GHK (without copper) vs SS-31 (Elamipretide)

Side-by-side comparison of mechanisms, dosing, interactions, and stacking potential.

GHK (without copper)SS-31 (Elamipretide)
CategoryPeptidesPeptides
Standard DoseResearch indicates 1-3% concentration in topical formulations. Injectable dosing follows GHK-Cu protocols at 1-2 mg daily.Research indicates 0.05-0.25 mg/kg daily via subcutaneous injection. Clinical trials used 4-40 mg/day IV or SC.
TimingTopical application morning and evening. Injectable in evening.Morning dosing preferred. No food timing restrictions.
Cycle DurationTopical use can be ongoing indefinitely. Injectable cycles 8-12 weeks.Clinical trials ranged from single dose to 48 weeks. Optimal cycle length not established.
Evidence Levelmoderate_humanEmerging (Phase 2/3 trials)

Mechanism

GHK (glycyl-L-histidyl-L-lysine) is a naturally occurring tripeptide found in human plasma, saliva, and urine that has an extremely high affinity for copper(II) ions. Even without exogenously complexed copper, GHK rapidly chelates available copper in biological systems, making copper-free GHK functionally similar to GHK-Cu in vivo. The peptide stimulates collagen and glycosaminoglycan synthesis, modulates metalloproteinase activity, resets gene expression patterns toward a healthier state (affecting 31.2% of human genes), and activates wound healing cascades.

Standard Dosing

Research indicates 1-3% concentration in topical formulations. Injectable dosing follows GHK-Cu protocols at 1-2 mg daily.

Timing

Topical application morning and evening. Injectable in evening.

Cycle Duration

Topical use can be ongoing indefinitely. Injectable cycles 8-12 weeks.

Side Effects

  • Mild skin irritation (topical)
  • Injection site reactions

Contraindications

  • Wilson's disease
  • Pregnancy and breastfeeding

Best Stacking Partners

GHK-CuBPC-157Epitalon

Mechanism

SS-31 (D-Arg-Dmt-Lys-Phe-NH2, also known as elamipretide/Bendavia) is a cell-permeable tetrapeptide that localizes to the inner mitochondrial membrane and binds cardiolipin via electrostatic interactions. This stabilizes cardiolipin against oxidative damage, preserving cristae integrity, reducing ROS production, and maintaining mitochondrial ATP production. SS-31 interacts with proteins in two functional groups: oxidative phosphorylation complexes and 2-oxoglutarate metabolic enzymes — all known cardiolipin binders. It restores mitochondrial function without acting as a direct antioxidant.

Standard Dosing

Research indicates 0.05-0.25 mg/kg daily via subcutaneous injection. Clinical trials used 4-40 mg/day IV or SC.

Timing

Morning dosing preferred. No food timing restrictions.

Cycle Duration

Clinical trials ranged from single dose to 48 weeks. Optimal cycle length not established.

Side Effects

  • Injection site reactions
  • Headache
  • Diarrhea (in clinical trials)
  • Nausea

Contraindications

  • Pregnancy and breastfeeding
  • Severe renal impairment (peptide clearance concern)
  • Not commercially available
  • Clinical trial participants only

Best Stacking Partners

MOTS-cHumaninEpitalon

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