Peptide Safely
Some human studiesImmune

LL-37

Also called Cathelicidin LL-37, hCAP18 (parent protein), Ropocamptide

A germ-fighting peptide your body makes; in people, only tested as a wound gel.

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Typical dose100 µg
How oftenOnce a day
Half-lifeUnknown in humans when injected
Vial sizes5 mg

The simple version

What it does
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.

How people dose it

Label doseFDA labelTrial doseclinical trialsReportedcommon use, untested

Standard (injection)

Reported
Dose
100 µg
How often
Once a day
When
Any time
Cycle
4–6 weeks, then a break
Route
Subcutaneous injection

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.

Mix & measure

Set up for a 5 mg vial. Change any number to match yours. New to this? Read how to mix a vial and mg vs mL vs units first.

mg
mL
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Plan your supplies

Pick your dose and how long you'll run it. We'll count what you need.

µg
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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.

Often paired with

Common questions

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

  1. 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
  2. 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
  3. 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
  4. Lande R, et al. Plasmacytoid dendritic cells sense self-DNA coupled with antimicrobial peptide. Nature. 2007;449(7162):564-9. PubMed 17873860
  5. FDA. Certain bulk drug substances for use in compounding that may present significant safety risks (updated April 22, 2026). Source

Last checked 2026-10