Follistatin 344 side effects
Also known as: Follistatin · FS344 · FST-344 · FS-344 · Follistatin-344
Updated 24 sources
7 side effects reported for Follistatin 344: 2 from studies and labels, 5 from users and guides. 2 come with the ways people manage them.
Side effects reported in studies and labels
From trials and regulators2
Clinical studies and regulatory documents.
Fluid under the retina (central serous chorioretinopathy)
11 male bodybuilders at one eye clinic, all after injecting whole 1 mg vials. It cleared in about 2.3 months after one injection and came back in 3 who injected again
Lower FSH and fertility effects
Theoretical. Follistatin can suppress FSH through activin, which is why trials chose FS344. The Becker gene therapy trial reported no adverse effects
Side effects users and guides report
From users and guides5
Community reports, competitor and vendor guides, media.
Injection-site redness, swelling or itching
The most common effect in guides. Community members note unusually painful injections
How people manage it
- Rotate injection sites.
Fatigue
Mild, in the first 2 to 3 days or occasionally during a cycle, per guides
Joint stiffness or discomfort
Occasional to rare, per guides, which link it to muscle outpacing tendons
How people manage it
- Guides pair it with BPC-157 and TB-500 for connective tissue.
Bigger appetite
Noted by several community members and one guide
Water retention and blood-pressure changes
Anecdotal, mild and transient, per one guide
Who should avoid it, and what not to combine
Pregnancy, or trying to conceiveCondition
FSH suppression could affect fertility, per guides; never studied in pregnancy.
Active cancerCondition
Activin has both tumour-suppressing and tumour-promoting roles; guides list it as a theoretical concern.
Drug-tested sportCondition
Banned at all times, and black-market FS344 is detectable in urine and serum.
How much is known
Limited human data
No human study has tested injected follistatin protein. The human data are two small gene therapy trials that put the FS344 gene into thigh muscle (6 Becker muscular dystrophy patients, 6 inclusion body myositis patients) and an 11-patient eye-clinic case series of bodybuilders. The rest is animal work: transgenic mice, gene-delivered mice, macaques and pigs.
Sources for these side effects
11 sources, each checked by date. Record updated Oct 24, 2026. Numbers are restated in our own words and labelled by where they came from.
Clinical study4
- Central serous chorioretinopathy after high-dose follistatin-344 (Dag 2020)PubMed · checked Oct 24, 2026
- Follistatin gene therapy improves ambulation in Becker muscular dystrophy (Al-Zaidy 2015)PubMed · checked Oct 24, 2026
- Phase 1/2a follistatin gene therapy trial for Becker muscular dystrophy (Mendell 2015)PubMed · checked Oct 24, 2026
- Detection of black market follistatin 344 (Reichel 2019)PubMed · checked Oct 24, 2026
Regulatory1
- WADA Prohibited List 2026WADA · checked Oct 24, 2026
Competitor guide5
- Follistatin 344 dosage guidePeptidesExplorer · checked Oct 24, 2026
- Follistatin-344 dosing guideThe Peptide Catalog · checked Oct 24, 2026
- Follistatin-344 dosage guideBodyHackGuide · checked Oct 24, 2026
- Follistatin dosing protocolsPeptide Protocol Wiki · checked Oct 24, 2026
Community-reported1
- Follistatin community protocolsPeptide Protocol Wiki, via a competitor guide · checked Oct 24, 2026
Back to the full Follistatin 344 page for dosing, the vial chart and storage.