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LL-37

Taken to fight stubborn infections

Human cathelicidin

Match every finding to its exact substance, formulation, route and study population. A related molecule or approved medicine does not validate a catalog vial.

Animal / laboratory evidence · Human / product-specific records
Schematic illustration · View structure evidence

Simplified drawing of a chain of 37 amino acids

At a glance

Why people take it. And what backs it up.

  1. Fight stubborn infections

    Lab studies only

    Taken in small daily shots or nasal sprays, often with thymosin alpha-1, against lingering infections such as Lyme, sinusitis and parasites.

    Sources (6)
  2. Rebalance the gut

    People report it, not studied

    Some take it for gut bacterial overgrowth and other gut infections, expecting a flu-like ‘die-off’ reaction at first.

    Sources (2)

Evidence briefing

Sources checked

What the sources support.

LL-37 is the 37-amino-acid active fragment of human cathelicidin (hCAP18), part of innate host defense. It remains investigational; FDA says human safety information is inadequate for proposed compounded routes and notes possible immunogenicity, reproductive effects in nonclinical work and protumorigenic effects in some tissues. Online LL-37 vials are not an approved medicine.

Keep in mind

Antimicrobial or wound-healing activity in laboratory and topical research does not establish an effective or safe injectable treatment; FDA specifically identifies gaps for proposed routes.

Identity and research status reviewRead the original sources

The research. What’s been studied.

  • Animal & lab studies

    Antimicrobial activity in the lab

    Can disrupt some microbes and biofilms in experimental systems; this is not evidence that seller LL-37 treats human infections.

  • Early human studies

    Topical wound research

    A small study examined topical LL-37 for chronic venous leg ulcers. The limited evidence does not establish a standard or broadly effective wound treatment.

  • Animal & lab studies

    Immune signaling

    Participates in innate immune responses in experimental research; effects depend on tissue and context.

What do these labels mean?
  • Human evidence: approved-drug data or larger human studies, within the populations and uses studied.
  • Early human studies: small, preliminary or limited human studies.
  • Animal & lab studies: animal or laboratory findings that do not establish effects in people.
  • Unverified: a proposed use or claim without verified supporting clinical evidence.
How each claim was reviewed (4)

Reported effects and evidence.

A citation may support, qualify or correct a claim. Read the study scope; a laboratory result is not an established benefit in people. Each review covers a claim as it was first collected; the tiles above show the collection’s current wording.

  1. In-vitro microbiology

    Review of “Kills bacteria and breaks up biofilms”

    LL-37 inhibited Pseudomonas biofilm formation and affected existing biofilms in laboratory experiments.

    Limitations and applicability. Verified biofilm effects include mechanisms beyond membrane puncture, and differ from bacterial killing concentrations.

    Original collected claim and review history

    Original title: Kills bacteria and breaks up biofilms

    Punctures bacterial membranes and disrupts biofilms that shield bacteria from antibiotics.

    Original label: animal. Preserved for traceability; the reviewed wording above qualifies this record.

    Record ll-37:benefit:1 · Annotated 2026-10-01 · Review method

  2. Human topical trials; larger trial negative overall

    Review of “Chronic wound healing”

    An early topical study was encouraging, but the larger phase IIb trial found no significant overall healing benefit; subgroup findings were exploratory.

    Limitations and applicability. Selective positive summary omits 148-patient phase IIb null result; favorable large-ulcer subgroup was post hoc.

    Original collected claim and review history

    Original title: Chronic wound healing

    A small trial of topical LL-37 healed chronic leg ulcers faster.

    Original label: early. Preserved for traceability; the reviewed wording above qualifies this record.

    Record ll-37:benefit:2 · Annotated 2026-10-01 · Review method

  3. Preclinical cell/rodent experiments

    Review of “Neutralizes endotoxin”

    LL-37 reduced LPS-related effects in cell and rodent experiments.

    Limitations and applicability. Endotoxin findings are preclinical and do not establish treatment of infection or sepsis in people.

    Original collected claim and review history

    Original title: Neutralizes endotoxin

    Binds bacterial toxins that drive inflammation.

    Original label: animal. Preserved for traceability; the reviewed wording above qualifies this record.

