Immune · Reference
Epithalon vs Thymalin: The Two Khavinson Peptides, Side by Side
This page explains each on its own terms, puts them side by side, covers what the shared cohort does and does not show, where each stands with the FDA (very differently), how each is dosed, what each costs at Pepti, and who tends to suit which.

Treatments mentioned
Epithalon and thymalin are sister compounds from the same Russian research programme, aimed at two different glands. Epithalon is a synthetic four-amino-acid peptide modelled on a pineal extract, described around telomerase in cultured cells and evening melatonin in old animals. Thymalin is a polypeptide extract of calf thymus, described around T-cell maturation and inflammatory signalling. Both were given to the same 266 older adults in an open-label St Petersburg and Kiev cohort, neither has a randomized controlled trial, and neither compounded product is FDA approved.
This page explains each on its own terms, puts them side by side, covers what the shared cohort does and does not show, where each stands with the FDA (very differently), how each is dosed, what each costs at Pepti, and who tends to suit which.
Epithalon vs Thymalin
The short answer
| If your main question is | The usual prescription | What is in it | Price |
|---|---|---|---|
| Telomeres and circadian rhythm | Epithalon | 10 mg epithalon in a 5 mL vial | $249/mo |
| Immune ageing and T-cell function | Thymalin | 5 mg thymalin in a 5 mL vial | $209/mo |
| Epithalon with skin and repair peptides | ETERNAL Blend | Epithalon with GHK-Cu, BPC-157 and TB-500 | $279/mo |
| An immune peptide with randomized trials | Thymosin Alpha-1 | 10 mg thymosin alpha-1 in a 5 mL vial | $249/mo |
| Immune support inside a broader blend | FORTIFY Blend | Thymosin alpha-1, BPC-157, KPV and LL-37 | $289/mo |
Every figure is an all-in monthly price covering the medication, physician review, refill management and shipping. There is no separate membership fee, and Pepti is cash-pay and does not bill insurance. Current pricing always lives on each product page.
Epithalon vs Thymalin
Where they came from
Both trace back to Vladimir Khavinson and Vyacheslav Morozov, who began work in 1973 at what became the St Petersburg Institute of Bioregulation and Gerontology. Their idea was that peptides extracted from a specific gland could support that gland's function in older bodies. Thymalin, from thymus tissue, was the first of the family. Epithalamin, from pineal tissue, came next, and epithalon is the synthetic tetrapeptide later designed to reproduce Epithalamin's amino-acid composition.
That shared origin shapes the evidence for both. Almost all of the literature comes from one research network and its collaborators, much of it in Russian-language journals, and the study designs are not the randomized, blinded trials Western regulators require. That does not make the work wrong. It means both should be read the same way: a long clinical tradition from one country, with mechanisms examined only recently elsewhere.
Epithalon vs Thymalin
Epithalon on its own terms
What it is
Epithalon is a tetrapeptide, Ala-Glu-Asp-Gly (AEDG), and one of the shortest peptides in clinical use. It is a single defined sequence that a chemist can synthesize. It is not melatonin, not a sedative and not a hormone. The full reference is at what is Epithalon.
How it is described to work
- Telomerase in cultured cells. A 2003 St Petersburg paper reported telomerase induction and telomere lengthening in cultured human fetal fibroblasts. A 2025 paper from Brunel University London in Biogerontology was the first independent replication in normal human cell lines, and also reported telomere extension in breast cancer cell lines.
- Evening melatonin where it is low. In old rhesus monkeys, a 2001 study reported evening melatonin rising more than fourfold; younger animals showed no change. The effect appears where melatonin output is already low and is absent where it is normal.
- Rodent lifespan. Anisimov and colleagues (Biogerontology, 2003) gave female mice brief monthly courses; mean lifespan did not change, the longest-lived ten per cent lived about 13 per cent longer, and overall tumour incidence was unchanged.
Epithalon vs Thymalin
Thymalin on its own terms
What it is
Thymalin is not a single sequence. It is a standardized mixture of short peptides extracted from the thymus of young cattle. The developers describe two dipeptides inside it, Lys-Glu (KE) and Glu-Trp (EW), as the active components. The thymus is where T-lymphocytes mature, and it shrinks steadily from puberty onward; the rationale is to supply thymic signalling peptides to a body whose own thymus has largely stopped producing them. The full reference is at what is Thymalin.
How it is described to work
- T-cell maturation. A 2020 paper in the Bulletin of Experimental Biology and Medicine reported human blood stem cells in culture shifting toward mature CD28-positive T-lymphocytes.
