500 mcg synthetic zinc-supplemented FTS SC once to five participants. Lymphocyte subsets measured before and one hour later. Same report exposed cells in vitro to 0.125, 1.25, and 12.5 ng/mL — in vitro concentrations are not injectable doses. ([Faure et al., 1984](https://doi.org/10.1016/0192-0561(84)90058-4))
Clearest primary evidence for a documented SC human amount — but n=5 and one-hour window cannot establish a clinical protocol.
Multiple sclerosis: six months SC with no clear benefit
A randomized study of 40 matched MS participants received nonathymulin or placebo SC for six months plus six months observation. No significant difference in Kurtzke disability, Ambulation Index, or Functional Scale outcomes; no significant side effects. Exact dose absent from abstract — must not be inferred from RA program. ([Haahr et al., 1989](https://pubmed.ncbi.nlm.nih.gov/2618585/))
Topical zinc-thymulin pilot
An uncontrolled androgenetic-alopecia pilot used 0.0005% zinc-thymulin, 1–2 mL twice daily for 4–10 months. Arithmetic reconstruction: 0.0005% w/v = 5 mcg/mL → 5–10 mcg per application → 10–20 mcg/day on scalp. Study-specific zinc oxide preparation — not interchangeable with injectable acetate. ([Topical pilot](https://doi.org/10.4172/2167-0951.1000147))
Eighteen enrolled; 11 used ≥6 months. Visual analogue score improved (p = 0.045) but no placebo, blinding, or validated hair-count endpoint.
Human cells exposed outside the body
The 2026 Nature Communications study exposed human PBMCs to 1 mcg/mL thymulin plus equimolar ZnCl2 for 24 hours before inflammatory stimulation. This was ex vivo — not a blood target, infusion concentration, or human dose. Untreated human blood/tumor datasets were analyzed without systemic thymulin administration. ([Kanemaru et al., 2026](https://www.nature.com/articles/s41467-026-75383-0))
Reported human research dosage range
Exposure types — not one selectable range
| Exposure type | Lowest clear amount | Highest clear amount | What the range means |
|---|---|---|---|
| Historical systemic human research | 500 mcg once SC | 10 mg/day | Different experiments, incomplete formulations |
| Historical RA comparison | 1 mg/day | 10 mg/day | 5 mg/day best signal; higher not clearly better |
| Topical pilot | 5 mcg/application | 10 mcg/application | Local 0.0005%; cannot combine with systemic mg dosing |
| Human ex vivo | 1 mcg/mL | 1 mcg/mL | Cell-culture concentration, not participant dose |
There is no scientifically defensible “standard thymulin dose” selectable from this table. The human record is too old, sparse, and formulation-incomplete.
Thymulin community protocols
Reported modern schedules — provenance only, not validated
| Reported schedule | Source type | Likely provenance | Evidence problem |
|---|---|---|---|
| 100 mcg SC twice weekly | Peptide-practice toolkit | Preset practice pattern | No matched thymulin trial |
| 1 mg SC daily × 2 wk → 1 mg 3×/wk × 4 mo | Practitioner handbook | Induction + maintenance concept | No primary study supports sequence |
| Up to 5 mg/day “acute” phase | Handbook / calculator | Anchored to 5 mg RA signal | Changes disease context; omits historical product |
| 2 mg SC daily × 20 d, 3×/yr | Commercial dosing guide | Thymalin cycle conventions | No matching thymulin trial — name conflation |
| 1–5 mg/day | Research-vendor calculator | Echoes old RA arms | Treats trial arms as adjustable range |
There is no stable community consensus on amount, frequency, zinc formulation, duration, or purpose. Schedules without zinc-state specification are not reproducible.
