How to start-achilles tendonitis

marceltheshell

marceltheshell

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I am mostly peptide naive. I've used GLP-1 agonists for weight loss successfully. After hanging around here for a bit I decided to buy BPC157+TB500 for a chronic achilles tendonitis I've had for a few years. I've been diagnosed and treated for this (orthotics, taping, PT) by an MD but every time I think it's gone for good it comes back, usually in the middle of a CrossFit workout! Annoying and painful condition that I would like to obliterate.

Can anyone provide a dose/frequency schedule that makes sense for this? Am I even allowed to ask this? I'm new here and trying to get an idea about what I can and can't write about.

I bought a lyophilized vial 20 mg total (10 mg BPC157 and 10 mg TB500 combined).

I am grateful for the expertise in these forums!
 
Can tell you, you’re gonna need a bigger boat. I have tendonitis and started with 2.5mg TB500 twice weekly and tapered up from 500mcg BPC-157 to 1mg a day about week 4. At week 5 I switched to 1mg TB500 EoD and kept BPC dose the same. I didn’t really start feeling noticeably better until about week 5. Going to run through 50mg TB500 and 100mg of BPC-157 in total this cycle.
 
Other than the protocol you might want to get a heel for inside your shoe. I do have a family member who is a podiatrist & that is the main thing they suggest for this. Your tendon is getting overstretched & needs to be alleviated. My husband also had this (runs a lot) & this did the job. Good luck & feel better soon!! 🙂
 
5 weeks on peptides? Hmm... You can get major improvements in a majority of tendons with 5 weeks of proper nutrition with support exercises and zero peptides.

I wonder what a proper nutritional support regiment with peptide support could accomplish.

Rule 1. If you take ibuprofen during this repair process, it will take longer for the tendon to heal.
 
1. I am taking collagen daily.

2. I am wearing shoes with a significant "drop" to take tension off the tendon.

3. As far as dose and duration, what Pete 369 is describing sound like A LOT, OTOH tendinopathies are challenging and mine is chronic--off and on for years. The first time I had it was during COVID.

I am willing to try a lot of stuff to get rid of this for good!
 
Difficult case to say the least. It will require:

1. Targeted Nutritional Support

2. Exercises based on proven physical therapy routines.

3. Supportive measures such as your shoes.

4. Can you change to a different exercise routine, one that is designed to protect your tendons?

I would be researching ways to support blood flow to that tendon area and manically maxing out the above suggestions.

To be honest, based on your description I would also be at the point of trying peptides myself if I had this condition. If I had a idea of a good peptide routine, I would share it. Sadly I don't.

Have you looked to see if you can get access to a good Functional Medicine Doctor with some sports injury and peptide experience?

I read over that sentence and thought, does such a unicorn doctor exist?

Wow!!! I have a few such doctors in my area and the great google (haha) informed me that what we are looking for is... an orthopedic sports specialist. If you have not seen one yet, this might be helpful. One is my area is even advertising that they do in-office peptide support.

I hope some of this is helpful and is not just things you have already tried. Good luck and hope to someday see an update on how you recovered and conquered this issue.
 
I have seen various types of doctors, including a functional medicine guy, ortho, etc, and have found a podiatrist in my community the most helpful person. I have done 6 years worth of different therapies for this (not constantly, but repeatedly). It's not the end of the world to have it recur from time to time, but since I've done everything else with decent evidence that it should help, why not try peptides. That's what's new for me.
 
Read up on Dr. Keith Baar. He's one of the most respected experts on tendon recovery and has very specific recommendations for your condition.

Do not ignore symptoms of severe tendinopathy. It's a lot easier to heal a damaged tendon than to recover from surgery for a complete rupture as I learned too late.

Pushing through the pain is a huge mistake and high load concentric exercises or rapid loading sports are counterproductive. Tendons respond best to high load isometrics or negative sets with a fairly low total workload and lots of rest for healing. Plus make sure you get adequate protein.
 
I now have an additional resource saved in my research files. Thanks Bioexplorer.

Dr. Keith Baar’s tendon repair and strengthening approach focuses on short, controlled isometric loading and adequate rest periods to stimulate collagen synthesis. His research at UC Davis shows that tendons respond quickly to mechanical load and become refractory within 10 minutes, meaning more exercise does not equal faster healing.

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The Core Protocol

    • Isometric Holds: Perform 3 to 5 sets of slow, steady muscle contractions holding a position (like an isometric lunge) for 30 seconds per hold. [1, 2]
    • Low Duration: Keep total loading time under 10 minutes per session to maximize cellular signaling without causing micro-damage. [1, 2]
    • Rest Intervals: Allow at least 6 to 8 hours of rest between loading sessions to give the connective tissue time to synthesize new collagen proteins. [1, 2]
    • Pain Monitoring: Avoid sharp, stabbing pain; aim for a dull tension or warm muscle-burning sensation in the targeted area. [1]

Nutritional Support

    • Collagen and Vitamin C: Consuming gelatin or hydrolyzed collagen combined with vitamin C approximately 60 minutes before the short loading session has been shown in his lab to double collagen production in connective tissues.

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