The Peptide Doctrine
Menu

Compounds

MOTS-c Dosage Chart: Studied Doses, Reconstitution

MOTS-c dosage chart with the honest answer first: there is no human dose, because no human trial of MOTS-c exists. The mouse doses that were studied, the 25 mg analog trial, human-equivalent arithmetic labeled as arithmetic, the seller charts as claims, and why we give no reconstitution example.

Published October 12, 2026 · 7 min read

Key takeaways

  • There is no human MOTS-c dose, because there is no human trial of MOTS-c. Every MOTS-c dosage chart online was written by a seller.
  • The studied doses are mouse doses: 0.5 to 15 mg per kilogram, injected into the abdominal cavity daily for 1 to 8 weeks, or three times a week in an old-age experiment.
  • The only human trial in the family tested a modified analog, CB4211, at 25 mg under the skin once daily for 4 weeks in 20 adults; it is a different molecule, and its developer did not take it further.
  • Converted by body surface area, the mouse doses correspond to roughly 3 to 85 mg a day for a 70 kg adult. That is our arithmetic, not a dose; seller charts of 5 to 10 mg two or three times a week match no study.
  • Despite the title, this page gives no reconstitution example: no US pharmacy may compound MOTS-c in 2026, so there is no legal product to reconstitute.

The direct answer: there is no MOTS-c dose for humans, because MOTS-c has never been given to a person in a clinical trial. What exists are mouse doses, 0.5 to 15 mg per kilogram a day injected into the abdomen, and one four-week trial of a modified analog at 25 mg a day. This page lays those next to the charts sellers circulate, with our conversions labeled as the arithmetic they are. Our MOTS-c profile covers the biology, evidence and legal status; the SS-31 (elamipretide) profile covers the one mitochondrial peptide with a human dose, set out in our SS-31 dosage chart.

The studied doses

StudyDose, route and frequencySubjects and durationWhat happened
Lee 2015, insulin sensitivity5 mg/kg a day, intraperitoneal, dailyYoung, 12-month-old and high-fat-fed mice, 7 daysBetter glucose clearance; muscle insulin sensitivity of 12-month-old mice restored to young levels (Lee 2015)
Lee 2015, obesity prevention0.5 mg/kg a day, intraperitoneal, dailyMale mice on a 60% fat diet from 8 weeks of age, 8 weeksDiet-induced obesity and insulin resistance prevented (Lee 2015)
Reynolds 2021, physical capacity5 or 15 mg/kg a day, intraperitoneal, dailyYoung, middle-aged and 22-month-old mice, 2 weeksBetter treadmill performance; old mice ran about twice as long at 15 mg/kg (Reynolds 2021)
Reynolds 2021, late life15 mg/kg three times a week, intraperitonealMice started at 13.5 or 23.5 months, through old ageBetter grip, gait and physical capacity; lifespan trend not statistically significant (Reynolds 2021)
CB4211 phase 1b (a modified analog)25 mg subcutaneously once daily20 adults with obesity and fatty liver (11 on drug), 4 weeksLiver enzymes and glucose fell; a non-significant trend on weight; liver fat fell about as much as on placebo (CohBar 2021)
Human studies of MOTS-c itselfNoneNoneNo trial has given MOTS-c to a person

Three things matter in reading that table. Every MOTS-c dose went into the abdominal cavity, a route that absorbs differently from an injection under the skin. The mice were dosed daily, or three times a week, not in cycles. And the one human dose belongs to CB4211, which was engineered to be more drug-like than MOTS-c; milligrams of one do not translate into milligrams of the other. After the four-week study no phase 2 followed, and in 2023 CohBar agreed to merge with a cancer-immunotherapy company, as our MOTS-c profile describes.

Our arithmetic, labeled as arithmetic

Animal doses are converted to a first guess at a human-equivalent dose by body surface area, not body weight, because smaller animals burn through drugs faster. For mice, the standard factor is to divide the mg/kg dose by 12.3 (Nair 2016). Applied to a 70 kg adult:

Mouse doseHuman-equivalent by surface areaFor a 70 kg adultBy body weight alone, for comparison
0.5 mg/kg a dayabout 0.04 mg/kg a dayabout 3 mg a day35 mg a day
5 mg/kg a dayabout 0.41 mg/kg a dayabout 28 mg a day350 mg a day
15 mg/kg a dayabout 1.2 mg/kg a dayabout 85 mg a day1,050 mg a day

None of those numbers is a dose. The surface-area method is what drug developers use to pick a cautious starting point for a first-in-human safety study, and they then divide by a further safety factor, usually 10 (Nair 2016). It assumes the drug behaves in people the way it does in mice, which for MOTS-c nobody has checked: there are no human data on its half-life, how much of a subcutaneous injection reaches muscle, or whether the immune system reacts to repeated doses. The conversion also ignores the route; every mouse dose was intraperitoneal.

