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Recovery & Repair

Peptides discussed for supporting tissue healing, injury recovery, and physical repair processes.

23 peptides

Recovery and repair is one of the most common reasons people explore peptides. Whether dealing with a sports injury, surgical recovery, or chronic tissue damage, several peptides have been studied for their potential to support the body's natural healing processes. The evidence varies significantly between compounds, and it is important to understand what the research actually shows versus what is commonly claimed.

Peptides for Recovery & Repair

Somatropin

Pituitary Hormone

Recombinant human growth hormone — the full 191-amino-acid pituitary peptide, FDA-approved for a short list of specific deficiency and wasting indications and the subject of an enormous off-label market for anti-aging, performance, and body-composition use that runs far ahead of the evidence.

HormoneFDA-ApprovedPituitary+2
SStrongWell-Studied

Erythropoietin (EPO)

Hematopoietic Growth Factor / Glycoprotein Hormone

A 165-amino-acid glycoprotein hormone produced by the kidney that drives red blood cell production. FDA-approved as recombinant human EPO and longer-acting analogs for anemia of chronic kidney disease, chemotherapy, and HIV — and infamous as an endurance-sports doping agent prohibited at all times by WADA.

FDA-ApprovedAnemiaChronic Kidney Disease+4
AStrongWell-Studied

Pentosan Polysulfate

Polysaccharide

A semi-synthetic polysaccharide with FDA approval for interstitial cystitis, also studied for joint and cartilage health.

Joint HealthFDA-ApprovedCartilage+1
BStrongWell-Studied

Difelikefalin

Peripheral Kappa Opioid Agonist

An FDA-approved peripheral kappa opioid receptor agonist for chronic kidney disease-associated itch, without CNS side effects.

FDA-ApprovedPainKidney+1
BStrongWell-Studied

Vosoritide

CNP Analog

A modified C-type natriuretic peptide analog developed by BioMarin Pharmaceutical, FDA-approved as Voxzogo for children with achondroplasia. The first targeted pharmacological treatment for the most common form of genetic short stature.

FDA-ApprovedRare DiseasePediatric+2
BStrongModerate Data

Hexarelin

Growth Hormone Secretagogue

A potent growth hormone secretagogue peptide that also has cardioprotective properties independent of GH release.

Growth HormoneCardioprotectiveNeuroprotective+1
BModerateModerate Data

Ipamorelin

Growth Hormone Secretagogue

A selective growth hormone secretagogue that stimulates GH release without significantly affecting cortisol or prolactin.

Growth HormoneBody CompositionRecovery+1
CModerateModerate Data

GHR-2 (GHRP-2)

Growth Hormone Secretagogue

A synthetic growth hormone secretagogue that stimulates natural GH release, studied for body composition, recovery, and anti-aging.

Growth HormoneBody CompositionRecovery+1
CModerateModerate Data

AICAR

Exercise Mimetic

The original 'exercise in a pill' — an AMPK activator that increased running endurance by 44% in sedentary mice. Banned by WADA since 2009. Studied for metabolic syndrome, diabetes, and cardioprotection.

Exercise MimeticAMPK ActivatorSmall Molecule+3
CModerateLimited Data

ARA-290

EPO-Derived Peptide

An 11-amino-acid peptide engineered from erythropoietin that retains tissue-protective effects without raising red blood cell count. Studied for neuropathic pain, small fiber neuropathy, and tissue repair.

Neuropathic PainTissue RepairEPO-Derived+2
CModerateModerate Data

BPC-157

Gastric Peptide

A synthetic peptide derived from a protective protein found in gastric juice, widely discussed for tissue repair and recovery.

RecoveryGut HealthTissue Repair+1
CEmergingModerate Data

TB-500

Tissue Repair Peptide

A synthetic version of the active region of thymosin beta-4, widely used for tissue repair, wound healing, and recovery from injuries.

RecoveryWound HealingAnti-Inflammatory+1
CEmergingModerate Data

IGF-1 LR3

Growth Factor Analogue

A modified version of IGF-1 with extended half-life and reduced IGF binding protein affinity, used for muscle growth.

Growth FactorMuscle GrowthPerformance
CEmergingLimited Data

Follistatin

Activin-Binding Protein

A naturally occurring protein that inhibits myostatin (the muscle growth limiter), studied for dramatic muscle growth potential.

Muscle GrowthMyostatin InhibitorPerformance
CEmergingLimited Data

IGF-1 DES

Growth Factor Analogue

A truncated form of IGF-1 missing the first 3 amino acids, with 10x greater potency and very short half-life for localized effects.

Growth FactorMuscle GrowthPerformance
DEmergingLimited Data

MGF

Growth Factor Splice Variant

A splice variant of IGF-1 produced in response to mechanical stress on muscles, promoting satellite cell activation and muscle repair.

