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Longevity and Bioregulators

THYMOSIN ALPHA-1

An immune-system booster. Approved in 35+ countries (as Zadaxin) for chronic hepatitis. Not approved in the US.

Research referenceCommunity compiled
Research & reference information

This profile compiles research and community-sourced reference information for educational purposes. Information may evolve as research and community knowledge develop. It is not individualized medical advice.

Overview

An immune-system booster.

Approved in 35+ countries (as Zadaxin) for chronic hepatitis.

Not approved in the US.

What It Does

Master immune regulator – approved in 35+ countries for hepatitis, cancer, and immune deficiency.

Promotes T-cell differentiation.

Activates dendritic cells, NK cells, and cytotoxic T-lymphocytes.

Modulates Th1/Th2 balance.

Reconstitution

Vial SizeBAC Water / SolventConcentration
5 mg+ 1 mL5 mg/mL
10 mg+ 2 mL5 mg/mL
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Protocol

PhaseFrequencyAmountNotes
Standard2×/week1.6 mgFDA Zadaxin label: 1.6 mg twice weekly, 3–4 days apart. Source previously read 3x/week.
Immune boostDaily × 4 weeks1.6 mgIntensive course.
Off4 weeks–Essential break between cycles. Skipping leads to tolerance and diminishing returns.
Cycle & Timing

6–12 weeks on, 4 weeks off.

Timing

2×/week SubQ, 3–4 days apart (Zadaxin label)

Population Considerations

Unisex immune modulator, same protocol for men and women / protocol, no cycle effect; used in both sexes clinically. Avoid in pregnancy.

Handling & Stacking

Injection site
SubQ abdomen.
Storage
  • Freeze-dried: -4°F.
  • Reconstituted: 36–46°F.
  • Best used within ~3–4 weeks, kept cold (structure-based estimate, no published data); that is close to the 28- day sterility limit, so use whichever comes first.
Side effects
Generally very well tolerated. Rare: injection-site reactions.
What to expect
  • Immune improvement over 4–12 weeks.
  • CD4/CD8 ratio and NK counts are measurable endpoints.
  • Very well tolerated – one of the safest immune peptides available.
  • Supply math 5mg → 4 vials | 10mg → 2 vials (6-wk @ 1.6 mg × 2/wk)
Pairs well with
CJC-1295 No DAC + Ipamorelin (recovery + immune stack); BPC-157 / TB-500 (tissue repair); Epithalon (longevity); NAD+ (mitochondrial immune support); Glutathione (antioxidant); GHK-Cu (skin/immune repair)
Avoid
Active autoimmune flare (immune amplification may worsen). Severe immunosuppression therapy (interaction)

Safety & Patient Education

Contraindications
Active autoimmune flare, severe immunosuppression therapy
Warnings
FDA placed thymosin alpha-1 on the 2023 503A “may not be compounded” list (verify current status). Approved as Zadaxin in 35+ countries but not in the US.
Drug interactions
  • Immunosuppressants (cyclosporine, tacrolimus, sirolimus, mycophenolate, methotrexate): pharmacologically opposed; T1 augments T-cell function while these suppress it.
  • Combining is generally inappropriate outside a specialist-supervised protocol Corticosteroids (chronic systemic): blunt the T1 immune response; coordinate dosing or pause steroids during a T1 course where clinically possible Live vaccines: theoretical augmented response, coordinate timing with the prescriber TNF-alpha inhibitors and other biologics (adalimumab, etanercept, infliximab, rituximab): mechanistically opposed for autoimmune indications; not advisable to combine without specialist oversight Antiviral therapy for hepatitis B/C: T1 is studied as adjunct (Zadaxin label uses it that way), synergistic, not antagonistic
Labs
Compound-specific: T-cell panel CD3/CD4/CD8/NK (baseline + post-course)
Stop criteria
Autoimmune flare, new immune-mediated symptoms
Patient education
  • Used clinically as an adjunct to antiviral therapy for chronic hepatitis B and C in countries where Zadaxin is approved.
  • Cyclic dosing (typically 1.6 mg SubQ 2× weekly for 4–12 weeks) is the canonical pattern; continuous dosing isn’t supported by the literature.
  • Quality and authenticity vary widely in the US compounding market, verify supplier and request COA.
  • Stop and contact a clinician for any new joint pain, rash, fevers, or symptoms suggesting an autoimmune flare.
References
researchdosing · peptidedosages · PubMed · thepeptidereport · peptides.id