SS-31 (Elamipretide), 10 mg is a synthetic mitochondria-targeted tetrapeptide composed of D-Arg-Dmt-Lys-Phe-NH₂. It selectively associates with cardiolipin in the inner mitochondrial membrane and has been investigated for effects on mitochondrial membrane integrity, respiratory-chain function, ATP production, oxidative stress and apoptosis. Research applications include mitochondrial dysfunction, cardiac bioenergetics, metabolic dysfunction and experimental cartilage injury. Elamipretide received FDA accelerated approval in 2025 as Forzinity for improving muscle strength in patients with Barth syndrome weighing at least 30 kg; its use for obesity, general cardiovascular disease or osteoarthritis remains investigational. Research-use note: A 10-mg research vial should not be presented as an approved treatment for obesity, cardiac disease, joint disease, or general anti-aging purposes. The regulatory status and evidence differ substantially by indication.
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