    Record ll-37:benefit:3 · Annotated 2026-10-01 · Review method

  4. In-vitro human-cell chemotaxis

    Review of “Recruits immune cells”

    LL-37 induced migration of selected human immune cells in laboratory assays.

    Limitations and applicability. Human cells in a dish are not a human clinical trial; inflammatory recruitment is not always beneficial.

    Original collected claim and review history

    Original title: Recruits immune cells

    Calls white blood cells to infection sites.

    Original label: animal. Preserved for traceability; the reviewed wording above qualifies this record.

    Record ll-37:benefit:4 · Annotated 2026-10-01 · Review method

The research in detail

Evidence category

Human trials, not approved

LL-37 has antimicrobial and immune-signaling activity in laboratory studies. A small topical study examined chronic venous leg ulcers, but such work does not establish a reliable treatment effect or validate injectable LL-37. FDA says human safety information for proposed compounded routes is inadequate and notes nonclinical reproductive and tissue-growth concerns.

Evidence is assessed claim by claim above. Regulatory approval, study design, findings and relevance are separate questions; there is no single evidence score.

Risks and unknowns. What to know first.

Collected cautions follow. These are not an exhaustive or independently validated safety assessment; claim references do not automatically support every caution.

  • Can cause significant local irritation when injected.
  • Because it drives inflammation in autoimmune skin disease, it could worsen those conditions.

What people report

Show all 9 cautionsShow fewer cautions

Read this first: what “research use only” means

Published dosing records. What the trials used.

Historical label and trial records for the named product, route, population and indication. These records are not a personal schedule or a validated regimen for a catalog vial. Source attribution does not establish applicability.

Phase 1/2 trial

Phase 1/2 trial in people with hard-to-heal venous leg ulcers (Wound Repair and Regeneration, 2014)

Fixed courseClinical trial

Source: Grönberg et al., Wound Repair and Regeneration, 2014 (opens in a new tab)

Weeks 1–4
0.5 mg/mL
How
Applied to the ulcer
How often
Twice a week
How long
4 weeks in the trial
  • This was put on leg ulcers, not injected. No injected dose has been established.
  • Other groups got 1.6 or 3.2 mg/mL; the 3.2 mg/mL group healed no better than placebo.
  • The 0.5 mg/mL strength showed the largest effect on healing speed.
  • A small melanoma study injected 250 or 500 mcg into each tumor once a week for up to 8 weeks (results posted on ClinicalTrials.gov, NCT02225366).

Phase 2b trial

Phase 2b trial (HEAL LL-37) in adults with hard-to-heal venous leg ulcers (Wound Repair and Regeneration, 2021)

Fixed courseClinical trial

Source: Mahlapuu et al., Wound Repair and Regeneration, 2021 (opens in a new tab)

Weeks 1–13
0.5 mg/mL
How
Applied to the ulcer
How often
Twice a week (every 3 days, give or take a day)
How long
13 weeks in the trial
  • This was put on leg ulcers, not injected. No injected dose has been established.
  • Another group got 1.6 mg/mL.
  • The solution was spread at 25 microliters per square centimeter of ulcer, at routine dressing changes.
  • Overall, neither strength healed ulcers better than placebo.

These doses were tested in clinical trials under medical supervision. They aren’t approved for use, and a research vial is not the product that was tested.

Community protocols. Reported online. Not clinically validated.

Community reports Collection date: 30 Sep 2026

Most commonly 50–100 mcg (some up to about 125 mcg, or 100 mcg twice a day) injected under the skin once a day for 2–6 weeks, for gut, sinus, Lyme, mold or ‘biofilm’ infections, often alongside thymosin alpha-1.

More about this

Doses vary more than 20-fold: handbooks and vendor templates go to 200–400 mcg a day, a telehealth seller lists 100–1,000 mcg 3–5 times a week, and a 2019 monograph’s 50 mcg per kg a day is far above forum practice.

Not testedFrequently encountered in reviewed sources

Daily low dose (antimicrobial / ‘biofilm’)

Collected report · exact form and route are only as reported below. Source date and reporter identity are not separately verified. Collection checked 30 Sep 2026; presentation annotated 2026-10-01.

