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Some human trialsIn clinical trials

Thymosin beta-4 side effects

Also known as: Thymosin beta 4 · Tβ4 · TB4 · TB-4 · Full-length thymosin beta-4 · TMSB4X · RGN-259 · RGN-137 · NL005

Updated 26 sources

7 side effects reported for Thymosin beta-4: 3 from studies and labels, 4 from users and guides. 1 come with the ways people manage them.

Side effects reported in studies and labels

Rates as each trial or label states them. A rate from one trial does not carry over to research-grade vials or other doses.

From trials and regulators3

Clinical studies and regulatory documents.

  • Adverse events in IV trials

    Infrequent, mild or moderate at 42 to 1,260 mg IV; mild to moderate with recombinant Tβ4. No dose-limiting toxicity or serious events in either.

  • Adverse events with topical gel

    Safety of all gel strengths acceptable and comparable to placebo in 73 venous ulcer patients

  • Adverse events with eye drops

    Safe and well tolerated in dry eye; no significant adverse effects in neurotrophic keratopathy

Side effects users and guides report

What people post and what dosing guides list. These are reports, not measured rates.

From users and guides4

Community reports, competitor and vendor guides, media.

  • Injection-site redness or irritation

    Typically mild, per one guide

    How people manage it

    • Rotate injection sites
  • Fatigue or mild headache

    Transient; reported by some users of the peptide class

  • Flu-like feeling

    Occasional, temporary

  • Eye stinging with drops

    Transient, on application

Who should avoid it, and what not to combine

  • Active or past cancerCondition

    Thymosin beta-4 drives cancer cell migration and metastasis in lab and tissue studies, and guides advise caution with any history of cancer. No human data.

  • Tested sportCondition

    Prohibited by WADA at all times under S2.3.

  • Pregnancy or breastfeedingCondition

    No safety data; guides say check with a clinician first.

How much is known

Some human trials

Real human trials, mixed results, none subQ. Two IV Phase 1 safety studies were clean. A venous ulcer gel Phase 2 showed a signal at 0.03%. Eye drops: a small dry-eye Phase 2 and a small keratopathy Phase 3 trended positive; a second keratopathy Phase 3 is recruiting. Recombinant IV Phase 2 trials in heart attack have completed without published results.

Thymosin beta-4 side effects questions

What are the side effects?

In trials, mild: IV doses up to 1,260 mg a day caused infrequent mild or moderate events with no serious ones, and gels and eye drops matched placebo. Guides list mild injection-site irritation, fatigue, headache and flu-like feelings for injected use.

Does it raise cancer risk?

There is no human evidence either way. It drives cancer cell migration and metastasis in lab and tissue work, so guides say avoid it with active or past cancer.

Sources for these side effects

10 sources, each checked by date. Record updated Oct 24, 2026. Numbers are restated in our own words and labelled by where they came from.

Regulatory1

  1. WADA 2026 Prohibited ListWADA · checked Oct 24, 2026

Competitor guide2

  1. Thymosin beta-4 research guidepeptidedeck.com · checked Oct 24, 2026
  2. Thymosin beta-4 protocol guidepathtopeptides.com · checked Oct 24, 2026

Back to the full Thymosin beta-4 page for dosing, the vial chart and storage.