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Thymosin Alpha-1 / Thymalfasin (1.6 mg Vial) Dosage Protocol

Thymosin Alpha-1 (Tα1) is a 28-amino acid peptide originally isolated from thymosin fraction 5 of bovine thymus. FDA approved as Zadaxin in several countries for chronic hepatitis B/C. Studied for immune enhancement in immunocompromised states, chronic infections, and immune senescence.

⚔ Quickstart Highlights

Reconstitution
1.0 mL BAC water → 1.6 mg/mL
Standard Dose
1.6 mg twice weekly
1 U-100 Unit =
16 mcg
Half-life
~2 hours

Dosing & Reconstitution Guide

Route: Subcutaneous  |  Frequency: Twice weekly (most protocols)

ProtocolDoseFrequencyU-100 UnitsDuration
Standard1.6 mg (full vial)Twice weekly100 units (1.0 mL)6–12 months (chronic HBV/HCV)
Immune support0.8–1.6 mgOnce or twice weekly50–100 units8–16 weeks
Standard dosing in approved international protocols uses the full 1.6 mg vial reconstituted in 1.0 mL BAC water — giving exactly 100 units on a U-100 syringe per dose. This makes dosing simple and precise: always draw to the 100-unit line.

Reconstitution Steps

  1. Draw 1.0 mL bacteriostatic water into a sterile syringe.
  2. Inject slowly down the inside glass wall of the vial; avoid foaming.
  3. Gently swirl until dissolved. Do not shake.
  4. Label with reconstitution date. Refrigerate at 2–8°C; use within 28 days.

Supplies Planning

Item8 Weeks (2Ɨ/week)6 Months (2Ɨ/week)
Thymosin Alpha-1 vials (1.6 mg)16 vials52 vials
Insulin syringes (U-100, 1 mL)1652
Bacteriostatic water (10 mL)2 Ɨ 10 mL6 Ɨ 10 mL
Alcohol swabs1 Ɨ 100-pack3 Ɨ 100-pack

Mechanism of Action

Thymosin Alpha-1 is endogenously produced by thymic epithelial cells and plays a central role in T-cell maturation and differentiation. It promotes the development of T-helper cells (CD4+), enhances cytotoxic T-cell (CD8+) activity, and upregulates major histocompatibility complex (MHC) class I and II expression on immune cells — improving antigen presentation.

Key immunological mechanisms include: activation of Toll-like receptors 2 and 9 on dendritic cells; upregulation of type I interferons and IL-12; enhanced NK cell activity; and restoration of IL-2 signaling pathways that are often suppressed in chronic viral infections and immunosenescence. In approved hepatitis protocols, Tα1 augments antiviral immune responses that the hepatitis virus has suppressed.

Research Findings & Safety Profile

Storage

StateTemperatureDurationNotes
Lyophilizedāˆ’20°C (āˆ’4°F)Up to 24 monthsDry, dark conditions
Reconstituted2–8°C (35–46°F)Up to 28 daysAvoid freeze-thaw; protect from light
⚠ Research Use Only: Thymosin Alpha-1 is approved as Zadaxin in several countries; research-grade use is investigational in the US. One of the best-characterized peptides for long-term safety. Excellent tolerability in clinical literature.

References

1
Goldstein AL et al. 'Thymosin alpha 1: biology and clinical activity' — Immunology Today, 1981
2
Garaci E et al. 'Thymosin Alpha 1: from bench to bedside' — Ann NY Acad Sci, 2007 View source ↗
3
SciClone Pharmaceuticals. 'Zadaxin (Thymalfasin) prescribing information' — International package insert