- Inflammatory cytokines. A 2023 paper in the International Journal of Molecular Sciences reported thymalin and its two dipeptides reducing IL-1 beta, IL-6 and TNF-alpha in stimulated human immune cells; a 2022 study described similar effects in a human monocyte line.
- Markers in hospital patients. Two Russian COVID-19 hospital studies (2021 and 2022) reported faster falls in IL-6, C-reactive protein and D-dimer with thymalin added to standard care. Neither abstract describes randomization or blinding.
Epithalon vs Thymalin
Head to head
| Epithalon | Thymalin | |
|---|---|---|
| Gland it is modelled on | Pineal | Thymus |
| What it is chemically | A single synthetic tetrapeptide (AEDG) | A calf-thymus polypeptide extract with two described active dipeptides |
| Main described mechanism | Telomerase induction; restoring low evening melatonin | T-cell maturation; lower inflammatory cytokine output |
| Usual goal | Telomere and circadian side of ageing | Immune ageing |
| Human data | Elderly cohorts using the Epithalamin extract; a small sublingual study | Elderly cohorts; two COVID-19 hospital studies |
| Randomized controlled trials | None for injectable epithalon | None |
| Independent replication | Cell telomerase finding replicated in 2025 | Cell work co-authored with the developing group |
| FDA path | Reviewed by advisory committee in July 2026 | Never nominated, never reviewed |
| Allergy consideration | Synthetic sequence | Animal-derived extract, a theoretical allergy risk |
| Vial at Pepti | 5 mL, 2 mg/mL (10 mg) | 5 mL, 1 mg/mL (5 mg) |
| Typical directions | 0.25 mL (25 units) once daily, Monday to Friday | 0.25 mL (25 units) once daily, Monday to Friday |
| Per dose | 0.5 mg | 0.25 mg |
| Doses per vial | 20, about 4 weeks | 20, about 4 weeks |
| Price at Pepti | $249 a month | $209 a month |
The shared cohort, read carefully
The 2003 summary by Khavinson and Morozov in Neuro Endocrinology Letters followed 266 elderly people in St Petersburg and Kiev for six to eight years, treated for the first two to three years with thymalin, with Epithalamin, or with both. The live reports describe fewer respiratory infections and lower mortality in the treated groups, and larger differences for the combination. The epithalon reference gives mortality 1.6 to 1.8 times lower with Epithalamin alone; the thymalin reference gives 2.0 to 2.1 times lower with thymalin.
Three cautions apply to every one of those numbers. The pineal arm used Epithalamin, the extract, not synthetic epithalon. The programme was open-label and run by the institute that developed the products. And the abstracts describe no randomization, blinding or placebo, and no independent group has repeated it. It is the largest body of human experience with either compound. It is not a trial in the sense a regulator would use the word.
Epithalon vs Thymalin
Who suits which
Epithalon
Epithalon is the one discussed when the interest is the circadian and telomere side of the Khavinson work. The melatonin findings appear where output is already low, so people with a regular rhythm are the least likely to notice anything. Its specific caution is cancer history, because telomerase activation is how cells escape senescence.
Thymalin
Thymalin is the one discussed when the interest is immune ageing: a thymus that has shrunk and T-cell output that has fallen with it. Its specific cautions are autoimmune disease, immunosuppressive therapy and allergy, since it is an animal-derived extract acting on the immune system.
Together, or in sequence
In the cohort the combination was reported to outperform either alone, which is why physicians familiar with that literature sometimes discuss the two together or in sequence rather than as alternatives. No controlled study has tested the pairing. Whether one, the other, or both fits is something your physician weighs after reviewing your intake.
Epithalon vs Thymalin
When neither is the right first step
| Situation | What makes more sense |
|---|---|
| You want the immune peptide with randomized trials | Thymosin Alpha-1, a single 28-amino-acid sequence with international trials |
| A diagnosed sleep disorder | Treatment for that diagnosis; DSIP is the peptide studied for sleep directly |
| Cellular energy is the real goal | NAD+, MOTS-c or SS-31, aimed at mitochondria |
| An active infection, a diagnosed immunodeficiency or an autoimmune condition | Your physician and usually a specialist; neither peptide is a substitute for that care |
| Inflammation that will not settle rather than weak immunity | KPV, described around inflammatory pathways |
Epithalon vs Thymalin
Where each stands with the FDA
These two sisters have had completely different regulatory histories. As of the FDA pages checked in September 2026:
| Epithalon | Thymalin | |
|---|---|---|
| 503A interim categories | Placed in Category 2 in 2023 | Never nominated; in none of the three categories |
| 15 April 2026 | Removed from Category 2 after nominations were withdrawn | Not involved |
| Advisory committee | 24 July 2026: voted 7 to 4, one abstention, to recommend the 503A Bulks List, against FDA staff advice | Not on any agenda; no review announced |
| Final FDA determination | Pending | None, because it has not been reviewed |
So epithalon has been through the process and is awaiting a decision, while thymalin has never entered it. Neither is banned, both remain legal to prescribe and dispense as compounded medications, and neither is FDA approved. Compounded medications are not FDA approved. Are peptides FDA approved explains the difference.