Set against that arithmetic, the seller charts' 10 to 30 mg a week works out to about 1.4 to 4.3 mg a day, near the bottom of the surface-area range, given by a different route on a different schedule. That is not caution derived from the mouse data; it is a number that happens to fall inside a wide range.

The charts sellers circulate

What the charts sayWhere the number comes fromStatus
5 to 10 mg subcutaneously, two or three times a weekNo studyNever tested in a person
10 mg once weeklyNo studyNever tested in a person
'Cycles' of 4 to 8 weeks, then a breakNo study; the mice were dosed continuouslyNever tested in a person
10 mg vials mixed with bacteriostatic waterVendor packagingContent, purity and sterility unverified

These are claims, not doses. FDA's briefing documents for the July 2026 advisory committee found no human data on MOTS-c at all (Orrick 2026), and FDA's reviewers raised product identity and immunogenicity concerns about the peptides on the agenda (Kelley Drye 2026).

Why there is no reconstitution example, despite the title

People searching for a MOTS-c dosage chart usually want one more thing: how much bacteriostatic water to add to a 10 mg vial and how many units to draw. We are not going to give that, and the reason is simple. There is no legal MOTS-c product in the United States to reconstitute.

  • No pharmacy may make it. MOTS-c is not approved anywhere, and it is not on the list of substances 503A pharmacies may compound. FDA's advisory committee voted 7 to 5 with 2 abstentions on July 23, 2026 to recommend adding it, against FDA staff advice, but FDA has issued no rule (Hyman Phelps 2026). Every vial for sale is a research product, which FDA treats as an unapproved drug when it is sold for people.
  • The arithmetic would describe an unknown. Reconstitution math assumes the vial holds what the label says. A research vial's content, purity and sterility have not been verified by anyone, so a precise volume would be precise about nothing.
  • Reconstitution help is what FDA cites. In its 2026 warning letters to research-peptide sellers, FDA pointed to dosing guides, reconstitution calculators and bundled bacteriostatic water as evidence that the vials were drugs for human use, as our legal tracker records.

Our reconstitution calculator exists for medications a pharmacy has dispensed with a labeled concentration. MOTS-c has neither.

Oral MOTS-c and 'tablets'

People also search for MOTS-c tablets and capsules. In the one direct test we found, a 2023 mouse study of colitis, MOTS-c injected into the abdomen reduced the disease, but MOTS-c given by mouth produced no significant improvement; only a modified version with an added cell-penetrating sequence worked orally (Jiang 2023). No study has tested oral MOTS-c in people, and the mouse result is evidence against the unmodified peptide working by mouth.

Bottom line

A truthful MOTS-c dosage chart has an empty human row. Above it sit mouse doses of 0.5 to 15 mg per kilogram injected into the abdomen, and one four-week trial of a different molecule at 25 mg a day. The seller charts below it match none of those by route, schedule or rationale. If you want what MOTS-c is sold for, exercise raises your own MOTS-c, and the MOTS-c profile explains why the evidence points elsewhere for weight and metabolic health. Until FDA acts, there is no legal MOTS-c product, no label and no dose.

Frequently asked questions

+What is the MOTS-c dosage per day?

There is no studied human daily dose, because MOTS-c has never been given to people in a trial. The published daily doses are mouse doses of 0.5 to 15 mg per kilogram injected into the abdominal cavity. The only human trial in the family used a modified analog, CB4211, at 25 mg once a day for four weeks, and that dose does not transfer to MOTS-c. Seller charts of 5 to 10 mg two or three times a week were written by sellers.

+How much MOTS-c should I take?

No one can answer that from evidence, and we do not recommend any amount. Nobody knows the human dose, how long MOTS-c lasts in human blood, whether it reaches muscle after an injection under the skin, or whether repeated injections provoke antibodies. In October 2026 no US pharmacy may compound it, so there is no labeled product to dose.

+How do you reconstitute MOTS-c 10mg?

We do not give reconstitution instructions for MOTS-c. A 10 mg vial is a research product: no pharmacy may legally prepare MOTS-c, so the vial has no label anyone stands behind, its content and sterility are unverified, and FDA has treated reconstitution guides and calculators on vendor websites as evidence that such vials are unapproved drugs for people. The arithmetic would be precise about an unknown amount of an unknown substance.

