Evidence review

The Wolverine Stack: BPC-157 With TB-500

What is the Wolverine stack, and has BPC-157 with TB-500 been tested in people?

The answer

No trial has tested the pair. The Wolverine stack is a marketplace name for BPC-157 used together with TB-500; the only human data on the combination are four patients in one uncontrolled chart review, a rat study found no added benefit from combining them, neither peptide may be lawfully compounded while FDA acts on a July 2026 advisory vote, and both are prohibited in sport.

Molecules
BPC-157, TB-500
US status
PCAC-recommended · pending (all 2)
Sources
19
Reviewed
September 2026

Where does the name come from?

The Wolverine stack is a nickname, used in online marketing and forums, for taking BPC-157 and TB-500 together; it borrows the name of a comic-book character known for healing quickly. It is not a drug, a formulation or a regimen defined by any regulator or journal. The phrase appears in no PubMed record [1], and no registered study combines the two peptides [4].

The pairing rests on the idea that the two work through different repair pathways and so add to each other. That idea comes from studying each peptide separately, mostly in animals and cells [19]. The same two peptides also appear, with GHK-Cu and sometimes KPV, in the injectable blends sold as GLOW and KLOW, covered in the review of GLOW and KLOW blends.

How do BPC-157 and TB-500 compare?

They are unrelated molecules with similar records. BPC-157 is a 15-amino-acid fragment of a protein first described in human gastric juice [19]. TB-500 is a synthetic fragment of thymosin beta-4, and analysis of products sold under the name identified it as a seven-residue piece of that 43-residue protein [7]. Neither has a published controlled trial, and both hold the same US and sporting position.

BPC-157 and TB-500 side by side, as of September 2026
MeasureBPC-157TB-500
What it is15-amino-acid fragment of a gastric juice protein [19]Seven-residue fragment of thymosin beta-4, Ac-LKKTETQ [7]
Published controlled trialsNone; three uncontrolled reports covering 30 people [2, 10, 11]None of the fragment; its one trial-type record is a tuberculosis study matched on the letters TB [6]
Human evidence often citedAnimal studies and the three small reportsTrials of full-length thymosin beta-4, a different molecule [8, 9]
Registered trialsFour, none with results [4]One phase 1/2 trial, recruiting, no results [5]
FDA's stated concernImmunogenicity, impurities and ingredient characterization; little or no safety data [12]Immunogenicity from aggregation and impurities; no human exposure data identified [13]
US statusOff Category 2 since April 2026; advisory vote to list it, reported 8–6–1; no final rule [15, 16]The same: off Category 2, the same reported 8–6–1 advisory vote, no final rule [15, 16]
WADA 2026 ListS0, non-approved substances, named [14]S2.3, growth factors, named [14]
  • MeasureWhat it is
    BPC-15715-amino-acid fragment of a gastric juice protein [19]
    TB-500Seven-residue fragment of thymosin beta-4, Ac-LKKTETQ [7]
  • MeasurePublished controlled trials
    BPC-157None; three uncontrolled reports covering 30 people [2, 10, 11]
    TB-500None of the fragment; its one trial-type record is a tuberculosis study matched on the letters TB [6]
  • MeasureHuman evidence often cited
    BPC-157Animal studies and the three small reports
    TB-500Trials of full-length thymosin beta-4, a different molecule [8, 9]
  • MeasureRegistered trials
    BPC-157Four, none with results [4]
    TB-500One phase 1/2 trial, recruiting, no results [5]
  • MeasureFDA's stated concern
    BPC-157Immunogenicity, impurities and ingredient characterization; little or no safety data [12]
    TB-500Immunogenicity from aggregation and impurities; no human exposure data identified [13]
  • MeasureUS status
    BPC-157Off Category 2 since April 2026; advisory vote to list it, reported 8–6–1; no final rule [15, 16]
    TB-500The same: off Category 2, the same reported 8–6–1 advisory vote, no final rule [15, 16]
  • MeasureWADA 2026 List
    BPC-157S0, non-approved substances, named [14]
    TB-500S2.3, growth factors, named [14]

What has been tested together?

Almost nothing. Thirteen PubMed records name both peptides. Ten are review or overview articles, one is a laboratory method for detecting doping agents in blood, one is a rat study and one is a human chart review; none is indexed as a clinical trial [1]. ClinicalTrials.gov lists no study of the two together [4].

The human data on the combination come to four people. In a 2021 retrospective review of knee injections at one Florida practice, 4 of 16 patients received BPC-157 together with thymosin beta-4, which the paper calls TB4 without saying whether it was the full protein or the TB-500 fragment; 3 of the 4 reported significant relief in a telephone survey [2]. There was no comparison group, and the survey reached patients up to a year after treatment.

