AOD-9604 vs MOTS-c: Human Record, Dosage and Units

AOD-9604 vs MOTS-c: a growth-hormone fragment tested in 893 people by mouth and vein, against a mitochondrial peptide never dosed in a published human study.

Medibact Guides · Published 2026-10-17

Illustration: A small glass vial with pale blue liquid next to a larger empty glass vial on a white bench.
Illustration

AOD-9604 and MOTS-c are sold side by side as fat-loss peptides, and on paper they look alike: both about sixteen amino acids, both without an approved product, both on the anti-doping list. Their records are not alike. AOD-9604 was a drug candidate that went through six controlled trials in nearly nine hundred people before development stopped; MOTS-c is a peptide the body makes itself, and it has never been given to a person in a published study. The routes, the amounts in circulation and the syringe arithmetic differ as much as the evidence does. This page sets them side by side (sources re-read 2026-10-17) and converts the circulating figures into units. It reports; it suggests no dose.

The full record for each is on AOD-9604 dosage and MOTS-c dosage. MOTS-c's other common comparison, with a small molecule, is on 5-Amino-1MQ vs MOTS-c, and AOD-9604 against a labelled GHRH analogue on AOD-9604 vs tesamorelin.

Side by side

AOD-9604 MOTS-c
What it is Human growth hormone residues 177–191 plus an N-terminal tyrosine 16-amino-acid peptide encoded in the mitochondrial 12S rRNA gene
Formula, weight (PubChem) C78H123N23O23S2, 1,815.1 C101H152N28O22S2, 2,174.6
Molecules per mg 0.55 µmol 0.46 µmol
Proposed mechanism Growth hormone's fat-breakdown signal without its IGF-1 effect Folate cycle → AMP-activated protein kinase (mouse work, 2015)
Human dosing studies Six sponsor trials, 893 subjects, oral and intravenous None published; one registration recruiting
PubMed, title or abstract (2026-10-17) 22 records 264 records
2026 review evidence tier B/C Not covered
WADA 2026 S2.2.3, growth hormone fragments S4.4.1, AMPK activators

Two very different human records

AOD-9604. The sponsor's 2013 summary is the only published human dosing record, and it is substantial for a compound sold as a research peptide: two intravenous studies (single 20-minute infusions of 25 to 400 mcg/kg) and four oral studies (single doses up to 54 mg; 1 to 30 mg daily for 12 weeks in 300 adults; 0.25 to 1 mg daily for 24 weeks in 502). Across them IGF-1 did not change and glucose tolerance did not worsen. The paper reports safety, not the weight results of the two long trials. No trial injected AOD-9604 under the skin, which is the route on every vendor page. The 2026 review puts it at tier B/C — "limited or indirect human data" — and repeats that "no meaningful IGF−1 elevation" was seen.

MOTS-c. Nothing comparable exists. ClinicalTrials.gov returned nine records for the name on 2026-10-17; most measure MOTS-c levels in blood or do not concern it, and the one that gives it, NCT07505745, is recruiting, lists "Route Subcutaneous injection" and states no amount. PubMed's 264 records are animal, cell and measurement studies. The best-known human finding runs the other way from dosing: a 2021 Nature Communications paper reported that exercise raises the body's own MOTS-c in skeletal muscle and in circulation, and that intermittent treatment three times a week improved physical capacity in old mice. The CB4211 analogue that a company tested in people is a different molecule; its 25 mg daily figure is recorded on the MOTS-c page and does not transfer.

The figures in circulation

AOD-9604 MOTS-c
Per injection 250–500 mcg, most often 300 mcg 5 mg (range 2.5–10 mg)
Frequency Once daily, or split into 2–3 injections Two or three times a week
Per week 1.75–3.5 mg 5–10 mg
Source 2026 review Table 2 (forum patterns); vendor pages read 2026-09-18 Vendor and forum pages read 2026-09-18
Matches a trial route? No — trials were oral and intravenous No trial exists

Per injection, a MOTS-c figure is about ten to twenty times an AOD-9604 figure by mass; per week, the gap narrows to 1.4 to 5.7 times because AOD-9604 is given daily. Because the two molecules are close in size, those mass ratios are close to the molecule ratios — about 1.2 times more molecules per milligram of AOD-9604. The FDA's statement that it "has not identified any human exposure data on drug products containing MOTs-C administered via any route" is as read on this site on 2026-10-12; fda.gov returned errors to every request on 2026-10-17 and could not be re-opened.