Clinical research versus community reports
Evidence split
Historical human literature vs modern community protocols
Historical human literature
Old, sparse, formulation-incomplete — 5 mg/day RA signal strongest
- Product identity
- Synthetic FTS, FTS-Zn, or nonathymulin — sometimes incompletely described
- Zinc
- Deliberately supplemented in some studies
- Dose basis
- Fixed trial arms: 1 / 5 / 10 mg/day; 500 mcg once SC
- Route
- SC documented in some trials; topical in one pilot; RA route often missing
- Duration
- One dose to months of treatment
- Monitoring
- Disease-specific clinical or immune endpoints
- Dose escalation
- Formal 1/5/10 mg comparison — non-monotonic (5 mg best)
- Evidence
- Condition-specific and mixed; MS trial negative
Modern community protocols
Inconsistent — often conflates thymulin with thymalin or Tα1
- Product identity
- Often only “thymulin” on bulk vial — zinc state unspecified
- Zinc
- Frequently unspecified or assumed automatic
- Dose basis
- Template, calculator, or practitioner convention
- Route
- Usually SC without formulation validation
- Duration
- 8–20 weeks or repeated annual cycles
- Monitoring
- Symptom tracking only
- Dose escalation
- Flexible or “acute” 5 mg/day framing
- Evidence
- No matched controlled thymulin studies for most schedules
Complete evidence-anchored research dosing protocol
Replication of thymulin's effect on tumor progression and age-associated myeloid inflammation in aged mice — a nonclinical protocol. Current primary literature provides defined molecule, zinc condition, route, dose, tumor model, duration, and endpoints in mice. It does not convert animal exposure into a human dose. Requires IACUC approval, veterinary oversight, and trained personnel.
Nonclinical mouse protocol
1.5 mg/kg IP daily × 28 days + equimolar ZnCl2 — E0771 tumor model
⛔ Animal protocol only — NOT a human dose. Do NOT convert to human-equivalent dose (HED).
Days 1–28
1.5 mg/kg thymulin acetate + equimolar ZnCl2
IP once daily · fixed dose · no titration
Replication of Kanemaru et al., 2026 aged-mouse tumor protocol — zinc-matched vehicle control essential
Cumulative exposure: 28 consecutive daily doses
Kanemaru et al., 2026 replication: implant d0, first dose d1, daily IP through d28, endpoint d29. Zinc-matched vehicle control required. No loading, titration, taper, or human-dose conversion.
Research question
Does four weeks of fixed-dose thymulin acetate plus equimolar ZnCl2 slow E0771 mammary-tumor growth and reduce pro-inflammatory myeloid-cell activation in aged C57BL/6 mice compared with a zinc-matched vehicle?
Dose and schedule
Fixed specification — animal only
| Element | Specification |
|---|---|
| Dose | 1.5 mg/kg thymulin active-peptide equivalent |
| Route | Intraperitoneal |
| Frequency | Once every 24 hours |
| Duration | 28 consecutive days (or humane endpoint) |
| Tumor implantation | Study day 0 — 5 × 10⁵ E0771 cells |
| First dose | Study day 1 after implantation |
| Final scheduled dose | Study day 28 |
| Loading / titration / taper | None |
| Vehicle control | PBS + same molar ZnCl2 as treated arm |
Example mouse arithmetic only
| Body weight | Target peptide | Volume at 0.5 mg/mL |
|---|---|---|
| 20 g (0.020 kg) | 0.030 mg (30 mcg) | 0.06 mL |
| 25 g | 0.0375 mg (37.5 mcg) | 0.075 mL |
| 30 g | 0.045 mg (45 mcg) | 0.09 mL |
Why this is not a human protocol
Old 1/5/10 mg/day RA program lacks accessible modern-quality route, product characterization, PK, and long-term safety data. MS and pediatric abstracts omit dose. Constructing a human injection cycle from those gaps would create new instructions rather than reproduce a study. The complete protocol remains in the species and route for which a modern, source-locked regimen exists.
Animal and preclinical thymulin doses
Animal / preclinical research only. These doses are not human protocols. Do not convert to human-equivalent doses — zinc complexation, species biology, route change, and product bioactivity are unresolved.
