Thymosin Alpha-1 dosage
Also known as: Ta1 · TA-1 · Thymalfasin · Zadaxin · Thymosin alpha 1
Updated 26 sources
Every Thymosin Alpha-1 protocol on file, 19 in all, labelled by where each number came from. 3 have titration steps, each step is worked out in U-100 units for a 1.6 mg vial + 1 mL water.
Thymosin Alpha-1 dosage by goal
Standard immune support2
Standard immune support (community)
Daily low dose2
Daily low dose
| When | Dose | U-100 units (1.6 mg vial + 1 mL water) |
|---|---|---|
| Week 1 | 300 mcg | 18.8 units · 0.188 mL |
| Weeks 2 to 8 | 500 mcg | 31.3 units · 0.313 mL |
Note: Not a trial or label schedule; the label dose is 1.6 mg twice a week.
Daily low dose (community)
Other protocols: injected15
Chronic hepatitis B (label)
Who: Adults with chronic hepatitis B, where Zadaxin is approved (not the US).
Note: Label dose outside the US. Subcutaneous only, never intravenous. The 1.6 mg vial is mixed with 1 mL of the supplied sterile water just before use.
Chronic hepatitis C with interferon (label)
Who: Adults with chronic hepatitis C, alongside interferon, where Zadaxin is approved.
Under 40 kg (label)
Who: Label patients weighing under 40 kg.
Sepsis (TESTS trial)
Who: 1,106 adults with sepsis in Chinese ICUs.
Note: 28-day mortality was 23.4% vs 24.1% on placebo (HR 0.97), so the trial found no clear benefit.
Hepatitis B trial
Who: 98 adults with chronic hepatitis B (Chien 1998).
Note: At 18 months, complete virological response was 40.6% after 26 weeks and 26.5% after 52 weeks, vs 9.4% untreated.
Acute illness, front-loaded
| When | Dose | U-100 units (1.6 mg vial + 1 mL water) |
|---|---|---|
| Days 1 to 7 | 1.6 mg | 100 units · 1 mL |
| Weeks 2 to 9 | 1.6 mg | 100 units · 1 mL |
Note: Pitched for active infections and recovery after chemotherapy. No trial tested this pattern; the twice-daily sepsis trial found no mortality benefit.
Longevity and prevention
Label-based six-month course
Conservative start, small frame
Short acute course
Note: The guide lists this as a hospital (ICU) regimen that people copy. The largest trial of twice-daily dosing, in sepsis, found no mortality benefit.
Intensive
Note: One guide's tier. 3.2 mg was one of the arms in a melanoma trial alongside chemotherapy.
Low starting schedule
Note: The same guide also lists 1.6 mg twice weekly as typical and does not explain the gap.
When sick (community)
| When | Dose | U-100 units (1.6 mg vial + 1 mL water) |
|---|---|---|
| Days 1 to 5 | 1.6 mg | 100 units · 1 mL |
| Days 6 to 28 | 1.6 mg | 100 units · 1 mL |
Note: Community front-loading. The titration shows the longer end (5 daily doses, then twice weekly to week 4).
Long-term maintenance (community)
Note: Reported by immunocompromised users on the aggregator.
Immune loading (community)
Doses shown are what sources report, labelled by origin. Not medical advice.
Thymosin Alpha-1 dosage chart by vial size
| Water | Strength | 300 mcgdose, units | 500 mcgdose, units | 1.6 mgdose, units |
|---|---|---|---|---|
| 1.6 mg vial | ||||
| 1 mLRegulatory | 1.6 mg/mL | 18.80.188 mL | 31.30.313 mL | 1001 mL |
| 5 mg vial | ||||
| 1 mLCompetitor guide | 5 mg/mL | 60.06 mL | 100.1 mL | 320.32 mL |
| 2 mLCompetitor guide | 2.5 mg/mL | 120.12 mL | 200.2 mL | 640.64 mL |
| 10 mg vial | ||||
| 1 mLCompetitor guide | 10 mg/mL | 30.03 mL | 50.05 mL | 160.16 mL |
| 2 mLCompetitor guide | 5 mg/mL | 60.06 mL | 100.1 mL | 320.32 mL |
| 3 mLCompetitor guide | 3.333 mg/mL | 90.09 mL | 150.15 mL | 480.48 mL |
| 20 mg vial | ||||
| 2 mLCompetitor guide | 10 mg/mL | 30.03 mL | 50.05 mL | 160.16 mL |
| 4 mLCompetitor guide | 5 mg/mL | 60.06 mL | 100.1 mL | 320.32 mL |
Doses shown are what sources report, labelled by origin. Not medical advice.
