Peptide Safely
Mostly animal studiesMetabolism

MOTS-c

Also called Mitochondrial open reading frame of the 12S rRNA-c, Mitochondrial-derived peptide MOTS-c

A tiny peptide your mitochondria make, studied in mice for blood sugar, weight and endurance.

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Typical dose2.5–5 mg per injection
How often2–3 times a week
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.

How people dose it

Label doseFDA labelTrial doseclinical trialsReportedcommon use, untested

Standard

Reported
Dose
2.5–5 mg per injection
How often
2–3 times a week
When
Morning or before a workout
Cycle
4–8 weeks, then a break of similar length
Route
Subcutaneous injection

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.

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, 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).

Often paired with

Common questions

Is it a weight-loss drug like semaglutide?

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

  1. 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
  2. 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
  3. McDermott Will & Schulte. Bulk list bound: PCAC backs majority of peptides in two-day public meeting (July 2026). Source
  4. USADA. Athlete Advisory: What's New on the 2025 WADA Prohibited List? Source

Last checked 2026-10