+ 1 Shoulder Posterior Labral and Subscap Rotator Cuff repair w/ Biceps Tenodesis + Peptide Recovery Protocol Documentation
Hi All,
I'll be documenting on this thread my post of recovery from all of the above in the subject line. Baseline 52 yrs old - 5' 6" - 155 lbs. Actively fit and good health. Surgery scheduled for Nov. 11, 2025. The plan is:
Take the expected recovery time to 2-3 months instead of 6 accomplishing 100% or close to it of shoulder rotation and biceps flex. Maybe some light weight lifting by 2.5 months along with scheduled PT.
Currently dosing: 2.5mg TB500 every 3 days, 500mcg of BPC-157/day and 500mcg Ipamorelin/day. Stopping Ipamorelin and BP500 2 days prior to surgery while still running BPC-157 daily. BPC-157 dose will continue for 3-4 months every day.
Post Surgery: 3 days after surgery - Continue Ipamorelin 500mcg/day + CJC-1295/day for 3 weeks and start TB500 @ 2.5mg every 3 days for 4 weeks. Add LL-37 @ 100mcg/day immediately after surgery for 2 weeks. On week 3 start 2 IU's of Growth Hormone daily for 3 months and taper down to 1IU for 1 month replacing Ipamorelin and CJC-1295 protocols.
Peptides purchased from the guys in the picture as well as the GH. Running lab on the GH with Janoshik prior to using it. Will post results as well. From the peptides, these guys have certs for EVERY batch/lot they send out so you know exactly what you are getting, no unknowns. Which I don't think anyone else does.
I'll start the recovery posts once I'm up and running. If I add more peptides I will update accordingly
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**Note - Started injecting IGF1-LR3 @50mcg to the shoulder after PT. Rotating sites. Will continue until the 1mg vial is gone, so about 20 days give or take. It works with your body’s natural growth hormone, helps the injured area heal and adapt faster, and supports getting back to normal function without putting extra stress on the rest of your body.
Had another facility based PT 01/05/2026. Summary: ROM 100% for all movements except for pitchers throw and thumbs-up hand behind the back which I'm at about 85%. Started front, lateral 2lb exercises with dumbells and 2 Blue resistance band exercises .
I had dropped the Peptides about 15 days ago, except for GH @2.4 IU/Day. Will continue GH for another 4 months I figure. Next week I'm starting TB500 @ 2.5 mg 3x week. Don't expect to add anything else. I will keep a going with the high protein diet, daily collagen and creatine supplements.
Since I don't have any prior surgeries to compare where I am recovery-wise I had ChatGTP do some statistical digging and these were the results as to where I stand recovery-wise compared to other's who have had the same triple shoulder surgery. Screenshots attached.
My personal findings and summary in a nutshell. This peptide protocol stack ABSOLUTELY works, for this and any other surgery. Have a plan and execute it. Be patient, smart and consistent. Less than 2 months ago I was in my bed pumped full of meds after a 3x procedure shoulder surgery. Today I'm sitting in my kitchen typing this up with both hands after daily PT. Happy to answer any questions as I continue this recovery.
Figure I'll check in again in a couple weeks - Best.
Interesting Buddy - Very interesting. I have tweaked my RTC right in that same area on the left shoulder that they did the surgery on you!! Did you happen to get this injury by flat benching by any chance? My pain is right in that area when you have the bar down at the furthest point touching the chest and the arm is furthest out to the side effectively where the elbow is kinda flared out. Also its sore up at the top when the bar is just unracked. How did you know that you would need surgery on this in the end?
When you say you had bicep surgery - was this on the long bicep tendon at the top where it inserts under the shoulder cap?
I'd been dealing with shoulder issues for a while now. Super sets with dumbbells did it, after doing a positive motion exercise I would immediately come back and do the opposite direction until failure with a band. Dialed back the weight a lot and I went heavy on TB500 and BPC-157 and IGF1-LR3 injecting at the source of pain on a daily basis right after the workout when there's heavier circulation. (TB500/2.5mg, BPC-157/1mg and 3mcg of IGF1-LR3). 4 weeks of this and it did work, pain was gone, ROM was back but I could still hear grinding in there.
