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Immune & recoveryEvidence grade: Human trials

Thymosin Alpha-1

Tα1, 28-amino-acid thymic peptide

An immune-modulating thymic peptide approved in dozens of countries, with the most substantial regulatory footprint of anything on this site.

Last reviewed · 1 references

How it works

Thymosin alpha-1 is produced by the thymus and modulates T-cell maturation and dendritic cell function. Rather than stimulating the immune system indiscriminately, it appears to restore balance — which is why it has been studied both in immune deficiency and in conditions with excessive inflammation.

Human trials. Tested in controlled human trials. Still read the sample sizes — many are small.

What the research reports

  • Approved in over 30 countries for hepatitis B, hepatitis C and as a vaccine adjuvant
  • Randomised trials in sepsis reporting mortality benefit
  • Studied extensively during COVID-19 for immune restoration
  • Reduced inflammatory markers in several trial settings

What it has not been shown to do

  • Not FDA-approved in the United States
  • No cognitive or mood endpoint trials
  • The mental-health link is inferential, via inflammation

Dosing reference

Clinical protocols commonly use 1.6 mg subcutaneously twice weekly, under medical supervision.

Calculate my dose for Thymosin Alpha-1
Routes studied
Subcutaneous
Half-life
Roughly 2 hours; immune effects persist far longer
Cycle length in the literature
Clinical courses run weeks to months depending on indication

Working out a draw volume from a vial? Use the free reconstitution calculator.

Side effects and contraindications

Reported side effects

  • Injection-site reaction
  • Transient flu-like symptoms

Do not use if

  • Immunosuppressed transplant recipients — immune modulation can threaten graft tolerance
  • Autoimmune disease without specialist oversight
  • Pregnancy and breastfeeding

The practice that shares the mechanism

The inflammation-depression link is one of the better-supported ideas in modern psychiatry. Sleep deprivation raises inflammatory cytokines measurably within days, and chronic stress does the same — which makes rest and regulation direct interventions on the same target.

What amplifies it

  • Sleep — the fastest way to raise inflammatory markers is to stop sleeping
  • Omega-3 intake and resolution of inflammation
  • Stress reduction, which lowers IL-6 and CRP in trial settings

Mechanism hubs

Common questions

Sources & evidence notes

Evidence grade: Human trials1 source · 1 human · 0 animal · reviewed 1 Jun 2026

Tested in controlled human trials. Still read the sample sizes — many are small.

Confidence score 33/100

Limited confidence

Animal or mixed preclinical work. Enough to justify interest, not enough to predict an outcome in a person.

Search all sourcesExports the 1 source currently shown.
  1. 1.

    Critical Care, 2013 · Source (opens in a new tab)

    Human RCTStrong gradeRandomised controlled trial in people — the strongest single source type here.