Selected preclinical exposures
| Model | Dose / concentration | Route / schedule | Transfer boundary |
|---|---|---|---|
| Aged-mouse tumor/inflammation, 2026 | 1.5 mg/kg | IP once daily × 4 wk from day 1 post-implant | Mouse dose — do not convert |
| Human PBMC ex vivo, 2026 | 1 mcg/mL + equimolar ZnCl2 | 24 h culture | Ex vivo — not human administration |
| BALB/c LPS model, 2018 | 1.5 mg/kg | IP days 1 and 5 | Formulation-specific mouse study |
| Mouse cytokine model, 2008 | 0.15 mg/kg | Prior injection; timing unclear | Old study; incomplete abstract |
| PAT analogue rats | 1, 5, or 25 mcg | IP | Analogue — not thymulin |
| Homeopathic 5CH mouse | ~4 pg/mouse | Drinking water | Not conventional peptide dosing |
Reconstitution and U-100 syringe math
Tables show concentration and volume arithmetic for a vial whose active-peptide content and final volume are known. They do not establish sterility, zinc-complexed state, stability, or suitability for human use.
Concentration (mg/mL) = vial peptide (mg) ÷ final volume (mL) · Volume (mL) = desired amount (mg) ÷ concentration · U-100 units = volume (mL) × 100.
Reconstitution math
5 mg/2 mL · 10 mg/2 mL · 10 mg/1 mL — with zinc/assay warnings
Vial preset
Target amount
5 mg · 2 mL (2.5 mg/mL) · concentration ≈ 2.50 mg/mL · ≈ 25 mcg per U-100 unit
500 mcg = 0.200 mL = 20.0 U-100 units
RA 500 mcg reference: 5 mg/2 mL → 500 mcg = 20 U — arithmetic only; zinc state and assay basis still required.
Common online arithmetic — verify active-peptide assay and zinc state Label mass may refer to acetate gross mass, not free-peptide equivalent. Zinc state must be verified — assuming “thymulin” means zinc-complexed is not supported.
Calculation reference only — not a formulation recipe. Equimolar ZnCl2 addition requires validated laboratory procedure; do not casually add zinc to injectable vials.
5 mg vial at 2 mL (2.5 mg/mL = 2,500 mcg/mL)
| Peptide amount | Volume | U-100 units |
|---|---|---|
| 100 mcg | 0.04 mL | 4 units |
| 500 mcg | 0.20 mL | 20 units |
| 1 mg | 0.40 mL | 40 units |
| 2 mg | 0.80 mL | 80 units |
| 5 mg | 2.00 mL | 200 units |
10 mg vial at 2 mL (5 mg/mL = 5,000 mcg/mL)
| Peptide amount | Volume | U-100 units |
|---|---|---|
| 100 mcg | 0.02 mL | 2 units |
| 500 mcg | 0.10 mL | 10 units |
| 1 mg | 0.20 mL | 20 units |
| 5 mg | 1.00 mL | 100 units |
| 10 mg | 2.00 mL | 200 units |
10 mg vial at 1 mL (10 mg/mL = 10,000 mcg/mL)
| Peptide amount | Volume | U-100 units |
|---|---|---|
| 100 mcg | 0.01 mL | 1 unit |
| 500 mcg | 0.05 mL | 5 units |
| 1 mg | 0.10 mL | 10 units |
| 5 mg | 0.50 mL | 50 units |
Cross-check whether labeled mass is free-peptide equivalent, acetate gross mass, assay-corrected peptide, or nominal fill. 10 mg/mL is arithmetic, not evidence the peptide-zinc complex remains soluble, stable, or tolerable. Treating gross salt mass as active-peptide mass is a common error.