Epithalon vs Thymalin
Dosing, side by side
Both are drawn to 0.25 mL, which is 25 units on a U-100 insulin syringe, and injected under the skin once daily Monday through Friday, abdomen or thigh, rotating sites. Because the vials differ in strength, the same volume delivers different amounts.
| What you read | Epithalon | Thymalin |
|---|---|---|
| Concentration | 2 mg/mL | 1 mg/mL |
| Dose volume | 0.25 mL (25 units) | 0.25 mL (25 units) |
| Per dose | 0.5 mg (math only) | 0.25 mg (math only) |
| Doses per vial | 20 | 20 |
| Time per vial | About 4 weeks | About 4 weeks |
The milligram figures are arithmetic from the label, not dosing advice. You do not need to calculate anything: your directions are printed on the vial, and your physician sets them after reviewing your intake. Twenty doses per vial is why refills run every 28 days, one vial per fill. Both ship refrigerated with ice packs, ready to use, with sterile syringes and alcohol prep pads.
Both research traditions used courses rather than open-ended daily use: epithalon in courses separated by months, thymalin in courses repeated annually in the older-adult programme. How long a course runs is set by your physician. More detail is in epithalon dosage.
Epithalon vs Thymalin
Side effects
Epithalon. Mostly injection-site redness, mild soreness and occasional bruising; some people report early drowsiness or vivid dreams. The FDA found no human safety study and no adverse-event reports, which is an absence of data, not evidence of safety, and raised a theoretical concern about long-term telomerase activation.
Thymalin. Mostly injection-site redness, mild soreness, occasional bruising or itching. As an animal-derived protein extract it carries a theoretical allergy risk a synthetic sequence does not, so a rash, hives or swelling beyond the injection site should be reported rather than waited out.
For either, swelling of the face or throat or difficulty breathing needs emergency care first (call 911), then tell your physician.
Epithalon vs Thymalin
Who should not take either, or should discuss it first
| Situation | Why |
|---|---|
| Pregnancy or breastfeeding | Not used; safety data is absent |
| Personal or strong family history of cancer | Especially for epithalon, because of telomerase activation |
| Autoimmune disease or immunosuppressive therapy | Especially for thymalin, which acts on the immune system |
| Past allergy to animal-derived products | Especially for thymalin, an extract of calf thymus |
| Tested athletes | Check your sport's current prohibited list before starting |
Epithalon vs Thymalin
What the evidence shows, honestly
Neither compound has been shown in a controlled trial to extend life, prevent infections or slow ageing in people. Epithalon has a cell finding on telomerase that has now been independently replicated, animal melatonin and lifespan work, and human cohort data generated with a different preparation. Thymalin has cell work on T-cells and cytokines, the same cohort, and pandemic-era hospital reports without described randomization. Any provider describing either as proven is overstating it. The claim-by-claim reads are in epithalon benefits and thymalin benefits.
Epithalon vs Thymalin
Where to get epithalon or thymalin prescribed
Neither can be bought legitimately without a prescription. Sites selling them "for research use only" are not accountable for what is in the vial: identity, purity, sterility and concentration are untested. The prescription route:
- Complete a free online intake covering your history, medications and what you want help with.
- A physician licensed in your state reviews it, usually within 24 hours.
- If it is appropriate, a PCAB-accredited, FDA-registered US 503A compounding pharmacy prepares it to that prescription. Lot test results are published at /quality/lab-results.
- It ships refrigerated with your directions printed on the vial.
- Your physician stays reachable for questions and dose changes.
Pepti prescribes both in every state except Oklahoma, plus DC Step-by-step pages: how to get epithalon prescribed online and how to get thymalin prescribed online.
References
What this is based on.
