It's a natural germ fighter that also calls in immune cells and helps wounds heal.
How people take it
People report 100 µg once a day by injection under the skin.
Know this
Shots have never been tested in people, and too much LL-37 is linked to psoriasis and lupus-type flares.
What it is
LL-37 is a natural germ-fighting peptide, 37 amino acids long, and the only one of its type humans make. Its name comes from its first two building blocks (two leucines) and its length. White blood cells and skin cells release it as a first line of defense against bacteria, viruses and fungi.
How it works
It punches holes in the outer walls of many germs. It also acts as a messenger that calls in immune cells and helps wounds close and grow new blood vessels. That cuts both ways: in some people, too much LL-37 feeds skin and autoimmune inflammation, like psoriasis and rosacea.
What people use it for
Long-lasting infections or biofilm worries (germ colonies that stick together)
Wound healing
Immune support
The evidence
Some human studies
In people, LL-37 has only been tested on the skin of hard-to-heal leg ulcers: a small 2014 trial in 34 patients looked good at the lowest dose, but a bigger 2021 trial in 148 patients found no overall healing benefit over placebo, with a possible benefit only in large wounds. It was safe on the skin in both, but injected LL-37, which is how most people use it, has no published human trials. Lab research also links too much LL-37 to psoriasis and lupus-type inflammation.
Why: This is the dose most often reported in clinic and community use. It's kept low on purpose, because higher amounts can drive inflammation, and it has never been tested in a human trial.
Start at the low end, and change one thing at a time. If you take medication or have a health condition, check with a doctor first.
We may earn a commission from these links. Counts include one syringe and two swabs per dose.
Stay safe
Side effects
Redness, pain or swelling where you inject (can be strong)
Flu-like feeling (user reports)
Flare-ups of skin inflammation in people prone to it
Unknown long-term effects
Skip it if
Psoriasis, rosacea, lupus or other autoimmune disease (LL-37 is linked to these flares)
Pregnant or breastfeeding
Trying to have a baby (the FDA flagged possible effects on male reproduction)
Under 18
Athletes tested under WADA anti-doping rules
Interactions
No human interaction studies exist
Tell your doctor if you take immune-suppressing drugs or biologics
Get help right away for swelling of the face or throat, trouble breathing, chest pain, or a spreading, hot, red injection site.
Storage & legal
Storage
Powder: freezer, out of the light. Once mixed with bacteriostatic water: fridge, and use within about 2–4 weeks.
Legal status
FDA: Not approved. FDA removed it from its Category 2 compounding risk list in April 2026 after the nomination was withdrawn. It is not on the 503A bulks list, and FDA's advisory committee has not voted on it yet.
Sport (WADA): Not named on the list, but as a substance with no approval for human use it falls under S0 (non-approved substances), which is prohibited at all times.
My body already makes LL-37. Why would extra be risky?
Your body controls how much it makes and where it goes. Too much in the wrong place is linked to psoriasis, rosacea and lupus-type inflammation.
Did the wound trials work?
The small first trial looked good, but the bigger follow-up found no overall benefit over placebo. Both put it on the skin; neither tested shots.
Why does the injection sting so much?
LL-37 is built to break open cell walls and pull in immune cells, so redness and soreness at the spot are common.
Sources
Dürr UH, Sudheendra US, Ramamoorthy A. LL-37, the only human member of the cathelicidin family of antimicrobial peptides. Biochim Biophys Acta. 2006;1758(9):1408-25. PubMed 16716248
Grönberg A, et al. Treatment with LL-37 is safe and effective in enhancing healing of hard-to-heal venous leg ulcers: a randomized, placebo-controlled clinical trial. Wound Repair Regen. 2014;22(5):613-21. PubMed 25041740
Mahlapuu M, et al. Evaluation of LL-37 in healing of hard-to-heal venous leg ulcers: A multicentric prospective randomized placebo-controlled clinical trial. Wound Repair Regen. 2021;29(6):938-950. PubMed 34687253
Lande R, et al. Plasmacytoid dendritic cells sense self-DNA coupled with antimicrobial peptide. Nature. 2007;449(7162):564-9. PubMed 17873860
FDA. Certain bulk drug substances for use in compounding that may present significant safety risks (updated April 22, 2026). Source