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Comparison Table: Photoprotection Development Across Dosing Protocols

Clinical implant (afamelanotide) 16mg sustained-release One implant per 60 days 10–14 days 110–130% above baseline 30–40 days post-implant Gold standard for EPP. Delivers consistent plasma levels and predictable photoprotection timeline; not accessible outside

This comparison does not assign a generated winner or score.

  • Clinical implant (afamelanotide)
  • 16mg sustained-release
  • One implant per 60 days
  • 10–14 days
  • 110–130% above baseline
  • 30–40 days post-implant
  • Gold standard for EPP. Delivers consistent plasma levels and predictable photoprotection timeline; not accessible outside clinical trials or specific medical conditions
  • Injectable loading phase
  • 0.5–1.0mg per dose
  • 2–3× weekly for 4–6 weeks
  • 7–12 days
  • 90–120% above baseline
  • 28–35 days from start
  • Most common research protocol. Requires consistent adherence and proper reconstitution; produces comparable MED increase to implants when dosed correctly
  • Low-dose maintenance
  • 0.25–0.5mg per dose
  • 1–2× weekly ongoing
  • Minimal new pigmentation
  • Maintains 60–80% of peak protection
  • Sustains existing melanin density
  • Used after loading phase to preserve photoprotection without continuous escalation; allows gradual fade over 8–12 weeks if discontinued
  • High-dose front-loading (off-protocol)
  • 1.5–2.0mg per dose
  • Daily for 7–14 days
  • 5–7 days
  • Variable. Often <80% due to uneven distribution
  • Unpredictable. Risk of patchy pigmentation
  • Not supported by clinical evidence; higher nausea incidence, receptor desensitisation risk, and inconsistent melanin deposition patterns. Avoid this approach
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