Administration routes in the literature
Route evidence summary
| Route | Where it appears | What is known | What remains uncertain |
|---|---|---|---|
| Subcutaneous | RA 500 mcg experiment; MS trial | 500 mcg once documented in RA | Broad PK, bioavailability, chronic regimen |
| Unspecified systemic | RA 1/5/10 mg/day trials | Daily milligram arms compared | Route not in accessible abstract |
| Topical | Alopecia pilot | 0.0005%, 1–2 mL BID | Absorption, efficacy, long-term safety |
| Intraperitoneal | Modern mouse studies | 1.5 mg/kg reproducible in animals | Not routine human route |
| Cell culture | PBMCs, macrophages | 1 mcg/mL + equimolar zinc | Not in vivo target concentration |
Storage and handling
Vendor-reported conditions — product-specific, not universal
| Source / form | Storage | Interpretation |
|---|---|---|
| MedChemExpress serum thymic factor acetate (powder) | −80°C 2 yr or −20°C 1 yr | Particular research lot — not clinical label |
| MedChemExpress (in solvent) | −80°C 6 mo or −20°C 1 mo | Not multidose BUD for user-reconstituted vials |
| Cayman thymulin acetate hydrate | −20°C | Catalog entry — final formulation may differ |
Record reconstitution date, final volume, concentration, zinc condition, lot, and appearance. Do not assume bacteriostatic water creates a 28-day stability period.
What can research reasonably measure?
Endpoint vs limitation
| Research question | More defensible endpoint | Important limitation |
|---|---|---|
| Aged myeloid inflammatory capacity | Prespecified IL-1α/β, IL-6, TNF-α flow panel | Standardized stimulation and blinded gating required |
| Topical hair growth | Blinded photography, target-area hair count | Separate placebo and natural-cycle effects |
| Clinical rheumatoid arthritis | Modern validated disease-activity measures | Historical signals ≠ modern trial substitute |
| Cancer immunotherapy synergy | Prospective human trial with response/survival | Current evidence preclinical and age/model dependent |
Common dosing claims vs evidence
Myth / claim checker
Thymalin=same, zinc automatic, 5 mg universal, mouse→human, 20-day cycle
Thymulin is a defined zinc-dependent nonapeptide. Thymalin is a thymic extract or peptide mixture. A 20-day thymalin schedule is the most common online conflation error and is not evidence for thymulin.
Dosage evidence ladder
Overall thymulin dosing evidence: low. Human administration is real but old, small, and incompletely reported. The 5 mg/day RA signal is the strongest dose-comparison result, not a universal dose. Modern community protocols sit below human and animal literature because they lack matched controlled studies and often omit zinc state.
Dosage evidence ladder
Overall thymulin dosing evidence: low — 5 mg/day RA signal ≠ universal dose
| Evidence level | Thymulin evidence | Assessment |
|---|---|---|
| Current approved prescribing label | Not identified for thymulin/nonathymulin | None |
| Large modern confirmatory human trials | Absent | None |
| Randomized human dose comparison | Historical RA trials: 1, 5, 10 mg/day | Low — incomplete modern reproducibility |
| Other controlled human administration | Six-month SC MS trial — dose absent; no significant benefit | Low |
| Small or uncontrolled human research | 500 mcg SC once; pediatric report; uncontrolled topical pilot | Very low |
| Modern animal studies | 1.5 mg/kg IP + equimolar ZnCl2 in aged mice (2026) | Moderate for animal replication — not human transfer |
| Ex vivo and in vitro studies | 1 mcg/mL human PBMC; mouse macrophage cultures | Mechanistic only |
| Community practice | 100 mcg BIW to multi-mg daily — inconsistent; thymalin conflation common | Insufficient |
Safety and tolerability
Human safety database is small and old. RA trials described adverse effects as minimal overall, but thrombocytopenia and vasculitis withdrawals in the 5 mg group deserve attention. MS abstract reported no significant side-effect difference. Topical pilot: one transient redness episode.
Plausible research risks include immune modulation in autoimmune/infection/malignancy contexts, uncontrolled zinc exposure, hypersensitivity, injection-related harms, contamination/endotoxin, hematologic changes, and unknown reproductive/cancer effects in humans.
