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Peptide dosage reference for the US and Canada
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HomePeptide dosagesSS-31 (elamipretide)20 mg vial

SS-31 (elamipretide) 20 mg vial: mixing and syringe units

A 20 mg vial of SS-31 (elamipretide) mixed with 2 mL of bacteriostatic water is 10 mg/mL. At that strength 1 mg is 10 units on a U-100 syringe and 10 mg is 100 units. The doses on this page are a reported range, not a label dose.

Last checked 10 Oct 2026

20 mg vial

Water 2 mL

Concentration 10 mg/mL

US Approved for one use

Canada Not authorized

Checked 10 Oct 2026

SS-31 (elamipretide) 20 mg draw chart

Each row is one dose, the volume to draw and where that sits on a U-100 insulin syringe. The last three columns show which syringe sizes can hold it in one draw.

SS-31 (elamipretide) 20 mg vial with 2 mL of bacteriostatic water, 10 mg/mL. Daily or twice weekly.
DoseVolumeSyringe units0.3 mL syringe0.5 mL syringe1 mL syringe
1 mg0.10 mL10 unitsYesYesYes
5 mg0.50 mL50 unitsNoYesYes
10 mg1.00 mL100 unitsNoNoYes

Source Reported range, not a label dose. The approved product, Forzinity, is labelled at 40 mg once daily for Barth syndrome. Vial math is arithmetic.

Open it in the calculator

How to mix a 20 mg SS-31 (elamipretide) vial

  1. Wash your hands. Wipe the stopper of the SS-31 (elamipretide) vial and the water vial with an alcohol swab.
  2. Draw 2 mL of bacteriostatic water into a syringe.
  3. Push the needle through the stopper of the peptide vial and let the water run slowly down the glass, not straight onto the powder.
  4. Swirl the vial gently until the powder is gone. Do not shake it.
  5. Write the date and 10 mg/mL on the vial, then put it in the fridge.

If you add a different amount of water

More water makes each dose a bigger, easier draw. Less water makes it smaller. The milligrams in the vial do not change.

Water addedConcentration1 mg5 mg10 mg
1 mL20 mg/mL5 units25 units50 units
2 mL10 mg/mL10 units50 units100 units
3 mL6.6667 mg/mL15 units75 units150 units

The marked row is the amount used in the chart above. Red cells are draws under 5 units, which are hard to read, or over 100 units, which one 1 mL syringe cannot hold.

How many doses are in the vial

DoseWhole doses in a 20 mg vial
1 mg20 doses
5 mg4 doses
10 mg2 doses

How long the vial lasts depends on how often it is used. The reported frequency for SS-31 (elamipretide) is: daily or twice weekly.

SS-31 (elamipretide) 20 mg vial questions

How many units is 1 mg of SS-31 (elamipretide) from a 20 mg vial?

With 2 mL of bacteriostatic water the vial is 10 mg/mL. 1 mg is 0.10 mL, which is 10 units on a U-100 syringe.

How many units is 5 mg of SS-31 (elamipretide) from a 20 mg vial?

With 2 mL of bacteriostatic water the vial is 10 mg/mL. 5 mg is 0.50 mL, which is 50 units on a U-100 syringe.

How many units is 10 mg of SS-31 (elamipretide) from a 20 mg vial?

With 2 mL of bacteriostatic water the vial is 10 mg/mL. 10 mg is 1.00 mL, which is 100 units on a U-100 syringe.

How much bacteriostatic water goes in a 20 mg SS-31 (elamipretide) vial?

2 mL is the amount used on this page. It gives 10 mg/mL and puts the doses at 10, 50, 100 units. Any amount works as long as the math is redone for it.

What if I added 1 mL instead of 2 mL?

The vial would be 20 mg/mL instead of 10 mg/mL, so 1 mg would be 5 units instead of 10. The dose in the syringe is the same; only the volume changes.

How many doses are in a 20 mg SS-31 (elamipretide) vial?

Whole doses in one vial: 20 at 1 mg, 4 at 5 mg, 2 at 10 mg.

More on SS-31 (elamipretide)

This page is only the math for one vial size. Where the doses come from, what the studies found, the side effects and the sources are on the main page.

SS-31 (elamipretide) dosageWhat SS-31 (elamipretide) isHow to mix a vialHow to read a syringe

DosageFacts is an information site. It is not medical advice. Talk to a licensed professional before using any medication.