Did it help with all the symptoms - yes. Did it miraculously regenerate the ligaments and make everything like new - NO.
Then I tore my right shoulder on a cable pull. That one I heard when it happened. Had an MRI on both shoulders. The right labrum had a anterior, posterior and superior tears. I had tore my biceps 10 yrs ago on the right, never got it fixed. The MRI's revealed that the left long head biceps tendon had a near full thickness high grade tear. So I had surgery on the left to fix the "about to tear biceps" and might as well re-do the mess inside the shoulder.
The next surgery is the right one to go over the labrum tears and any other issue they might find. The left shoulder surgery was necessary to avoid the biceps to tear off. After going through it and it not being a nightmare at all, I decided to also do the right shoulder next year. These surgeries are 100% optional, unless your shoulder is completely incapacitated. The decision was to go forward was mine, I also still want to be able to pick up and throw around a 60 lb suite case when I'm traveling and in my 60's.
Both biceps injuries are of the long head tendon that inserts under the shoulder cap as you describe. With the use of peptides, GH, a good diet, sticking to your creatine and collagen protocols I am shooting to be pushing some light dumbbells in about 3 months. Which was the goal. Collagen and Creatine consumption and synthesis is critical to avoid shoulder lock and tissue remodeling.
Sounds like we all end up getting the same kinds of tears/injuries in the same kind of areas I guess, from doing very similar movements ultimately. I had a Grade 1.5 tear in my right RTC about 5 years ago now at the same time I got a tear in my inner left pec, when my pec went the bar must of come down at an odd angle and taken out my already iffy right RTC. It was extremely sore for many weeks, couldn't even lift my arm up at first but over the months it did somehow heal although it has never been the same. It is always cracking, grinding and clicking when cold and I've been doing any exercises that require it to be used such as Deadlifts, chins, BB rows and bench. When its doing okay I do seem to have the same strength in it that I've always had - but once its sore from maxxing too many times it screws everything up for a while till its 99% again and bars go up at all kinds of off angles LOL
I have known a few guys on here with full labrum tears and surgeries and its definitely an area you do not want to rush back into stressing after training. Give it more than long enough after surgery otherwise it will go again, heard some horrific stories about the hole thing shearing off.
I gather you are based in the USA then and you have to pay for all this surgery? I think we can get it here free of charge but it literally has to be a proper tear and in need of reattachment rather than just getting it done for future prevention so to speak.
I have done a lot of time drinking Collagen Peptides and Vitamin C but have never been too sure on whether it does really work or not for tendon repair and regeneration - I have often found just EAA's and extra Leucine works well for RTC's and shoulder tendons, however the evidence does stand to reason that you have to consume Collagen to get the extra aminos not found in normal protein such as the glycine and proline/hydroxyproline to help with the triple helix structure repair.
I think I may well give your BPC and TB 500 protocal a go, its a shame that we don't know which definately works rather than having a rough idea. You'd think there would be a few more proper studies done on tendon healing available rather than just the usual Collagen peptides ones.
If you want to dig deep into the peptides and studies, go to the website I get my gear from, (Cosmic...).You can see it in the pics. The peptides contain a good summary, but all the references that are at the bottom of the description. Follow those and that's where you can find the truth. Some studies where doing so well in results, TB and BPC included that big Pharma shut them down. Can't have healthy people walking around you know... I know for a fact that the TB and BPC combo is helping a friend with Lupus overcome some of the adverse symptoms that come with the disease when no other treatment or drug has helped.
And yes, I've heard bad thing about pushing the post surgery limits. I'm in no hurry to getting back to lifting like before.