Safety findings
Thrombocytopenia, vasculitis, immune modulation, and zinc exposure risks
| Topic | Status | Note |
|---|---|---|
| Overall trial tolerability | Described as minimal in RA trials | Old, small database — not a modern safety profile |
| Thrombocytopenia | Withdrawal reported (5 mg group, month 3) | Causality not established — relevant in autoimmune populations |
| Vasculitis | Withdrawal reported (5 mg group, month 5) | Should not be erased from safety summaries |
| MS trial side effects | No significant difference vs placebo (abstract) | Six months SC — dose not reported in abstract |
| Topical pilot | One transient redness episode | After sun exposure and scalp abrasion — attributed to non-active component |
Drug and treatment interactions
Co-interventions that may change interpretation or safety
| Co-intervention | Why it matters |
|---|---|
| Corticosteroids, biologics, DMARDs, chemotherapy | Can mask, oppose, or amplify immune endpoints |
| Immune-checkpoint inhibitors | Mouse synergy ≠ human safety study |
| Zinc supplements | Change total zinc exposure and confound activity |
| Other immune peptides (Tα1, thymalin, TB-500, BPC-157, KPV, GHK-Cu, LL-37) | Prevent attribution; overlapping pathways |
Anti-doping status
Thymulin is not specifically named on the 2026 WADA Prohibited List. However, section S0 Non-Approved Substances covers pharmacological substances without current approval by a governmental regulatory health authority for human therapeutic use. Because no current approved thymulin medicine was verified, thymulin could fall within S0 and be prohibited at all times. ([2026 WADA Prohibited List](https://www.wada-ama.org/sites/default/files/2025-09/2026list_en_final_clean_september_2025.pdf))
Bottom line
Thymulin has a genuine but limited human research history. The most informative dose comparison used 1, 5, and 10 mg/day in RA with the strongest signal at 5 mg/day. A separate experiment used 500 mcg SC once; an MS trial found no significant benefit; a topical pilot used 0.0005% zinc-thymulin twice daily. None establishes a modern universal regimen.
The most reproducible current dosing evidence is nonclinical: 1.5 mg/kg IP once daily with equimolar ZnCl2 in aged mice. Any thymulin research must define peptide identity, active-content basis, zinc stoichiometry, sterility, and route. ≠ thymalin. Community schedules remain inconsistent and frequently conflate thymulin with thymalin or thymosin alpha-1.
FTS (zinc-free) ≠ FTS-Zn (active). 5 mg/day RA signal ≠ universal dose. 1.5 mg/kg mouse IP × 28 d — animal only, no HED. Thymalin 20-day cycles ≠ thymulin evidence.
Frequently asked questions
What is the standard thymulin dose?
There is no established standard dose. Historical human studies used 500 mcg once SC and 1, 5, or 10 mg/day in different contexts. Modern animal studies use 1.5 mg/kg IP with equimolar zinc. These are separate research exposures, not a menu for personal dosing.
What dose worked best in the rheumatoid-arthritis trials?
Among 1, 5, and 10 mg/day, 5 mg/day produced the strongest reported clinical signal. That old result does not establish a current rheumatoid-arthritis treatment or a dose for any other condition.
Is 5 mg of thymulin better than 1 mg?
Only the historical RA program reported a stronger signal at 5 mg/day than at 1 or 10 mg/day. It does not show 5 mg is generally better — the non-monotonic result argues against assuming more peptide creates more benefit.
Was thymulin given subcutaneously in humans?
Yes. A five-person RA response experiment used 500 mcg SC once, and a multiple-sclerosis trial used SC treatment for six months. The exact MS dose is not reported in the abstract.
Is thymulin the same as thymalin?
No. Thymulin is a defined zinc-dependent nonapeptide. Thymalin is a thymic extract or peptide mixture. A 20-day thymalin schedule is not evidence for thymulin.
Is thymulin the same as thymosin alpha-1?
No. Thymosin alpha-1 is a different 28-amino-acid peptide with its own clinical history (core 1.6 mg SC twice weekly). Its schedule cannot be assigned to thymulin.
