Follistatin (FST-344 / FST-315)

Follistatin 344, Follistatin 315, FS344, FS315

Forms: Black-market vials are mostly labeled 'follistatin 344', a few '315'. FS344 is the longer precursor; trimming its tail gives FS315, the main form in blood.

PeptidesNot approved for humansWADA S4 · prohibitedEvidence: animal data only

A natural protein that binds myostatin and activin, signals that limit muscle growth. Sold on the black market as a 'research peptide'; never approved and never tested as an injected protein in people.

What it gives

What people use it for and what the sources report. Strength is a general category from the literature: mild, clear or strong.

Purpose

Used in the hope of more muscle by blocking myostatin. In medicine it has been studied only as gene therapy for muscular dystrophy, not as an injected protein. Not approved for any use.

What people seek and what studies show

People hope for extra muscle beyond normal limits. Mice bred to overproduce follistatin had 194–327% more muscle. The only human data are gene therapy: the follistatin gene injected into the thigh muscles of 6 men with Becker dystrophy, 4 of whom walked farther afterwards. Injected follistatin protein has never been tested in a human trial, so its effect in healthy people is unknown.

Effects

Muscle growth

Evidence: Animal data only — effects in people are unproven

Sought effects by goal (as reported)

Mass
Sought for: muscle growth
Recomposition
Sought for: muscle growth
Strength
Sought for: muscle growth

Possible side effects

Possible does not mean certain: whether they appear depends on dose, duration, individual response and monitoring. Below — what to watch for and how to notice it early.

4 possible side effects

level · how often it is reported
Elevated
Black-market quality risk (fakes, contamination)
Only 9 of 17 black-market products held follistatin, some held other peptides (MGF, GHRP-2); all genuine ones were a lab-tagged, clumped form.
How to notice: Unexpected effects, pain or infection, a stronger or weaker effect than expected.
common
Moderate
Unknown long-term safety (little human data)
No human trial of the injected protein exists; its effects and safety in healthy people are unknown.
How to notice: Nothing to notice — the risk is what is not yet known.
possible
Low
Injection pain, infection, oil cough
Pain, redness or infection where it is injected, more likely with non-sterile product.
How to notice: Soreness, lumps; a short coughing fit right after an injection.
possible
Low
Suppression of natural testosterone & fertility
Follistatin was discovered as a suppressor of FSH, the hormone behind sperm production; the gene therapy trial saw no pituitary hormone changes, but injected protein is unstudied.
How to notice: Lower libido and energy, smaller testicles; low natural testosterone on tests after stopping.
In women: Menstrual changes or missed periods, lower libido and energy; reduced fertility.
rare

What the levels mean

Lowbackground — just be aware
Moderatewatch for signs
Elevatedneeds regular control
Highcritical — can be life-threatening or permanent

Level: general category from the literature, not your personal risk

How often

common
reported often
possible
reported in some people
rare
reported occasionally

How to lower the risks

For 1 of 4 possible side effects there are specific ways to lower the chance: everyday measures, supplements and options a doctor may consider. For the rest — general advice. No measure removes a risk completely.

ElevatedBlack-market quality risk (fakes, contamination)

Products obtained without a prescription are often fake, mislabeled or non-sterile, and there is no way to check at home. For legal supplements, look for third-party testing (Informed Sport, NSF).

ModerateUnknown long-term safety (little human data)

What is unknown cannot be lowered, only avoided; tell your doctor what you have taken.

Low-level side effects

Injection site
Sterile technique, never share needles, vials or pens; see a doctor for a hot, swollen site. If equipment was ever shared, test for HIV and hepatitis B/C and ask about hepatitis B vaccination.
Natural testosterone
Check hormones before and after; if they stay low, see an endocrinologist.
Measure
Regular blood testsWorking with a doctor
How each option helps (2)
  • Regular blood tests — LH, FSH and testosterone show how deep suppression is and whether natural production has recovered afterwards.
  • Working with a doctor — Assesses how deep suppression is and guides recovery afterwards, including fertility testing.

Check-ups and blood tests

Which tests and check-ups to do and when. This is a guide — agree the exact schedule with your doctor.

Baseline tests
your own starting values — every later result is compared with them
Testosterone (total, free), LH, FSH, SHBG
After stopping
4–8 weeks after stopping (later after long-acting injections), then until values return to baseline
Testosterone (total, free), LH, FSH, SHBG

Which doctors can help

Sports physiciancoordinates everything

For women

Follistatin was first found in ovarian fluid as a brake on FSH; effects of the injected protein on periods, fertility and pregnancy are unstudied.

Myth & fact

Myth

“Follistatin injections give 'double muscle', like myostatin-free animals.”

Fact

Those animals were bred or gene-modified. Injected follistatin has never been tested in people, and about half of black-market vials did not contain it at all.

Combinations

No specific combination notes for this substance yet. The stack check still adds up side effects that several substances share.

Check combinations →

Check how Follistatin (FST-344 / FST-315) combines with your stack

Possible side effects by body system, combinations, how to lower the risks and which tests to do — free.

Open the stack check

Similar substances