Frequency labels describe this collection, not a measured population. Contradictory records remain available.

Details and sourcesHide details
Dose
50–100 mcg (some about 125 mcg; Ben Greenfield lists 100 mcg twice a day)
How often
Once a day (some twice a day)
Route
Injection under the skin, in the belly or near a local infection
Timing
Morning (Hatter Labs)
How long
2–6 weeks
Cycle
Hatter Labs: 2 weeks on, at least 4 weeks off; or 4 weeks on, 6–8 weeks off
Ramp
Start low; users stress that ‘less is more’
Mixing
5 mg research vial + 2–3 mL bacteriostatic water (about 1.7–2.5 mg per mL; 100 mcg is about 4–6 units)
  • Often stacked with thymosin alpha-1, for example LL-37 50–100 mcg daily for 2–4 weeks plus thymosin alpha-1 1.6 mg 2–3 times a week (Hatter Labs); Reddit users call LL-37 plus thymosin alpha-1 (TA1) ‘the protocol’ for mold or parasites.
  • Clinics often add vitamin D, because the body’s own LL-37 depends on it.
  • Uncited SEO pages repeat ‘125 mcg daily for 50 days, then 4 weeks off’; no primary source was found.
Sources (4)

Not testedSometimes seen

Longer titrated daily course

Collected report · exact form and route are only as reported below. Source date and reporter identity are not separately verified. Collection checked 30 Sep 2026; presentation annotated 2026-10-01.

Frequency labels describe this collection, not a measured population. Contradictory records remain available.

Details and sourcesHide details
Dose
200–400 mcg a day (built up from 50 mcg)
How often
Once a day (optional 5 days on, 2 days off)
Route
Injection under the skin
How long
6–12 weeks (vendor template: optional extension to 16 weeks)
Ramp
Vendor template: 50 mcg a day in week 1, adding 50 mcg each week to 400 mcg in week 8
Mixing
5 mg vial + 3 mL bacteriostatic water (about 1.67 mg per mL; 100 mcg is 6 units)
  • A Reddit user reports that the International Peptide Society’s 2023 ‘Peptide Handbook’ lists 200 mcg daily for 6–8 weeks, plus vitamin D if blood levels are low.
Sources (2)
Show all 7 protocolsShow fewer protocols

Not testedSometimes seen

Three to five times a week, higher doses

Collected report · exact form and route are only as reported below. Source date and reporter identity are not separately verified. Collection checked 30 Sep 2026; presentation annotated 2026-10-01.

Frequency labels describe this collection, not a measured population. Contradictory records remain available.

Details and sourcesHide details
Dose
100–800 mcg per shot (one seller: up to 1,000 mcg); into a muscle 300–1,000 mcg
How often
3 times a week (3–5 times a week for ‘aggressive anti-biofilm’ use); muscle shots 1–2 times a week
Route
Injection under the skin; sometimes into a muscle
How long
4–12 weeks; the highest dose only as a short 4–6 week course
Cycle
Maintenance 1–2 times a week as needed (AgeREcode)
Ramp
Start at 100–250 mcg for 1–2 weeks, then step up by 100–250 mcg every few days (FormBlends)
  • From a peptide supplier’s guide for physicians (AgeREcode, hosted by Gratia Medical) and a telehealth seller (FormBlends).
Sources (2)

Not testedSometimes seen

Nasal spray (chronic sinusitis, nasal MARCoNS in mold illness)

Collected report · exact form and route are only as reported below. Source date and reporter identity are not separately verified. Collection checked 30 Sep 2026; presentation annotated 2026-10-01.

Frequency labels describe this collection, not a measured population. Contradictory records remain available.

Details and sourcesHide details
Dose
30–100 mcg per dose or per nostril (one seller: 100–500 mcg per spray)
How often
Once or twice a day
Route
Nasal spray
How long
2–4 weeks (AgeREcode)
Mixing
Users dissolve research-vial powder in saline for a spray bottle
  • Some mold-illness (CIRS) patients plan homemade sprays that mix LL-37 with KPV to clear nasal staph (MARCoNS).
  • Sellers mention nasal burning as a side effect.
Sources (3)

Not testedFringe

Nebulized (lung infections)

Collected report · exact form and route are only as reported below. Source date and reporter identity are not separately verified. Collection checked 30 Sep 2026; presentation annotated 2026-10-01.

