BPC-157 vs TB-500: Evidence, Legal Status and Differences

By Editorial team. Updated Oct 15, 2026. Awaiting expert review

BPC-157 vs TB-500 at a glance

FactBPC-157TB-500
Also known asBody Protection Compound-157, BPC 157, BPC157Thymosin beta-4 fragment (LKKTETQ), Ac-LKKTETQ
What it isSynthetic 15-amino-acid peptide derived from a gastric protein sequenceSynthetic fragment of thymosin beta-4
Evidence levelPreclinical (lab and animal studies)Preclinical (lab and animal studies)
Approved productsNoneNone
United StatesNot FDA-approved; FDA staff recommended against adding BPC-157 to the 503A compounding list, and although FDA's advisory committee voted 8–6 to recommend it in July 2026, FDA has not added it [16][4][15].Not FDA-approved; FDA staff recommended against adding TB-500 to the 503A compounding list, and although FDA's advisory committee voted 8–6 to recommend it in July 2026, FDA has not added it [16][5][15].
United KingdomNo UK-licensed medicine containing BPC-157 appears in the MHRA products database [17].No UK-licensed medicine containing TB-500 appears in the MHRA products database [22].
European UnionNo medicine containing BPC-157 is authorized in the EU, according to EMA's central and Article 57 product data [18][19].No medicine containing TB-500 is authorized in the EU, according to EMA's central and Article 57 product data [18][19].
CanadaNo product containing BPC-157 appears in Health Canada's Drug Product Database [20].No product containing TB-500 appears in Health Canada's Drug Product Database [20].
AustraliaSchedule 4 (prescription-only) in Australia's Poisons Standard, with possession without authority prohibited under Appendix D [21].TB-500 and thymosin beta-4 are both Schedule 4 (prescription-only) in Australia's Poisons Standard, with possession without authority prohibited under Appendix D [21].
Sport (WADA)Named as an example of a non-approved substance (S0), prohibited at all times [13].Thymosin beta-4 and its derivatives, including TB-500, are prohibited at all times under S2 [13].
Vendors we track82 vendors80 vendors
Our lab testsNone yetNone yet
Regulatory rows summarize official sources, checked Oct 15, 2026; rules change, so follow the numbered sources. Not legal or medical advice, and we don't publish dosing or usage instructions.

BPC-157 and TB-500 are two different peptides that are often marketed for similar purposes and sold side by side, sometimes premixed in one vial [4, 5]. BPC-157 is a synthetic 15-amino-acid peptide based on a sequence from gastric juice [1]. TB-500 is understood to be a seven-amino-acid fragment of a different natural protein, thymosin beta-4 [5, 6]. Neither is an approved medicine, and for both, almost all of the evidence comes from animal and cell studies [2, 10].

What each one is

BPC-157 (“body protection compound 157”) is a synthetic pentadecapeptide, a chain of 15 amino acids, whose sequence was originally isolated from gastric juice [1]. It has no United States Adopted Name and is not a component of any FDA-approved drug [4].

TB-500 is the name used for products that FDA understands to contain a synthetic seven-amino-acid fragment of thymosin beta-4 (Tβ4) [5]. Tβ4 itself is a naturally occurring peptide of 43 amino acids [6]. When anti-doping chemists analyzed a product sold as TB-500, they identified the acetylated 17–23 fragment of Tβ4, Ac-LKKTETQ [7]. So “TB-500” and “thymosin beta-4” are different molecules, even though they are often discussed as if they were the same [7, 5].

How the evidence compares

For BPC-157, a 2025 systematic review of the orthopedic literature included 36 studies: 35 were preclinical, one was clinical, and the authors found no clinical safety data [2]. A separate 2025 review counted three small human pilot studies, in knee pain, interstitial cystitis and an intravenous safety study, and concluded that rigorous, large-scale trials are lacking [1]. FDA’s 2026 review found five small, short human studies in all, adding one in healthy volunteers and one in people with ulcerative colitis [4]. An earlier review noted that most studies used small rodent models and that only a handful of research groups had studied the peptide in depth [3].

For TB-500, the gap is wider. FDA has not identified any human exposure data for the fragment [9]. Most published research concerns full-length Tβ4, which sped up healing in animal wound models and was tested in small phase 2 trials in pressure ulcers, venous ulcers and epidermolysis bullosa wounds [8, 6]. Because the fragment and the full-length protein are different molecules [7, 5], those trials don’t show what TB-500 itself does. A 2026 primer for sports-medicine physicians found that Tβ4 and TB-500 promoted blood-vessel growth and tissue repair in preclinical models, but that human orthopedic data are lacking [10].

A 2026 review of peptides sold directly to patients, which covered both compounds, concluded that rigorous human safety data are scarce for unapproved peptides like these [11].

Regulation and sport

Neither compound is an approved medicine in the markets in the table above. FDA’s compounding advisory committee reviewed both in July 2026, but its vote is not binding and FDA has not added either to its list of substances pharmacies may compound with [12, 15]; WADA prohibits both at all times [13].

Quality risks when buying

Products sold for “research use” are made and sold largely outside drug regulation [11, 2]. FDA says it has encountered multiple salts and derivatives sold under each name [4, 5], and its safety review flagged possible immune reactions (immunogenicity) and peptide-related impurities for both [9]. For BPC-157, FDA treats the free base and the acetate salt as distinct substances, so a certificate of analysis (COA) should say which form was tested [4]. For TB-500, the COA should state the exact sequence and molecular mass, because the fragment and full-length Tβ4 are not interchangeable [7]. Thymosin beta-4 was also among the black-market products analyzed by the Cologne anti-doping laboratory in Germany between 2010 and 2013 [14].