References
- Khavinson VKh, Morozov VG. [Geroprotective effect of thymalin and epithalamin] · Adv Gerontol (2002) · PMID 12577695
- Khavinson VKh. Peptides and Ageing · Neuro Endocrinol Lett (2002) · PMID 12374906
- Khavinson VK, Linkova NS, Kvetnoy IM, Polyakova VO, Drobintseva AO, Kvetnaia TV, Ivko OM. Thymalin: Activation of Differentiation of Human Hematopoietic Stem Cells · Bull Exp Biol Med (2020) · PMID 33237528
- Khavinson VK, Kuznik BI, Trofimova SV, Volchkov VA, Rukavishnikova SA, Titova ON, Akhmedov TA, Trofimov AV, Potemkin VV, Magen E. Results and Prospects of Using Activator of Hematopoietic Stem Cell Differentiation in Complex Therapy for Patients with COVID-19 · Stem Cell Rev Rep (2021) · PMID 33575961
- Kuznik BI, Shapovalov KG, Smolyakov YN, Lukyanov SA, Tereshkov PP, Kazantseva LS, Linkova NS. [Morphological compound and indicators of the blood clotting system in severe COVID-19 patients of middle aged and elderly during treatment of Tocilizumab and Thymalin] · Adv Gerontol (2022) · PMID 36169363
- Avolio F, Martinotti S, Khavinson VK, Esposito JE, Giambuzzi G, Marino A, Mironova E, Pulcini R, Robuffo I, Bologna G, Simeone P, Lanuti P, Guarnieri S, Trofimova S, Procopio AD, Toniato E. Peptides Regulating Proliferative Activity and Inflammatory Pathways in the Monocyte/Macrophage THP-1 Cell Line · Int J Mol Sci (2022) · PMID 35408963
- Linkova N, Khavinson V, Diatlova A, Petukhov M, Vladimirova E, Sukhareva M, Ilina A. The Influence of KE and EW Dipeptides in the Composition of the Thymalin Drug on Gene Expression and Protein Synthesis Involved in the Pathogenesis of COVID-19 · Int J Mol Sci (2023) · PMID 37686182
- Khavinson VKh, Bondarev IE, Butyugov AA. Epithalon peptide induces telomerase activity and telomere elongation in human somatic cells · Bull Exp Biol Med (2003) · PMID 12937682
- Anisimov VN, Khavinson VKh, Popovich IG et al.. Effect of Epitalon on biomarkers of aging, life span and spontaneous tumor incidence in female Swiss-derived SHR mice · Biogerontology (2003) · PMID 14501183
- Al-Dulaimi S, Thomas R, Matta S, Roberts T. Epitalon increases telomere length in human cell lines through telomerase upregulation or ALT activity · Biogerontology (2025) · PMID 40908429
- Araj SK, Brzezik J, Mądra-Gackowska K, Szeleszczuk Ł. Overview of Epitalon—Highly Bioactive Pineal Tetrapeptide with Promising Properties · Int J Mol Sci (2025) · PMID 40141333
- Khavinson VKh, Morozov VG. Peptides of pineal gland and thymus prolong human life · Neuro Endocrinol Lett (2003) · PMID 14523363
Citations are provided for educational purposes. They do not constitute medical advice. Always discuss any peptide protocol with your prescribing physician.
Common questions
Epithalon vs Thymalin, answered.
Epithalon is a synthetic four-amino-acid peptide modelled on a pineal extract and described around telomerase and melatonin. Thymalin is an extract of calf thymus described around T-cell maturation and inflammation. Same institute, different glands, different goals.
Yes. Both come from Vladimir Khavinson's group at the St Petersburg Institute of Bioregulation and Gerontology. Thymalin came first, from the 1970s; epithalon was designed in the 1990s to reproduce the pineal extract Epithalamin.
They were given together in the Russian elderly cohort, where the combination was reported to outperform either alone, and some physicians discuss them as a pair. No controlled study has tested the combination. Your physician reviews that with your intake.
Neither has controlled evidence for human longevity. The lifespan claims for both come from the same open-label cohort, which used the pineal extract rather than synthetic epithalon and has not been independently repeated.
Thymalin is the one described around immune function. If controlled human evidence matters most, thymosin alpha-1 has the stronger file, with international randomized trials.
No. Thymosin alpha-1 is a single 28-amino-acid synthetic sequence with randomized trials. Thymalin is a calf-thymus extract with a Russian clinical literature and no randomized trials.
No. Epithalon went through Category 2 and an advisory committee vote in July 2026. Thymalin has never been nominated for the 503A bulks list, so the FDA has expressed no view on it either way.
There is no trial-established timeline for either. The cohort followed people for six to eight years with treatment in the first two to three; that does not tell you when or whether you would notice anything.
At Pepti, epithalon is $249 a month and thymalin is $209 a month, all-in, including the medication, physician review, refill management and shipping.
Bloodwork is not required for any Pepti treatment. If your physician wants labs for your care, they'll ask through your account. The free assessment goes to a physician licensed in your state. A consultation does not guarantee a prescription.
Next step
See what a physician recommends for you.
A licensed physician in your state reviews your intake and decides what is appropriate. A consultation does not guarantee a prescription.