Frequency labels describe this collection, not a measured population. Contradictory records remain available.

Details and sourcesHide details
Dose
50–100 mcg (AgeREcode) up to 500–2,000 mcg (FormBlends) per treatment
How often
Once a day to several times a week
Route
Inhaled from a nebulizer
  • The two sellers disagree about 20-fold. Both call it specialist-only because of airway irritation.
Sources (2)

Not testedFringe

Weight-based dose from a 2019 monograph

Collected report · exact form and route are only as reported below. Source date and reporter identity are not separately verified. Collection checked 30 Sep 2026; presentation annotated 2026-10-01.

Frequency labels describe this collection, not a measured population. Contradictory records remain available.

Details and sourcesHide details
Dose
50 mcg per kg of body weight (about 3.5–4.5 mg for most adults)
How often
Once a day
Route
Injection under the skin
  • From a ‘Medical Professional Monograph’ hosted by an integrative clinic. When a user worked it out to 4.5 mg (a whole 5 mg vial) a day, forum members said it was far too high.
Sources (2)

Not testedFringe

Short burst during an acute infection

Collected report · exact form and route are only as reported below. Source date and reporter identity are not separately verified. Collection checked 30 Sep 2026; presentation annotated 2026-10-01.

Frequency labels describe this collection, not a measured population. Contradictory records remain available.

Details and sourcesHide details
Dose
200–400 mcg a day, or a single 250 mcg shot
How often
Once a day for a few days, or once
Route
Injection under the skin
How long
About 5 days
  • Usually stacked with BPC-157, TB-500 or GHK-Cu. The user fighting flu had a strong reaction after a larger final dose (see cautions).
Sources (2)

Where the numbers come from

No human injection studies exist; human trials have been topical (leg ulcers), and FDA says it lacks enough safety information to know whether LL-37 harms people. The numbers come from practitioner materials, not trials: a 2019 professional monograph (50 mcg per kg a day), the International Peptide Society’s Peptide Handbook (200 mcg a day for 6–8 weeks, as reported on Reddit), and Lyme, mold and ‘biofilm’ clinics and biohackers (Ben Greenfield’s 100 mcg twice a day for 4–6 weeks). Forum practice settled lower, at 50–100 mcg a day, often paired with thymosin alpha-1.

Home-made sprays and serums

On the skin: home-made serums. Community recipes. Not tested.

Original source recordsHide

LL-37 has been tested as a topical treatment for hard-to-heal venous leg ulcers in two clinical trials. No home-made or cosmetic recipes were found.

Best evidence: Two randomised placebo-controlled trials. In the first (34 patients), LL-37 at 0.5, 1.6 or 3.2 mg per mL was applied twice a week for 4 weeks; the two lower strengths improved healing, the highest did not. The larger phase 2b trial (148 patients) at 0.5 or 1.6 mg per mL found no significant improvement overall. The drug is not approved.

Not testedOtherSometimes seen

Clinical-trial solution for leg ulcers: 0.5, 1.6 or 3.2 mg per mL, twice a week

Original source-specific report. Collection checked 30 Sep 2026; presentation annotated 2026-10-01. Source date and reporter identity are not separately verified. Exact form and route are limited to the source’s description.

Batch: not stated

Ingredients and methodHide the recipe

Ingredients

IngredientAmountRole
LL-370.5, 1.6 or 3.2 mg per mLActive
Vehicle (not described in the abstracts)Base

Method

Made by the trial sponsor; not available to buy.

How it’s used
Applied to the ulcer twice a week for 4 weeks, with compression therapy.
  • The 2014 trial reported no local or systemic safety concerns.
Sources (4)
Editorial synthesis and reported strength comparison

This synthesized method combines source records. It has not been validated for preparation, sterility, compatibility, absorption or storage. Select a reported strength to inspect the arithmetic; no strength is selected for you.

Not testedOn the skin

No amounts were found in the reviewed recipe records for this one. What was found is under “Original source records”.

