SS-31: $199
Your telehealth visit is free. If you buy, we add a $49 medication review for your prescription.
Nothing to pay to book. California residents only.
SS-31 is a small peptide designed to reach mitochondria, the parts of cells that make energy. Most studies are in cells and animals, and results in people are mixed.
FDA granted elamipretide (the drug name for SS-31) accelerated approval in 2025 only to improve muscle strength in Barth syndrome. No other use is approved, and these studies don’t show that it treats other conditions. Your free consultation with a nurse practitioner is the place to talk through what is and isn’t known.
Most peptides are not FDA-approved for the uses discussed publicly, and are prescribed at the discretion of a licensed provider after an individual evaluation. A peptide is not appropriate for everyone, and individual results vary.
Peptide therapy at Cienega Medical is available by prescription only. You start with a consultation with one of our nurse practitioners, who reviews your health history, your goals, and whether a peptide is appropriate for you. If it is, they write the prescription and we prepare it for your visit. If it is not, they will tell you that too.
SS-31, also called elamipretide, is a synthetic peptide made of four amino acids. It is described as mitochondria-targeted, meaning it concentrates in the mitochondria, the structures inside cells that produce most of the body’s usable energy. It is studied for its interaction with cardiolipin, a lipid in the inner mitochondrial membrane involved in how efficiently those structures work.
Most published research on elamipretide comes from clinical trials in rare mitochondrial conditions and in heart and eye disease, not from studies of healthy adults seeking more energy. It is not FDA-approved for the uses discussed here, and it is prescribed at a provider’s discretion after an individual evaluation.
SS-31, also known as elamipretide, is a synthetic four-amino-acid peptide studied for its interaction with the mitochondrial membrane. The research shows less than the internet suggests. The published work is concentrated in rare mitochondrial disease, heart failure and eye disease, results have been mixed, and there is very little research in healthy adults, which is the group most people asking about it belong to. Your nurse practitioner can talk you through that at your free consultation.
The FDA granted accelerated approval to Forzinity (elamipretide) in September 2025 to improve muscle strength in people with Barth syndrome who weigh at least 30 kg. That specific approval does not establish an energy benefit for healthy adults or mean that a compounded SS-31 bottle is FDA-approved. Your provider will discuss the evidence and alternatives. Read the FDA summary.
SS-31 is not right for everyone. Your nurse practitioner reviews your health history, current medications and existing conditions before prescribing, and if it is not an appropriate choice for you, they will tell you that. Bring your current medication list to the free consultation.
Bottle prices are listed on this page. Every order includes one medication review fee, which covers the review and managing your prescriptions, and is charged once even when prescriptions go out as separate orders the same day. The consultation itself is free.
Pick a time for a free telehealth visit with a nurse practitioner, by phone or video. Before your visit, you fill out a short health form. They go through your health history, your current medications and what you are trying to achieve, then tell you whether this is a sensible fit. Not everyone is, and if you are, they write the prescription and you pay for your bottles plus one medication review fee.
Your prescription is filled by a licensed U.S. 503A compounding pharmacy.
That depends on what your provider prescribes, so it is not something we can put a number on here. Your nurse practitioner tells you at your review roughly how long a bottle should last for you and when it would make sense to order again. You can order as many bottles as your nurse prescribes while you’re on the call, and when you need more, book another call online or call us. Each call where you order adds one $49 medication review. Nothing renews on its own. If you’d like bottles sent on a regular schedule, ask your nurse: it’s worked out case by case, since everyone’s prescription is different.
Both. Collect at West Hollywood, Santa Monica or Calabasas, where we pack it for you and show you how to inject it, all covered by the medication review fee. Or we ship it to your home anywhere in California, at no extra charge.
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