Half-lifeNot measured in people; animal data suggest it is short
Vial sizes5 mg, 10 mg
The simple version
What it does
In mice, it helps muscles use sugar and fuel the way exercise does.
How people take it
People report 2.5–5 mg per injection, 2–3 times a week.
Know this
All the real evidence is from mice, so benefits in people are unproven.
What it is
MOTS-c is a short peptide, 16 amino acids long, that your body makes on its own. Its instructions sit in the DNA inside your mitochondria, the tiny power plants in your cells, and levels tend to drop with age. The shots are a lab-made copy.
How it works
In cell and mouse studies, MOTS-c flips the same energy switch that exercise does, which helps muscle pull in sugar and burn fuel better. Under stress, it can also change which genes are turned on. Nobody knows yet if injecting it does the same in people.
What people use it for
Blood sugar and insulin response
Fat loss
Exercise endurance
General 'healthy aging' goals
The evidence
Mostly animal studies
The strong results are in mice: treated mice resisted weight gain and insulin problems from a bad diet, and older mice ran better. In people, we only know natural levels rise during exercise, and a drug company's small early trials used a modified version (CB4211), not the molecule people inject. Treat anything beyond the mouse data as unproven.
Why: These numbers come from clinic and community use, not human trials. People time it around workouts because that's when the body releases its own MOTS-c, and spacing doses a few days apart is habit, not based on how long it lasts in the body.
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, itching or soreness where you inject
Feeling flushed or warm
Tiredness or a racing heart (some users report it)
Long-term effects in people are unknown
Skip it if
Pregnant or breastfeeding
Diabetes treated with insulin or sulfonylureas (your blood sugar could drop), unless your doctor is involved
Competing in drug-tested sports
Under 18
Interactions
Diabetes drugs like insulin, sulfonylureas or metformin: may lower blood sugar even more
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: fridge or freezer, out of the light. Once mixed: fridge, and use within about 4 weeks.
Legal status
FDA: Not approved. In April 2026 it was taken off FDA's 'do not compound' (Category 2) list, and an FDA advisory committee voted 7–5 in July 2026 in favor of allowing compounding. Formal rulemaking is still pending, so it is not yet on the approved compounding list.
Sport (WADA): Prohibited at all times (S4.4 metabolic modulators; named as an AMPK activator).
No. Semaglutide has large human trials showing weight loss, while MOTS-c only has mouse studies. Any effect in people is unproven and likely much smaller.
Does my body already make it?
Yes. Muscle releases MOTS-c when you exercise, and blood levels tend to fall with age. Regular exercise is the proven way to raise it.
Can athletes use it?
Not if they're drug tested. WADA lists MOTS-c by name as a banned substance that changes metabolism.
Sources
Lee C, et al. The mitochondrial-derived peptide MOTS-c promotes metabolic homeostasis and reduces obesity and insulin resistance. Cell Metab. 2015;21(3):443-54. PubMed 25738459
Reynolds JC, et al. MOTS-c is an exercise-induced mitochondrial-encoded regulator of age-dependent physical decline and muscle homeostasis. Nat Commun. 2021;12(1):470. PubMed 33473109
McDermott Will & Schulte. Bulk list bound: PCAC backs majority of peptides in two-day public meeting (July 2026). Source
USADA. Athlete Advisory: What's New on the 2025 WADA Prohibited List? Source