+Do MOTS-c tablets work?

There is no evidence that they do. In a 2023 mouse study of colitis, MOTS-c injected into the abdomen helped, but MOTS-c given by mouth produced no significant improvement; only a modified version with an added cell-penetrating sequence worked orally. No study has tested oral MOTS-c in people.

+How often do you inject MOTS-c?

In mice, MOTS-c was injected into the abdominal cavity once a day for 1 to 8 weeks, or three times a week in an old-age experiment. Seller charts say two or three times a week under the skin in four- to eight-week cycles, a schedule no study tested. Nobody has measured MOTS-c's half-life after injection in a human, which is what a schedule would have to be based on.

+What dose of MOTS-c was used in mice?

The two key papers used 0.5 mg per kilogram a day for 8 weeks to prevent diet-induced obesity, 5 mg per kilogram a day for 7 days to improve insulin sensitivity, and 5 or 15 mg per kilogram a day for 2 weeks, or 15 mg per kilogram three times a week in old age, to improve running capacity. All were intraperitoneal injections.

+Can a doctor prescribe MOTS-c at a proper dose?

Not in October 2026. MOTS-c is not FDA-approved, and no 503A or 503B pharmacy may compound it: FDA's advisory committee voted 7 to 5 with 2 abstentions in July 2026 to recommend it for the permitted list, against FDA staff advice, but no rule has been issued. A prescription cannot make a non-compoundable substance compoundable.

Sources

  1. StudyLee C et al. The mitochondrial-derived peptide MOTS-c promotes metabolic homeostasis and reduces obesity and insulin resistance. Cell Metab 2015;21:443-54. (2015)
  2. StudyReynolds JC et al. MOTS-c is an exercise-induced mitochondrial-encoded regulator of age-dependent physical decline and muscle homeostasis. Nat Commun 2021;12:470. (2021)
  3. StudyJiang J et al. Orally administered MOTS-c analogue ameliorates dextran sulfate sodium-induced colitis by inhibiting inflammation and apoptosis. Eur J Pharmacol 2023;939:175469. (2023)
  4. ReviewNair AB, Jacob S. A simple practice guide for dose conversion between animals and human. J Basic Clin Pharm 2016;7:27-31 (Table 1: divide the mouse mg/kg dose by 12.3, from FDA's guidance). (2016)
  5. SourceCohBar Inc. CohBar announces positive topline results from the phase 1a/1b study of CB4211 under development for NASH and obesity. Press release of August 10, 2021, filed with the SEC as exhibit 99.2. (2021)
  6. NewsPalmer KL, Snow CD, Bass M. PCAC approves four bulk drug substances for the 503A list (BPC-157, KPV, TB-500, MOTS-c). FDA Law Blog, Hyman Phelps & McNamara, July 24, 2026. (2026)
  7. NewsKelley Drye. FDA advisory committee recommends several peptides for compounding despite staff opposition: what stakeholders need to know. July 30, 2026. (2026)
  8. NewsOrrick. FDA peptide compounding vote: what to watch at the July PCAC meeting (summary of FDA's briefing documents). July 21, 2026. (2026)
T

Written by

The Peptide Doctrine Editorial Team

Our editors write from primary sources — peer-reviewed studies, FDA documents and pharmacy records — and grade every claim by the strength of its evidence. See our editorial policy for how articles are researched, reviewed and updated.

Disclosure. The Peptide Doctrine is an independent editorial project. It currently has no sponsor and runs no advertising: we accept no payment for reviews, rankings or placements, we run no affiliate links, and we do not sell or link to "research-use" peptide vendors. Content is educational and is not medical advice.

Related

Compounds

MOTS-c: The Mitochondrial Peptide - Evidence, Dosage Chart & What to Expect

MOTS-c is a 16-amino-acid peptide encoded in mitochondrial DNA. What the mouse studies showed, why no human trial of MOTS-c exists, what happened to the CB4211 analog, the dosage charts sellers circulate next to the studied doses, the risks, and why no US pharmacy may compound it in 2026.

Updated Oct 12, 2026 · 15 min read

Compounds

SS-31 Dosage Chart: Studied Doses, Frequency

SS31 peptide dosage chart built from the Forzinity label and the published trials: 40 mg under the skin once daily, the intravenous and eye-drop doses used in heart and eye studies, what each produced, and why seller charts of 1 to 20 mg in cycles come from no study.

Updated Oct 12, 2026 · 8 min read