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TB-500 vs ARA-290

Both TB-500 and ARA-290 are used for anti-inflammatory. Here's how their evidence, dosing, and regulatory status actually compare.

TB-500

Evidence B

Thymosin Beta-4 Fragment

A synthetic fragment of thymosin beta-4 that promotes cell migration, blood vessel formation, and tissue repair. Often stacked with BPC-157 as the 'Wolverine Stack.'

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ARA-290

Evidence B

ARA-290 (Cibinetide)

An 11-amino-acid peptide derived from the helix-B region of erythropoietin. Activates the tissue-protective receptor without erythropoietic side effects. Investigated for neuropathy and inflammation.

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Side-by-Side

AttributeTB-500ARA-290
Evidence GradeBB
FDA StatusNot FDA-approved — Category 2 (reclassification to Cat 1 expected 2026)Not FDA-approved — Phase 2/3 trials for sarcoidosis-associated small fiber neuropathy
Typical Dose2 mg twice weekly (subcutaneous)Trial range: 1–4 mg subcutaneous daily
Clinics Indexed1839
Categoriesrecovery, anti-inflammatoryanti-inflammatory, neuroprotection

Key reported benefits — TB-500

  • Wound healing
  • Anti-inflammation
  • Tissue regeneration
  • Flexibility

Key reported benefits — ARA-290

  • Small-fiber neuropathy improvement
  • Anti-inflammatory
  • No erythrocytosis

Educational use only

This comparison is for educational purposes and not medical advice. Peptide selection should be made with a licensed medical professional based on your individual goals, health history, and current evidence quality.

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