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Peptides/Mitochondrial

MOTS-c

Grade B

Promising mitokine with metabolic and exercise-mimetic effects in rodents. Early human pharmacokinetic data is emerging.

Mechanism of Action

Mitochondrial-derived peptide encoded within the 12S rRNA. Activates AMPK, improves insulin sensitivity, and regulates nuclear gene expression in response to metabolic stress.

Typical Protocol

Dose
5–10 mg
Frequency
2–3× weekly
Duration
8–12 weeks
Timing
Pre-training mornings
Route
Subcutaneous
Half-life
~2 hours

Educational reference only — not medical advice.

Reported Benefits

  • Improved glucose disposal in preclinical models
  • Enhanced exercise capacity
  • Mitochondrial biogenesis signaling

Side Effects

  • Mild flushing
  • Transient fatigue
  • Injection site reaction

Contraindications

  • Active malignancy
  • Pregnancy

Known Interactions

MetforminBoth activate AMPK — stacking effect unclear.
SGLT2 inhibitorsPotential additive glucose-lowering.

References

  1. [1]MOTS-c regulates insulin sensitivity and metabolic homeostasis Cell Metabolism, 2015

Comparison vs Alternatives

All Peptides →
AttributeMOTS-cThis pageSS-31 (Elamipretide)Semaglutide
EvidenceGrade BGrade BGrade A
CategoryMitochondrialMitochondrialMetabolic
Best forMitochondrial signalingMitochondrial membrane stabilizationGLP-1 receptor agonist
Typical dose5–10 mg40 mg0.25 → 2.4 mg
Frequency2–3× weeklyDailyWeekly
RouteSubcutaneousSubcutaneous injectionSubcutaneous weekly (oral form available)
Legal statusResearch chemical. Not approved for therapeutic use in humans.Investigational. Not FDA-approved; available only via clinical trials or as a research chemical.FDA-approved (Ozempic, Wegovy). Prescription required.
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