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TB‑500 side effects: what is known

TB-500 is a synthetic fragment of the protein thymosin beta-4. It is not an approved medicine and has no label. This page explains what regulators and published studies say, and what they don’t.

Published · Updated · Side effects · Written by the PepLabo editorial team

What FDA has said

FDA’s page on bulk substances that may present significant safety risks in compounding says of “thymosin beta-4, fragment (LKKTETQ), also known as TB-500”: it may pose a risk of immunogenicity for certain routes because of potential aggregation and peptide-related impurities; FDA has not identified any human exposure data for products containing it, and lacks important information, including whether it would cause harm in humans [1].

In the page’s version of 22 April 2026, TB-500 appears in the table of substances whose nominations were withdrawn by the nominators. That is not an approval [1].

Why thymosin beta-4 studies are not the same thing

Full-length thymosin beta-4 has been studied in people in specific, controlled forms: for example as eye drops in a placebo-controlled phase II trial in dry eye, and as a recombinant protein in patients with acute heart attack. These involve a different molecule, different routes and supervised clinical settings; their results say nothing about the side effects of products sold as TB-500 [3][4].

A 2026 sports-medicine review (Mendias et al.), which covers TB-500, notes that rigorous human safety data for such unapproved peptides are scarce and that there is potential for serious harm [2].

PepLabo does not recommend, sell or endorse this substance. It is a tracking app: it records what you tell it and does not tell you what to take.

When to get help

SignWho to contactHow fastSource
Swelling of the lips, tongue, face or throat, struggling to breathe or swallow, or faintingEmergency services: anaphylaxis needs medical attention right away.EmergencyMedlinePlus [5]
Painful, red, tender or swollen skin at an injection site, especially with fever or chillsA doctor, the same day (signs MedlinePlus lists for a skin infection).TodayMedlinePlus [6]
Any new symptom that worries you after using TB-500A doctor. Bring the product and anything written on it: there is no label that lists expected side effects.TodayFDA: no or limited safety information [1]
Mild symptoms you are keeping track ofYour doctor at your next appointment; a dated log helps.At your next appointmentFDA: no or limited safety information [1]

Questions

Does TB-500 have known side effects?

They are not established. FDA has said it has not identified any human exposure data for products containing TB-500, so there is no reliable list of side effects.

Is TB-500 the same as thymosin beta-4?

No. FDA describes TB-500 as a fragment of thymosin beta-4 (the sequence LKKTETQ). Results from studies of the full-length protein cannot be applied to the fragment.

Can I log TB-500 in PepLabo?

You can record any compound you use, with the date, amount, site and a side-effect check-in. PepLabo does not recommend or endorse it, and gives no dosing advice.

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