A vial that combines both peptides is harder to check: its report should measure each peptide separately. Our guides explain how to read a peptide COA, how to check a peptide vendor and what “research use only” means.

More on each

The BPC-157 overview and the TB-500 overview go into each compound’s sources in more depth. We track current listings on the BPC-157 price page and the TB-500 price page, and premixed vials separately on the BPC-157 and TB-500 blend page.

Frequently asked questions

What is the difference between BPC-157 and TB-500?

They are different molecules. BPC-157 is a synthetic 15-amino-acid peptide whose sequence was originally isolated from gastric juice. TB-500 is understood to be a seven-amino-acid fragment of thymosin beta-4, a naturally occurring 43-amino-acid peptide.

Is BPC-157 or TB-500 an approved medicine?

No. Neither is approved as a medicine in the US, UK, EU, Canada or Australia. FDA's compounding advisory committee reviewed both in July 2026, and FDA had not added either to its list of substances pharmacies may compound with when we checked.

Is there human evidence for BPC-157 or TB-500?

Very little. FDA's 2026 review found only five small, short human studies of BPC-157, and a 2025 review concluded that rigorous, large-scale trials are lacking. FDA has found no human exposure data for TB-500 itself; the small human trials that exist tested full-length thymosin beta-4 in wound healing.

Are BPC-157 and TB-500 allowed in sport?

No. WADA prohibits both at all times.

Sources

  1. Regeneration or Risk? A Narrative Review of BPC-157 for Musculoskeletal Healing. Current Reviews in Musculoskeletal Medicine (2025). Accessed Oct 15, 2026
  2. Emerging Use of BPC-157 in Orthopaedic Sports Medicine: A Systematic Review. HSS Journal (2025). Accessed Oct 15, 2026
  3. Gastric pentadecapeptide body protection compound BPC 157 and its role in accelerating musculoskeletal soft tissue healing. Cell and Tissue Research (2019). Accessed Oct 15, 2026
  4. FDA Briefing Document: BPC-157-Related Bulk Drug Substances, Pharmacy Compounding Advisory Committee, July 23-24, 2026. U.S. Food and Drug Administration. Accessed Oct 15, 2026
  5. FDA Briefing Document: TB-500-Related Bulk Drug Substances, Pharmacy Compounding Advisory Committee, July 23-24, 2026. U.S. Food and Drug Administration. Accessed Oct 15, 2026
  6. The effect of thymosin treatment of venous ulcers. Annals of the New York Academy of Sciences (2010). Accessed Oct 15, 2026
  7. Synthesis and characterization of the N-terminal acetylated 17-23 fragment of thymosin beta 4 identified in TB-500, a product suspected to possess doping potential. Drug Testing and Analysis (2012). Accessed Oct 15, 2026
  8. Thymosin beta 4 Promotes Dermal Healing. Vitamins and Hormones (2016). Accessed Oct 15, 2026
  9. Certain Bulk Drug Substances for Use in Compounding that May Present Significant Safety Risks (content current as of 22 April 2026). U.S. Food and Drug Administration. Accessed Oct 15, 2026
  10. Injectable Peptide Therapy: A Primer for Orthopaedic and Sports Medicine Physicians. American Journal of Sports Medicine (2026). Accessed Oct 15, 2026
  11. Safety and Efficacy of Approved and Unapproved Peptide Therapies for Musculoskeletal Injuries and Athletic Performance. Sports Medicine (2026). Accessed Oct 15, 2026
  12. July 23-24, 2026: Meeting of the Pharmacy Compounding Advisory Committee. U.S. Food and Drug Administration. Accessed Oct 15, 2026
  13. World Anti-Doping Code International Standard: Prohibited List 2026 (in force 1 January 2026). World Anti-Doping Agency. Accessed Oct 15, 2026
  14. Identification of black market products and potential doping agents in Germany 2010-2013. European Journal of Clinical Pharmacology (2014). Accessed Oct 15, 2026
  15. FDA Panel Backs 6 Peptides for Compounding (31 July 2026). AJMC (The American Journal of Managed Care). Accessed Oct 15, 2026
  16. Drugs@FDA: FDA-Approved Drugs (database searched by active ingredient). U.S. Food and Drug Administration. Accessed Oct 14, 2026
  17. MHRA Products: licensed-medicine search for "bpc-157". Medicines and Healthcare products Regulatory Agency (UK). Accessed Oct 14, 2026
  18. EMA medicines data: centrally authorised human medicines (export of 14 October 2026). European Medicines Agency. Accessed Oct 14, 2026
  19. EMA Article 57 product data: medicines authorised in the EU/EEA (data as of 9 October 2026). European Medicines Agency. Accessed Oct 14, 2026
  20. Drug Product Database online query (searched by active ingredient). Health Canada. Accessed Oct 14, 2026
  21. Therapeutic Goods (Poisons Standard—October 2026) Instrument 2026 (F2026L01327, registered 30 September 2026). Federal Register of Legislation, Australian Government. Accessed Oct 14, 2026
  22. MHRA Products: licensed-medicine search for "thymosin". Medicines and Healthcare products Regulatory Agency (UK). Accessed Oct 14, 2026