Both in syringe units

AOD-9604 vials are labelled 2, 5 and 10 mg; MOTS-c vials 5 and 10 mg. On a U-100 syringe, units = amount ÷ concentration × 100.

Vial and water Concentration mcg per unit 300 mcg 500 mcg 5 mg 10 mg
AOD-9604 2 mg in 1 mL 2 mg/mL 20 15 units 25 — —
AOD-9604 5 mg in 2 mL 2.5 mg/mL 25 12 units 20 — —
AOD-9604 5 mg in 3 mL 1.67 mg/mL 16.7 18 units 30 — —
MOTS-c 5 mg in 1 mL, or 10 mg in 2 mL 5 mg/mL 50 — — 100 units 200, two draws
MOTS-c 10 mg in 1 mL 10 mg/mL 100 — — 50 units 100

A 5 mg AOD-9604 vial holds about sixteen 300 mcg amounts; a 5 mg MOTS-c vial holds one 5 mg amount. That is the practical difference a reader sees first: one vial is drawn a few units at a time for two weeks, the other is emptied, or half-emptied, in one draw. Other combinations are worked by the AOD-9604 water and concentration arithmetic and the vial arithmetic for MOTS-c.

What is not established

Neither has an approved product. AOD-9604's human record covers oral and intravenous use and reports safety rather than efficacy; nothing establishes a subcutaneous dose. MOTS-c has no published human dosing at all. No study has given the two together, and their different mechanisms give no basis for predicting what a combination would do. Medibact's AOD-9604 guide and MOTS-c guide cover each compound. Product and dose decisions belong with a clinician.

Sources and dates

Opened 2026-10-17: PubChem CIDs 71300630 (AOD-9604) and 146675088 (MOTS-c, as read 2026-10-12); PubMed counts for AOD-9604 (22), MOTS-c (264) and both (1, PMID 41966639, abstract read); PubMed abstract PMID 33473109 (Reynolds 2021); the full text of Dominikowski et al., Frontiers in Endocrinology 2026 (PMID 42395176, PMC13322892), Tables 1 and 2; ClinicalTrials.gov v2 API searches for AOD9604 (0) and MOTS-c (9), including NCT07505745; the 2026 Prohibited List text in Tractatenblad 2026 no. 25. From this site's compound pages (opened 2026-09-18): the Stier, Vos and Kenley 2013 trial summary, CB4211 and the vendor figures; the FDA bulk-substance statement on MOTS-c as read 2026-10-12. fda.gov did not answer on 2026-10-17. Molar and unit arithmetic by this site. Corrections go to the contact page.

Frequently asked questions

What is the difference between AOD-9604 and MOTS-c?

Origin and record. AOD-9604 is a fragment of human growth hormone's C-terminal end, developed as an anti-obesity drug and tested in six sponsor trials in 893 people by mouth or vein. MOTS-c is a peptide the body makes from mitochondrial DNA, studied in mice, with no published human dosing study. Both are about 16 amino acids long.

Are AOD-9604 and MOTS-c used for the same thing?

Both are marketed for fat loss, by different mechanisms. AOD-9604 was designed to keep growth hormone's fat-breakdown signal without raising IGF-1; in the sponsor's trials IGF-1 did not change. MOTS-c acts through the folate cycle and AMP-activated protein kinase in mouse work. No study has compared them or given them together.

What doses are stated for AOD-9604 and MOTS-c?

AOD-9604's trials used 0.25 to 54 mg by mouth and 25 to 400 mcg/kg by infusion. The figures circulating online are 250 to 500 mcg a day under the skin for AOD-9604 and 5 mg two or three times a week for MOTS-c; neither figure comes from a trial of that route.

Can AOD-9604 and MOTS-c be stacked?

No study has given them together. PubMed held one record naming both on 2026-10-17, a 2026 Sports Medicine review that discusses each separately among gray-market peptides. Any combination figure on a vendor page is a convention without a source.

How many units is 300 mcg of AOD-9604 and 5 mg of MOTS-c?

At 2.5 mg/mL, 300 mcg of AOD-9604 is 12 units; at 5 mg/mL it is 6 units. At 5 mg/mL, 5 mg of MOTS-c is 100 units, a full syringe; at 10 mg/mL it is 50 units. The same syringe holds very different shares of each vial.