Growth FactorMuscle GrowthRecovery
DEmergingLimited Data

Dermorphin

Mu-Opioid Receptor Agonist

A naturally occurring heptapeptide from frog skin and one of the most potent mu-opioid receptor agonists known, approximately 40 times more potent than morphine.

Research OnlyOpioidPain+2
DEmergingUse Caution

BPC-157 Arginate

Gastric Peptide

A stabilized form of BPC-157 combined with arginine, offering enhanced stability and potentially improved oral bioavailability.

RecoveryGut HealthTissue Repair+1
DPreliminaryLimited Data

PEG-MGF

PEGylated Growth Factor

A PEGylated version of MGF with extended half-life for systemic muscle growth and recovery effects.

Growth FactorMuscle GrowthRecovery
DPreliminaryLimited Data

Cartalax

Bioregulator Peptide

A synthetic tripeptide bioregulator (Ala-Glu-Asp) from the Khavinson system, studied for cartilage protection, joint health, and musculoskeletal aging.

BioregulatorCartilageJoint Health+2
DPreliminaryLimited Data

SLU-PP-332

Exercise Mimetic

A synthetic exercise mimetic that activates estrogen-related receptors (ERRs) to replicate the molecular effects of aerobic exercise — increasing endurance, fat oxidation, and mitochondrial function without physical activity.

Exercise MimeticERR AgonistSmall Molecule+4
DPreliminaryLimited Data

Ac-SDKP

Endogenous Antifibrotic Peptide

An endogenous tetrapeptide cleaved from thymosin β4 with broad antifibrotic activity across the heart, kidney, lung, and liver — historically developed as the chemoprotective drug goralatide and more recently studied as a biomarker of ACE-inhibitor activity.

AntifibroticThymosin FragmentCardioprotection+3
DPreliminaryLimited Data

B7-33

Relaxin Family

A 33-residue single-chain peptide derivative of human relaxin-2 designed by Mohammed Akhter Hossain's group at the Florey Institute as a functionally selective RXFP1 agonist with improved chemical stability and synthesis tractability over the two-chain native relaxin scaffold — replicates serelaxin's vasodilatory and antifibrotic effects in preclinical models.

SyntheticRelaxin FamilyVasodilator+2
FPreliminaryLimited Data

Conditions under Recovery & Repair

Peptide families relevant to Recovery & Repair

Growth Hormone Secretagogues

The peptide family that stimulates pulsatile endogenous growth hormone release rather than supplying exogenous GH directly. Two mechanistic branches: GHRH analogs (sermorelin, CJC-1295, tesamorelin) acting at the GHRH receptor, and ghrelin receptor agonists (GHRP-2, GHRP-6, hexarelin, ipamorelin, MK-677/ibutamoren) acting at GHSR1a. Often stacked together for synergistic GH pulses.

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Thymic Peptides

The peptide family derived from thymic tissue and its synthetic analogs — Thymosin α-1 (Zadaxin / thymalfasin, immune modulation), Thymosin β-4 (TB-500, tissue repair through actin sequestration), Thymalin (Russian-tradition thymic-extract preparation), Thymulin (zinc-dependent thymic hormone), and Thymagen (Khavinson-program synthetic thymic peptide). Two functional branches: α-family for immune function, β-family for actin-mediated tissue repair.

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Khavinson Bioregulators

A catalog of synthetic short peptides (typically 2-4 amino acids) developed at the St. Petersburg Institute of Bioregulation and Gerontology since the 1970s, positioned as tissue-specific epigenetic regulators of gene expression. The catalog spans 20+ entries — Epitalon, Cortagen, Pinealon, Vilon, Thymalin, Cardiogen, Bronchogen, and others — each targeted at a specific organ. A real Russian peer-reviewed literature with substantial preclinical depth, but a mechanistically speculative framework that has not been validated to mainstream Western molecular-biology standards.

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Endogenous Opioid Peptides

The endogenous peptide ligands of the mu, delta, and kappa opioid receptors — the enkephalins (Hughes & Kosterlitz 1975), beta-endorphin, dynorphin (Goldstein 1979), endomorphin-1 and -2, nociceptin/orphanin FQ, plus food-derived exorphins (casomorphin) and the indirect opioid analgesic kyotorphin. The neurobiological basis of endogenous pain modulation, reward, and stress response.

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Natriuretic Peptides

The cardiac and vascular peptide family centered on atrial natriuretic peptide (ANP, de Bold 1981), B-type natriuretic peptide (BNP, Sudoh 1988), and C-type natriuretic peptide (CNP, Sudoh 1990) — the endogenous regulators of vascular tone, sodium balance, and fluid homeostasis. Plus nesiritide (recombinant BNP, FDA-approved 2001 for acute heart failure) and the related vascular peptide adrenomedullin.

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