Supplies Needed

• Reconstituted TB-4 vial (stored in refrigerator)
• Insulin syringes: 29-31 gauge, 0.5 mL or 1 mL (U-100)
• Alcohol swabs
• Sharps disposal container
• Clean, flat workspace

Step-by-Step Injection Guide

Step 1: Prepare

Wash hands thoroughly with soap and water. Remove the TB-4 vial from the refrigerator. Let it sit for 1 to 2 minutes to take the chill off (cold injections can sting slightly more).

Step 2: Clean the Vial Top

Wipe the rubber stopper of the vial with an alcohol swab. Allow to air dry for 10 seconds.

Step 3: Draw Your Dose

Pull the plunger of your insulin syringe back to your prescribed volume (in units). Insert the needle through the rubber stopper, invert the vial, and slowly draw your dose. Tap the syringe gently to move any air bubbles to the top, then push the plunger slightly to expel the air.

Step 4: Select and Clean the Injection Site

Best injection sites for TB-4:

• Lower abdomen: 2 inches to either side of the navel (most popular site)
• Outer thigh: Middle third of the outer thigh
• Back of upper arm: Fatty area on the back of the tricep

Clean the chosen site with a fresh alcohol swab in a circular motion from center outward. Allow to air dry.

Step 5: Inject

Pinch a fold of skin at the injection site with your non-dominant hand. With your dominant hand, insert the needle at a 45-degree angle into the pinched skin fold. Push the plunger slowly and steadily until the syringe is empty. Wait 5 seconds before withdrawing the needle.

Step 6: After Injection

Release the skin fold. Apply gentle pressure with a clean cotton ball or alcohol swab for 10 seconds. Do not rub the area. Dispose of the syringe in your sharps container. Return the vial to the refrigerator.

Injection Site Rotation

Rotate injection sites with each injection to prevent lipodystrophy (changes in the fat tissue at repeatedly used sites). A simple rotation pattern for twice-weekly injections:

• Monday: Left side of abdomen
• Thursday: Right side of abdomen
• Following Monday: Left thigh
• Following Thursday: Right thigh

Keep each injection at least 1 inch away from the previous site in the same area.

Injecting Near an Injury Site

Some practitioners recommend injecting TB-4 as close to the injury site as practical (while still injecting subcutaneously, not into the injured tissue itself). The theory is that local injection delivers higher peptide concentrations to the nearby injured tissue .

For example:

• Shoulder injury: Inject into the subcutaneous fat near the shoulder
• Knee injury: Inject into the fatty tissue above or to the side of the knee
• Achilles tendon: Inject into the subcutaneous tissue near the ankle

However, TB-4 is systemically active regardless of injection location. Abdominal injection is perfectly effective for systemic distribution.

Tips for Comfortable Injections

• Ice the area for 15-30 seconds before injection to numb the skin
• Inject slowly to reduce sensation
• Use a fresh needle for each injection (needles dull after a single use)
• Relax the muscles at the injection site
• Alternate between different body areas to give each site time to recover

Frequently Asked Questions

Can I inject TB-4 intramuscularly?

Subcutaneous injection is the standard route. Intramuscular injection is possible but offers no proven advantage and increases discomfort. Stick with subcutaneous unless your physician specifically directs otherwise.

What if I see blood when I inject?

A small amount of bleeding at the injection site is normal and harmless. You may have nicked a small capillary. Apply pressure for 30 seconds. If bruising occurs, it will resolve on its own within a few days.

Can I inject TB-4 and BPC-157 at the same time?

Yes. Many patients use both peptides simultaneously. You can inject them at the same time in different locations, or some physicians allow mixing them in the same syringe if the formulations are compatible. Check with your pharmacy and physician.