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Protocol

FOXO4-DRI (10mg Vial)

Complete dosage protocol and reconstitution guide for FOX04-DRI (10mg Vial).

Updated November 26, 2025 Research guide Research information only
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Educational reference only. TNHL calculates and organizes user-entered values; it does not diagnose, prescribe, recommend doses, or replace guidance from a qualified professional.
MechanismFOXO4-DRI (also known as Proxofim) is a synthetic D-retro-inverso peptide designed to selectively induce apoptosis in senescent cells by disrupting the FOXO4–p53 protein interaction [1] [2] . When this interaction is blocked, p53 translocates to the mitochondria in senescent cells, triggering their programmed death while sparing healthy cells [1] .
Dosing250–500 mcg once daily (gradual titration over 16 weeks).
ReconstitutionAdd 3.0 mL diluent to a 10 mg vial.
StorageLyophilized: freeze at −20 °C (−4 °F) ; after reconstitution, refrigerate at 2–8 °C (35.6–46.4 °F) ; avoid freeze–thaw cycles [8] .

Calculator preset

Run the vial math before tracking.

At ~3.33 mg/mL, 1 unit ~ 33.3 mcg ; 250 mcg ~ 7.5 units and 500 mcg = 15 units on a U-100 syringe.

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01 · At a glance

Quickstart Highlights

FOXO4-DRI (also known as Proxofim) is a synthetic D-retro-inverso peptide designed to selectively induce apoptosis in senescent cells by disrupting the FOXO4–p53 protein interaction [1] [2] . When this interaction is blocked, p53 translocates to the mitochondria in senescent cells, triggering their programmed death while sparing healthy cells [1] . This educational protocol presents a once-daily subcutaneous approach using a practical dilution for precise insulin-syringe measurements.

ReconstituteAdd 3.0 mL bacteriostatic water → ~3.33 mg/mL concentration.
Reference dose250–500 mcg once daily (gradual titration over 16 weeks).
Easy measuringAt ~3.33 mg/mL, 1 unit ~ 33.3 mcg ; 250 mcg ~ 7.5 units and 500 mcg = 15 units on a U-100 syringe.
StorageLyophilized: freeze at −20 °C (−4 °F) ; after reconstitution, refrigerate at 2–8 °C (35.6–46.4 °F) ; avoid freeze–thaw cycles [8] .
Start with sterile preparation, storage, and injection-site basics before using any calculator output. TNHL is a tracking and education tool only.

02 · Dosing & reconstitution

Dosing & Reconstitution Guide

A practical calculator-ready setup based on the imported protocol reference. Use these values as a math starting point, then verify every entry against your own vial, diluent, and professional guidance.

Standard / Gradual Approach (3 mL = ~3.33 mg/mL)

Phase / setup Dose & frequency Volume / units
Weeks 1–4250 mcg7.5 units (0.075 mL)
Weeks 5–8375 mcg11 units (0.11 mL)
Weeks 9–12500 mcg15 units (0.15 mL)
Weeks 13–16500 mcg15 units (0.15 mL)

250–500 mcg once daily (gradual titration over 16 weeks).

Reconstitution Steps

  1. Draw 3.0 mL bacteriostatic water with a sterile syringe.
  2. Inject slowly down the vial wall; avoid foaming.
  3. Gently swirl/roll until dissolved (do not shake) [8] .
  4. Label and refrigerate at 2–8 °C (35.6–46.4 °F) , protected from light.
  5. For ≤10-unit (≤0.10 mL) administrations (Week 1), consider 30- or 50-unit insulin syringes for improved readability.

03 · What you'll need

Supplies Needed

Keep this as a planning checklist. TNHL does not sell or verify supplies on this page, and no supplier quality claims are made here.

Peptide vial 10 mg
  • Match the label on the vial before calculating.
Diluent 3.0 mL
  • Use only the diluent appropriate for the compound and instructions.
Syringes U-100 or custom
  • Calculator output can be translated to syringe units.
Tracking Protocol Pal
  • Log dose dates, inventory, sites, and observations.