Sling came off last Wednesday - (12/17/25). I have a good amount of ROM. I had been doing 3 in house assisted exercises for 3 weeks prior. Mornings upon wake up are painful, but that goes away after you get moving. Doctors PT start next Monday the 22 along with evaluation. At that point I might be able to have an idea how much the peptides helped. My last TB500 dose was last Sunday and BPC came down to 500mcg/night. I swapped the nightly Sermorelin for Ipamorelin. Same 400mcg. I will say overall my shoulder feels like it’s ready to go business as usual, but won’t know till next week.
Now to labs – attached -
I had my baseline IGF1 taken a few days before surgery. I was only front loading with TB500 and BPC at the time. My levels were 103 ng/mL and -0.6z. After a full month of 1mg/day in the am and 400mcg Sermorelin daily pm my IGF came back at 176 ng/mL and +0.5z. That was only a 73pt. jump.
For context the range for someone my age is +0.0 to +0.9 is in the upper average, and not the high normal of +1.0 >. I was expecting to be on the higher end of the 1z values and at least in the mid 200’s for the IGF value.
Conclusion: GH secretagogues work, but not to the level I was expecting. 1mg/day of Tesa did increase my energy throughout the day, this was noticeable. TB500 and BPC seem to have worked but I won’t have any reference points until I have my LS MRI done a couple months down the road and have feedback from the PT and how much I can accomplish the next few weeks. Swelling was minimal, I never iced it, and wound healing was remarkably fast.
The day after my last Tesamorelin dose I swapped over GH dosing 2.4IU’s fasting in the am. I will continue 400 mcg of Ipamorelin at night just to stimulate my pituitary axis so it doesn’t get shut down due to the exogenous GH that I am taking in. I will run IGF labs 5 weeks from now to compare the delta. Since the effect of the Tesamorelin will no longer be present my IGF1 value from GH use will be taken from the 103 baseline. I will run BPC-157 500mcg for another 4 weeks and start TB500 1mg/day at the shoulder after PT for 3-4 weeks and that will be the end of these two. Will stay on GH for 6 months. Taking IGF1 levels every 2-3 months.
More to come…
16 days post surgery. Now BPC-157 @ 750mcg at night only, with 400mcg of Sermorelin. 1mg of Tesamorelin in the morning fasting every day. Still 3mg of TB500 every other day. Swelling has gone to zero. Pain can be zero, just depends on how well you sleep, but very manageable only with Tylenol. 3 PT assisted exercises 2x a day began 4 days ago. Hopefully the quality of healing is pretty goo with all this. I will say the incisions except for one are barely visible. Quite remarkable actually. Will continue this same protocol for another two weeks, before changing Sermorelin to Ipamorelin, stopping TB, Continuing BPC and Tesamorelin. Will check my IGF1 levels at that point to check how much these peptides moved the needle from a 103 baseline. If I don't see at least mid 200's Then I'm moving to 2IU's of GH am/daily for several months.
Day 5 - bandages came off. Lot less swelling than expected.
Still on the same dosage as before.
Images show before/after on the 3 repairs.
Labeled them as best I could with one hand. Overall pretty sore localized to the area, but nothing terrible. Will post later this week once the bandages off.
Day 1 - 24hrs passed. Same
- BPC-157 @ 750 mcg AM and PM
- TB500 @ 3mg / every other day.
Hope it works out well for you!
I’ve used a bpc-157/tb-500 combo and it seems to help with any joint discomfort I have.
I’m curious, why not just use GH to start instead of Ipamorelin and cjc?
Thanks. The later use of the GH is just a preference, thought I'd have my body push out it's own GH and have less of a risk of increasing the IGF1 levels too much right after surgery. This would also be the first time using exogenous GH for me, so just playing a little more on the safe side I figure. Having the right shoulder done next year, so I'll have good baseline to go off. Might do all Somatropin next time to compare.
GH is pretty safe. The only side to really watch for is high blood sugar and that generally only happens at high levels.
Arguably less risk than peptides as GH has a lot of research and human trials. That being said, peptides and GH are what I take, never done any AAS.
Thanks appreciate the feedback I’ll definitely do some more digging on the GH.
I’ll keep it updated here as I go through it.