The one controlled test of the pair was in rats, and it did not find that the pair beat either peptide alone. In a 2026 study of 32 rats with a repaired Achilles tendon, split into four groups of eight, TB-500 alone produced the clearest gains in tendon strength and structure, BPC-157 alone improved tissue scores without reaching significance, and the combination "did not confer additional benefits compared to either agent alone" [3]. The authors called the study exploratory, and eight rats a group is a small test, but it is the only direct evidence on whether stacking adds anything.

What are the side effects of the stack?

They are not known for the pair, and barely known for either half. The BPC-157 reports that recorded safety, 14 people across two small pilots, found no adverse events [10, 11]; for TB-500, FDA states it has identified no human exposure data at all [13]. The BPC-157 safety record sets out what is and is not known about that half in full.

Taking two unstudied peptides at once adds a problem of its own: if something goes wrong, there is no way to tell which peptide caused it, or whether the combination did. Contents are a further unknown, since a laboratory analysis of products sold as TB-500 found that they did not consistently match their labels [18].

What did FDA say about each peptide?

FDA placed BPC-157 in Category 2 of its interim bulks list in September 2023 [17]. Its safety-risk page, current as of April 22, 2026, states that compounded BPC-157 "may pose risk for immunogenicity for certain routes of administration and may have complexities with regard to peptide-related impurities and active pharmaceutical ingredient (API) characterization," and that the agency lacks sufficient information to know whether it would cause harm in people [12].

For TB-500 the same page states that compounded drugs containing the fragment "may pose risk for immunogenicity for certain routes of administration due to the potential for aggregation as well as peptide-related impurities," and that FDA "has not identified any human exposure data" on products containing it [13]. Both peptides left Category 2 in April 2026 without being added to Category 1, which ended the explicit bar without granting permission; the Category 2 removal page explains the difference.

Are BPC-157 and TB-500 allowed in sport?

No. Both are named on the World Anti-Doping Agency's 2026 Prohibited List, in force from January 1, 2026, and both are prohibited at all times, in and out of competition [14]. BPC-157 is named in section S0, non-approved substances, which covers any pharmacological substance not addressed elsewhere on the List that has no current approval by any government health authority for human therapeutic use: "This class covers many different substances including but not limited to BPC-157" [14]. TB-500 is named in section S2.3, growth factors and growth factor modulators: "Thymosin-β4 and its derivatives e.g. TB-500" [14].

An FDA compounding listing would change neither entry. TB-500's place in S2.3 does not depend on approval at all, and a compounding listing is not an approval of a drug for human therapeutic use, which is the test S0 applies [14]. The WADA status table sets out every molecule in the index against the List.

What would change if FDA acts on the advisory vote?

In July 2026 the Pharmacy Compounding Advisory Committee voted to recommend adding both peptides to the section 503A bulks list, each by a margin reported as 8 to 6 with one abstention in two independent law-firm accounts; FDA scientists had recommended against inclusion in each case [15, 16]. The vote is advisory, and FDA has issued no final rule for either.

If FDA does list them, licensed 503A pharmacies could compound each peptide for an individual patient's prescription, under the same framework that governs other bulk substances [17]. Listing would not make either an approved drug, would not create trial evidence for either, and would not test the combination. Each molecule is decided on its own, so the two could also end up in different places. The pending status page and the July 2026 vote ledger will carry the outcome when it issues.

Elsewhere in this index

More research on these molecules

Monographs

  • BPC-157PCAC-recommended · pending
  • TB-500PCAC-recommended · pending

Reference tables

Sources

Research and regulatory records cited in this review.

