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SS-31 (elamipretide) dosage calculator

Mix a 10 mg SS-31 vial with 2 mL of bacteriostatic water to get 5 mg/mL. A 2 mg dose is then 0.4 mL, which is 40 units on a U-100 insulin syringe.

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  • Formula shown below
  • U-100 syringe units

SS-31 dose calculator

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On the vial label
mg
Amount you add
mL
What you plan to take
Syringe sizeU-100 insulin syringe
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Built with research from
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  • University of Oxford
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How your SS-31 draw is calculated

  1. 1Find the concentration

    10 mg × 1,000 ÷ 2 mL
    = 5,000 mcg/mL

  2. 2Work out the volume

    2,000 mcg ÷ 5,000 mcg/mL
    = 0.40 mL

  3. 3Convert to units

    0.40 mL × 100
    = 40 units

On a U-100 insulin syringe, 100 units equals 1 mL, so each unit is 0.01 mL. The 0.3 mL (30 unit) and 0.5 mL (50 unit) syringes use the same scale, just shorter, which makes small doses easier to read.

Use this SS-31 calculator to turn your vial strength and bacteriostatic water volume into an exact draw in mL and syringe units. SS-31 is the research name for elamipretide, a mitochondria-targeted peptide dosed in milligrams. Research-grade SS-31 is not an approved medicine; this page covers the maths only.

Common vial examples
10 / 50 mg
Example dose
2 mg
Common syringe
U-100 insulin
Last reviewed
Educational reference only. Not medical advice — follow the instructions from your clinician or pharmacy.

Quick math example

A 10 mg vial mixed with 2 mL gives 5 mg/mL. A 2 mg dose is 0.4 mL, which equals 40 units on a U-100 syringe.

SS-31 reconstitution reference

U-100 units to draw for each common SS-31 dose, by vial size, reconstituted with 2 mL of bacteriostatic water. Change the water volume in the calculator above to recompute for your own setup.

VialConcentration1 mg2 mg5 mg
10 mg5 mg/mL20 u(0.2 mL)40 u(0.4 mL)100 u(1 mL)
50 mg25 mg/mL4 u(0.04 mL)8 u(0.08 mL)20 u(0.2 mL)

Swipe the table to see every dose →

Educational reference only — not a dose recommendation. Units assume a U-100 insulin syringe (100 units = 1 mL on U-100). Always confirm against your own vial, diluent, and clinician or pharmacy instructions.

SS-31 dosage chart: units for 10 mg and 50 mg vials

SS-31 is dosed in milligrams. Amounts cited in community protocols vary widely, most often somewhere between 1 and 10 mg a day over a cycle of a few weeks, while the elamipretide clinical trials used 40 mg a day under the skin. None of these is a recommendation from this page: research-grade SS-31 has no approved dose. The chart shows what each amount looks like on a U-100 syringe.

Because the doses are in milligrams, concentration decides whether a dose fits in one syringe. At 5 mg/mL (10 mg in 2 mL) a 5 mg dose is a full 1 mL; at 10 mg/mL (10 mg in 1 mL, or 50 mg in 5 mL) it is half that.

  • 10 mg + 2 mL (5 mg/mL): 1 mg = 20 units · 2 mg = 40 units
  • 10 mg + 1 mL (10 mg/mL): 2 mg = 20 units · 5 mg = 50 units
  • 50 mg + 5 mL (10 mg/mL): ten 5 mg doses per vial

SS-31 dosage chart in U-100 units

Dose10 mg + 2 mL5 mg/mL10 mg + 1 mL10 mg/mL50 mg + 5 mL10 mg/mL
1 mg20 u(0.2 mL)10 per vial10 u(0.1 mL)10 per vial10 u(0.1 mL)50 per vial
2 mg40 u(0.4 mL)5 per vial20 u(0.2 mL)5 per vial20 u(0.2 mL)25 per vial
4 mg80 u(0.8 mL)2 per vial40 u(0.4 mL)2 per vial40 u(0.4 mL)12 per vial
5 mg100 u(1 mL)2 per vial50 u(0.5 mL)2 per vial50 u(0.5 mL)10 per vial
10 mg200 u(2 mL)1 per vial · over 1 mL100 u(1 mL)1 per vial100 u(1 mL)5 per vial

Swipe the table to see every vial →

Educational reference only — not a dose recommendation. Units assume a U-100 insulin syringe (100 units = 1 mL on U-100); “per vial” is how many of that dose the vial holds, before the small dead-space loss on each draw. Confirm against your own vial, diluent, and clinician or pharmacy instructions.

How the SS-31 calculation works

SS-31 vials are labelled in milligrams and doses are usually written in milligrams too. The calculator converts the vial total to mcg, divides by the water volume to find the concentration, then divides your dose by that concentration to get the mL and the syringe units.