Calculate with this peptideYour vial, your water, your dose: Thymosin Alpha-1 in syringe units, with the math shown.Mixing Thymosin Alpha-1
Diluent: Bacteriostatic water for research vials; sterile water for the 1.6 mg Zadaxin vial
Water volumes sources use: 1 mL, 2 mL, 3 mL, 4 mL
A 10 mg vial gives about 6 doses of 1.6 mg. Inject under the skin, never into a vein. Never mix it with another drug in the same syringe.
If you miss a dose
If a twice-weekly dose is 1 to 2 days late, take it and do not double up. Then reset so the next injection falls 3 to 4 days later, and add any skipped dose to the end of the course.
Thymosin Alpha-1 dosage questions
What is the standard dose?
1.6 mg under the skin twice a week, 3 to 4 days apart. That is the Zadaxin label dose for hepatitis B (6 to 12 months) and hepatitis C (12 months), and nearly every guide anchors on it. People under 40 kg get 40 mcg/kg.
What dose do people use when sick?
Community and guide protocols front-load: 1.6 mg daily for 3 to 7 days, then twice weekly for a few weeks. No trial has tested this in otherwise healthy people. The closest test, 1.6 mg twice daily for 7 days in 1,106 sepsis patients, found no mortality benefit.
How many units is 1.6 mg?
With 10 mg in 2 mL (5 mg/mL), 1.6 mg is 0.32 mL, or 32 units on a U-100 syringe. With 10 mg in 1 mL it is 16 units. Use the calculator for your own mix.
Daily or twice a week?
The label and trials use twice a week, even though the half-life is only about 2 hours. One guide runs 300 to 500 mcg daily instead, and community users report a daily low-dose version, neither from a trial.
Sources for these doses
13 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 study3
- Wu J et al. 2025, efficacy and safety of thymosin alpha 1 for sepsis (TESTS), BMJPMC · checked Oct 24, 2026
- Chien RN et al. 1998, efficacy of thymosin alpha 1 in chronic hepatitis B, HepatologyPubMed · checked Oct 24, 2026
- Maio M et al. 2010, thymosin alpha 1 with dacarbazine in metastatic melanoma, J Clin OncolPubMed · checked Oct 24, 2026
Regulatory2
- Zadaxin injection (SIN07483P) product informationSingapore National Drug Formulary · checked Oct 24, 2026
- Zadaxin (thymalfasin) prescribing informationRxList, via a reference work · checked Oct 24, 2026
Vendor guide2
- Thymosin alpha-1 catalog pageVendor product page · checked Oct 24, 2026
- Thymosin Alpha 1 (10 mg) product pageVendor product page · checked Oct 24, 2026
Competitor guide4
- Thymosin Alpha-1 profilepeptidesexplorer.com · checked Oct 24, 2026
- Thymosin Alpha-1 dosage chartpeptidedeck.com · checked Oct 24, 2026
- Thymosin Alpha-1 (10 mg vial) dosage protocolpeptidedosages.com · checked Oct 24, 2026
- Thymosin Alpha-1 compound pagepeptiq.io · checked Oct 24, 2026
Community-reported2
- Thymosin Alpha-1 community protocols and reportspeptideprotocolwiki.com, via a competitor guide · checked Oct 24, 2026
- Thymosin Alpha-1 (TA1) guide, community commentarypeptidedosingprotocols.com, via a competitor guide · checked Oct 24, 2026
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