Good to know

  • Use distilled water, not tap: tap water carries minerals, chlorine and microbes that can spoil the serum.
What people report
Research notes

1) Doses disagree by more than 20-fold: forum 50–100 mcg a day, handbook 200 mcg a day, vendor templates up to 400 mcg a day, a telehealth seller 100–1,000 mcg 3–5 times a week (and 500–2,000 mcg nebulized), and a 2019 monograph 50 mcg per kg a day (about 3.5–4.5 mg). 2) Regulatory status: FDA’s April 2026 safety page lists LL-37 as a withdrawn nomination with safety concerns, and it is in no 503A category (FDA list updated May 14, 2026). FDA has scheduled its compounding advisory committee to discuss LL-37 for the 503A bulks list before the end of February 2027 (page current April 15, 2026). Some telehealth sellers (for example FormBlends) already advertise 503A-compounded LL-37. 3) The widely repeated ‘125 mcg daily for 50 days, then 4 weeks off’ appears only on uncited SEO pages; no origin found. 4) FormBlends’ article reads as marketing copy (an unverified pharmacist anecdote). 5) Users report reactive arthritis and inflammatory flares, consistent with studies linking LL-37 to psoriasis and rosacea; some clinics say not to use it with rosacea, psoriasis or lupus. 6) Fringe uses seen on Reddit include vaginal use mixed into probiotic gel for bacterial vaginosis (no dose given).

On the skin

No community or cosmetic topical use found; the only topical data are the leg-ulcer trials. General web search engines were largely blocked during this research (captcha / degraded results), so a web-only product could have been missed.

What it is. In plain English.

A human antimicrobial host-defense peptide studied in wound and infection research.

TapClick a dotted word to see what it means.

A 37-amino-acid peptide (starting with two leucines, hence “LL”) cut from a larger protein called hCAP18. White blood cells and skin cells release it.

It punctures bacterial membranes, breaks up biofilms, neutralizes and recruits immune cells. It also influences wound healing and .

Reviewed 2026-10-01.

Structure. What it really looks like.

Experimental

X-ray structure of LL-37 (violet), one chain shown on its own.

LL-37 (violet) on its own, measured in a crystal. No receptor or other partner protein is part of this structure.

Missing parts

  • The last three of its 37 amino acids have no coordinates.

5NMN, Sancho-Vaello et al., 2017. Rendered with Mol* (Sehnal et al., 2021) from RCSB PDB data (Berman et al., 2000).

Specs. The facts at a glance.

Length
37 amino acids
Sold as
  • LL-37 10 mg
Regulatory status
Not approved. Investigational.
Also known as
Human cathelicidin

Sources. What this page rests on.

Every source behind this page, with what it says and when it was checked, is in the Source library.

LL-37 in the Source library

Original overview and research notes · annotated 2026-10-01

Historical collection text. Read alongside the claim corrections above; identity or evidence qualifications may supersede this wording.

Natural antimicrobial defense

Your immune system’s own antimicrobial peptide.

A 37-amino-acid peptide (starting with two leucines, hence “LL”) cut from a larger protein called hCAP18. White blood cells and skin cells release it.

It punctures bacterial membranes, breaks up biofilms, neutralizes endotoxin and recruits immune cells. It also influences wound healing and blood-vessel growth.

A small trial of topical LL-37 on chronic venous leg ulcers showed faster healing. It’s studied as a template for new antibiotics. Excess LL-37 is linked to psoriasis, rosacea and lupus flares.

Original status record: Not approved. Investigational.

More in Immune system.

Glossary

Endotoxin

Fragments of bacterial cell walls that survive sterilization. Injected, they can cause fever, chills and serious inflammatory reactions.

Glossary

Angiogenesis

The growth of new blood vessels. Helpful for healing, but also what tumors need to grow, which is why pro-healing peptides raise cancer questions.

Glossary

X-ray crystallography

Molecules are packed into a crystal and hit with X-rays; the pattern the rays make reveals where each atom sits.

Glossary

Resolution

How sharp a structure is, measured in ångströms (Å; a ten-billionth of a meter). Smaller is sharper.

Glossary

Protein Data Bank (PDB)

The free worldwide archive of 3D structures of proteins and other molecules measured in experiments. Each entry has a four-character code, like 7KI0.