  • 10 mg vial = 10,000 mcg total
  • 10,000 mcg / 2 mL = 5,000 mcg per mL
  • 2,000 mcg target = 0.4 mL draw = 40 units

SS-31 10 mg vial with 2 mL example

A 10 mg SS-31 vial mixed with 2 mL gives 5 mg/mL, or 5,000 mcg/mL. A 2 mg dose is 0.4 mL (40 units) and a 5 mg dose is a full 1 mL (100 units).

If your dose is at the higher end, 1 mL of water doubles the concentration to 10 mg/mL and halves every draw, so 5 mg becomes 50 units.

  • 10 mg / 2 mL = 5 mg/mL
  • 2 mg / 5 mg per mL = 0.4 mL = 40 U-100 units
  • 5 mg / 5 mg per mL = 1.0 mL = 100 U-100 units

SS-31 10 mg vial: units per dose (2 mL BAC water)

U-100 units to draw for each common SS-31 dose, by vial size, reconstituted with 2 mL of bacteriostatic water. Change the water volume in the calculator above to recompute for your own setup.

VialConcentration1 mg2 mg5 mg
10 mg5 mg/mL20 u(0.2 mL)40 u(0.4 mL)100 u(1 mL)

Swipe the table to see every dose →

Educational reference only — not a dose recommendation. Units assume a U-100 insulin syringe (100 units = 1 mL on U-100). Always confirm against your own vial, diluent, and clinician or pharmacy instructions.

How much BAC water for a 50 mg SS-31 vial

A 50 mg vial holds five times the peptide of a 10 mg vial, so the water volume decides whether the draws stay readable. 5 mL gives 10 mg/mL, so every 10 units is 1 mg; 2.5 mL gives 20 mg/mL, where a 1 mg dose is only 5 units.

A 50 mg vial is many doses at most cited amounts — ten 5 mg doses or twenty-five 2 mg doses — so check the vial can hold the volume and that its beyond-use date covers the time it takes to use it.

  • 50 mg / 5 mL = 10 mg/mL → 2 mg = 20 units, 5 mg = 50 units
  • 50 mg / 2.5 mL = 20 mg/mL → 2 mg = 10 units, 5 mg = 25 units
  • Twenty-five 2 mg doses or ten 5 mg doses per vial

SS-31 50 mg vial: units per dose (5 mL BAC water)

U-100 units to draw for each common SS-31 dose, by vial size, reconstituted with 5 mL of bacteriostatic water. Change the water volume in the calculator above to recompute for your own setup.

VialConcentration1 mg2 mg5 mg
50 mg10 mg/mL10 u(0.1 mL)20 u(0.2 mL)50 u(0.5 mL)

Swipe the table to see every dose →

Educational reference only — not a dose recommendation. Units assume a U-100 insulin syringe (100 units = 1 mL on U-100). Always confirm against your own vial, diluent, and clinician or pharmacy instructions.

SS-31 and elamipretide

SS-31 (also called MTP-131 and Bendavia) is a small synthetic peptide that concentrates in the inner mitochondrial membrane, where it binds cardiolipin. Under the drug name elamipretide it has been studied in primary mitochondrial myopathy, Barth syndrome and heart failure; in the phase 3 MMPOWER-3 trial, 40 mg a day did not improve the main outcomes in mitochondrial myopathy.

Vials sold as SS-31 for research are not the same as a regulated medicine: their content and purity are not verified. This calculator works for either, because the maths only depends on the milligrams in the vial and the water you add.

See also: MOTS-c dosage calculator · NAD+ dosage calculator

Frequently asked questions

Is SS-31 the same as elamipretide?
Yes. SS-31 is the research name and elamipretide is the drug name for the same peptide, also known as MTP-131 and Bendavia. Research vials sold as SS-31 are not regulated medicines, so their contents are not verified.
What is a typical SS-31 dosage?
There is no approved SS-31 dose and this page does not recommend one. Community protocols cite widely varying amounts, most often 1–10 mg a day, and the elamipretide trials used 40 mg a day. From a 10 mg vial in 2 mL (5 mg/mL), 1 mg is 20 units and 2 mg is 40 units on a U-100 syringe.
How many units is 5 mg of SS-31?
From a 10 mg vial in 2 mL (5 mg/mL), 5 mg is 1 mL — 100 units, a full 1 mL U-100 syringe. From a 10 mg vial in 1 mL or a 50 mg vial in 5 mL (both 10 mg/mL) it is 50 units.
How much BAC water should I add to a 50 mg SS-31 vial?
5 mL is a common choice because it gives a round 10 mg/mL, where every 10 units is 1 mg. Use less water for smaller draws, and confirm the vial can hold the volume you add.

Primary sources

Background references for this calculator. PepSync does not make clinical claims; these citations support the educational context only.

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