  1. PubMed, National Library of Medicine. Searches run September 2026: the BPC-157 names combined with the TB-500 and thymosin beta-4 names returned 13 records, each read (ten review or overview articles, one analytical method, one rat study, one retrospective human chart review), 0 under the clinical-trial publication type; the quoted phrase "wolverine stack" was reported as not found in any record. Control term aspirin returned 8,916 records under the clinical-trial type in the same run, and the invalid identifier 99999999 errored. Source Checked September 2026. Related molecule record.
  2. Lee E, Padgett B. Intra-articular injection of BPC 157 for multiple types of knee pain. Altern Ther Health Med. 2021;27(4):8-13. A retrospective chart review with telephone follow-up of 16 patients; no comparison group. PMID 34324435 Checked September 2026. Related molecule record.
  3. Biçer O, Adanir O, Güleryüz Y, et al. Effects of BPC-157 and TB-500 on Achilles tendon healing in rats: a histopathological and biomechanical study. Jt Dis Relat Surg. 2026;37(3):822-837. PMID 42542926 Checked September 2026. Related molecule record.
  4. ClinicalTrials.gov, National Library of Medicine, v2 API. Searches run September 2026: "BPC-157" returned four registered studies, none with results; "BPC-157 AND TB-500" and "BPC-157 AND thymosin" each returned 0. Control in the same run: "aspirin" returned 2,968 studies. Source Checked September 2026. Related molecule record.
  5. ClinicalTrials.gov, National Library of Medicine. NCT07487363: a phase 1/2, randomized, double-blind, placebo-controlled, sequential dose-escalation study of TB-500 (thymosin beta 4 17-23 fragment) in adults with stable atherosclerotic cardiovascular disease. Status recruiting; no results posted. Source Checked September 2026. Related molecule record.
  6. PubMed, National Library of Medicine. Census run August 2026: "TB-500" OR "TB500" returns 31 indexed records, 1 under "clinical trial"[Publication Type] and 0 under "randomized controlled trial"[Publication Type]; the single clinical-trial record is a study of tuberculosis incidence, matched on the letters TB and unrelated to the peptide. The filter was proved live in the same run against a control term. Source Checked August 2026. Related molecule record.
  7. Esposito S, Deventer K, Goeman J, Van der Eycken J, Van Eenoo P. Synthesis and characterization of the N-terminal acetylated 17-23 fragment of thymosin beta 4 identified in TB-500, a product suspected to possess doping potential. Drug Test Anal. 2012;4(9):733–738. PMID 22962027 Checked August 2026. Related molecule record.
  8. Wang X, Liu L, Qi L, Lei C, Li P, Wang Y, et al. A first-in-human, randomized, double-blind, single- and multiple-dose, phase I study of recombinant human thymosin β4 in healthy Chinese volunteers. J Cell Mol Med. 2021 Sep;25(17):8222-8228. PMID 34346165 Checked August 2026. Related molecule record.
  9. Sosne G, Dunn SP, Kim C. Thymosin β4 significantly improves signs and symptoms of severe dry eye in a phase 2 randomized trial. Cornea. 2015 May;34(5):491-6. PMID 25826322 Checked August 2026. Related molecule record.
  10. Lee E, Walker C, Ayadi B. Effect of BPC-157 on symptoms in patients with interstitial cystitis: a pilot study. Altern Ther Health Med. 2024;30(10):12-17. Twelve women, single arm, one treatment; no comparison group. PMID 39325560 Checked September 2026. Related molecule record.
  11. Lee E, Burgess K. Safety of intravenous infusion of BPC157 in humans: a pilot study. Altern Ther Health Med. 2025;31(5):20-24. Two adults, each of whom had received intravenous BPC-157 before the study. PMID 40131143 Checked September 2026. Related molecule record.
  12. US Food and Drug Administration. Certain bulk drug substances for use in compounding that may present significant safety risks (the Category 2 rationale for BPC-157). Content current as of April 22, 2026. Read September 2026. Source Checked September 2026. Related molecule record.
  13. US Food and Drug Administration. Certain Bulk Drug Substances for Use in Compounding that May Present Significant Safety Risks, content current as of April 22, 2026, entry for thymosin beta-4, fragment (LKKTETQ), also known as TB-500. Read September 2026. Source Checked September 2026. Related molecule record.
  14. World Anti-Doping Agency. The 2026 Prohibited List, International Standard, in effect from January 1, 2026. Section S0, Non-Approved Substances, and section S2.3, Growth Factors and Growth Factor Modulators, both prohibited at all times. Read September 2026. Source Checked September 2026. Related molecule record.
  15. McDermott Will & Schulte. Bulk-list bound? PCAC backs majority of peptides in two-day public meeting. July 27, 2026. Read August 2026. A secondary account, cited because the FDA has published no minutes, transcript or vote summary for the July 23–24, 2026 meeting; it states that FDA scientists recommended against inclusion in each instance. Source Checked August 2026. Related molecule record.
  16. LumaLex Law. The July 2026 PCAC Peptide Meeting. July 25, 2026. Read August 2026. A second, independent secondary account; it prints BPC-157 and TB-500 each at 8–6–1, and the two accounts agree substance by substance. Source Checked August 2026. Related molecule record.
  17. US Food and Drug Administration. Interim Policy on Compounding Using Bulk Drug Substances Under Section 503A of the Federal Food, Drug, and Cosmetic Act, guidance for industry, January 2025, docket FDA-2015-D-3517: the policy that defines Categories 1, 2 and 3, under which BPC-157 was placed in Category 2 in September 2023. Read September 2026. Source Checked August 2026. Related molecule record.
  18. Delcourt V, Garcia P, Chabot B, et al. TB500/TB1000 and SGF1000: a scientific approach for a better understanding of misbranded and adulterated drugs. Drug Test Anal. 2023;15(4):458–464. PMID 36482504 Checked August 2026. Related molecule record.
  19. Mateescu DM, Gavrilescu DM, Constantinescu FE, et al. BPC-157 as an investigational peptide therapeutic: biopharmaceutical challenges, formulation strategies, and translational development barriers. Pharmaceutics. 2026. PMID 42198317 Checked August 2026. Related molecule record.