Protocol Overview

  • Goal: Selectively clear senescent cells via disruption of FOXO4–p53 binding [1] [2] .
  • Schedule: Daily subcutaneous injections for 8–16 weeks with gradual dose escalation.
  • Dose Range: 250–500 mcg daily; starting low and titrating upward over time.
  • Reconstitution: 3.0 mL per 10 mg vial (~3.33 mg/mL) for accurate unit measurements.
  • Storage: Lyophilized frozen at −20 °C (−4 °F); reconstituted refrigerated at 2–8 °C (35.6–46.4 °F); avoid repeated freeze–thaw [8] .

Dosing Protocol

  • 250–500 mcg once daily (gradual titration over 16 weeks).
  • Inject once daily subcutaneously [7] . This schedule uses the standard 3.0 mL dilution to maintain injection volumes under 0.2 mL for all doses. For ≤10-unit (≤0.10 mL) administrations, consider 30- or 50-unit insulin syringes for improved readability.
  • If values change, rerun the calculator and update the protocol so future logs match the active plan.

Storage Instructions

  • Lyophilized: freeze at −20 °C (−4 °F) ; after reconstitution, refrigerate at 2–8 °C (35.6–46.4 °F) ; avoid freeze–thaw cycles [8] .
  • Storage: Lyophilized frozen at −20 °C (−4 °F); reconstituted refrigerated at 2–8 °C (35.6–46.4 °F); avoid repeated freeze–thaw [8] .
  • Keep mixed and unmixed items clearly labeled so inventory and dose logs stay accurate.

04 · Good to know

Important Notes

  • Practical considerations for consistency and safety.
  • Use new sterile insulin syringes (typically 29–31 gauge, 0.5 inch needle) for each injection [9] ; dispose in a sharps container.
  • Rotate injection sites (abdomen, thighs, upper arms) at least 1 inch apart to reduce local irritation [10] .
  • Clean the injection site with an alcohol swab and allow to dry before injecting [9] .
  • Inject slowly and steadily; no need to aspirate for subcutaneous injections [11] .
  • Document daily dose and site rotation to maintain consistency throughout the protocol.

05 · How it works

How This Works

FOXO4-DRI (also known as Proxofim) is a synthetic D-retro-inverso peptide designed to selectively induce apoptosis in senescent cells by disrupting the FOXO4–p53 protein interaction [1] [2] .

When this interaction is blocked, p53 translocates to the mitochondria in senescent cells, triggering their programmed death while sparing healthy cells [1] .

This educational protocol presents a once-daily subcutaneous approach using a practical dilution for precise insulin-syringe measurements.

The library page pairs that educational context with calculator-ready vial math, so users can understand the protocol structure and then track their own entered values in one place.

06 · Daily habits

Lifestyle Factors

  • Keep meals, training, sleep, and recovery notes in the journal so trends are easier to review.
  • Track body metrics only if they are relevant to the user's goal and approved data sources.
  • Use consistent timing and logging habits so adherence data is meaningful.

07 · What to expect

Potential Benefits & Side Effects

  • FOX04-DRI observations should be recorded conservatively: expected research endpoints, tolerability notes, injection-site reactions when applicable, sleep, appetite, energy, mood, and any adverse or unusual response.
  • This section is not a claim of therapeutic benefit.

08 · Technique

Injection Technique

Pre-injection preparation
  • Wash hands with soap and water.
  • Wipe the vial stopper and chosen site with alcohol, then let both dry.
  • Confirm the vial concentration, calculator result, and intended draw amount before loading the syringe.
Injection procedure
  • Use the route and needle technique directed by a qualified professional or product instructions.
  • For subcutaneous injections, rotate sites and inject slowly to limit leakage and irritation.
  • Do not reuse needles or syringes.
Post-injection care
  • Dispose of sharps in a puncture-resistant container.
  • Return stored items promptly to the correct temperature.
  • Log dose, site, date, time, inventory change, and any observation.

09 · Evidence

References

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