Does thymulin require zinc?
Classic thymulin bioactivity depends on zinc, and modern primary studies added equimolar ZnCl2. Whether a particular vial is zinc-free, already complexed, or inaccurately labeled must be tested. This does not justify casual addition of zinc to a vial.
How much zinc should be added to thymulin?
There is no universal mass instruction. Equimolar preparation requires the peptide's active-content assay, molecular form, zinc reagent identity and hydration state, target pH, and validated formulation method. The stoichiometric example (~0.159 mg ZnCl2 per 1 mg free peptide) is for laboratory calculation only.
Is thymulin acetate already active thymulin?
Not necessarily. Acetate identifies a counterion, not zinc complexation. In the 2026 mouse study, investigators used thymulin acetate and still added equimolar ZnCl2.
How many U-100 units is 1 mg from a 10 mg vial mixed to 2 mL?
The concentration is 5 mg/mL. One milligram requires 0.2 mL, which is 20 U on a U-100 syringe. This is volume arithmetic only.
How many U-100 units is 500 mcg from a 5 mg vial mixed to 2 mL?
The concentration is 2.5 mg/mL. Five hundred micrograms (0.5 mg) requires 0.2 mL, which is 20 U.
Is the 1.5 mg/kg mouse dose a human dose after body-weight conversion?
No. It is an intraperitoneal mouse exposure with a defined zinc condition. This page intentionally does not calculate a human-equivalent dose because route, species biology, formulation, zinc, and exposure are unresolved.
Can thymulin be used topically for hair loss?
An uncontrolled pilot used 0.0005% zinc-thymulin twice daily and reported subjective improvement. Without a placebo group, blinded hair counts, or replication, the study does not establish efficacy or a standard formulation.
Can thymulin be stacked with thymosin alpha-1, thymalin, BPC-157, TB-500, KPV, GHK-Cu, or LL-37?
No controlled evidence establishes the safety, interaction profile, or added benefit of those stacks. Combining agents destroys dose attribution and can create overlapping immune, inflammatory, product-quality, and anti-doping risks.
Is thymulin allowed in tested sport?
It is not named individually on the 2026 WADA list, but it may fall under S0 for non-approved substances and therefore be prohibited at all times. Athletes need a current case-specific anti-doping determination.
References
NIH/NCATS
Inxight Drugs: NonathymulinInvestigational status; molecular identity.
Amor et al.
Nonathymulin in rheumatoid arthritis: two double-blind trialsAnn Rheum Dis. 1987 — 1, 5, 10 mg/day.
Faure et al.
Thymulin modulation of T-cell subsets — 500 mcg SC experimentClin Immunol Immunopathol. 1984.
Haahr et al.
Randomized nonathymulin trial in multiple sclerosisActa Neurol Scand. 1989.
Kanemaru et al.
Thymulin restrains age-associated myeloid inflammation and enhances cancer immunotherapyNat Commun. 2026 — 1.5 mg/kg IP mouse protocol.
PNAS
A zinc-dependent epitope on the molecule of thymulinZinc epitope structural work.
World Anti-Doping Agency
2026 Prohibited ListS0 Non-Approved Substances.
Important Safety Information
Thymulin has no U.S. approved dosage and no established prescribing dose for general immune support, healthy aging, or recovery. Historical trial doses from rheumatoid arthritis, multiple sclerosis, or topical pilots do not become a universal protocol.
This page documents human trial exposures, zinc-complex requirements, community conventions, reconstitution arithmetic, and a complete nonclinical mouse replication protocol. It is not a clinical dosing or self-injection guide. Confirm thymulin identity (≠ thymalin / Tα1 / TB-500), zinc state, active-moiety assay, and sterility before parenteral research.
Thrombocytopenia and vasculitis withdrawals occurred in historical RA trials. Autoimmune disease, transplant, malignancy, pregnancy, and bleeding disorders require specialist oversight. The 1.5 mg/kg mouse dose must not be converted to a human amount.