First cycle ever — BPC-157 for a rotator cuff issue. sanity check my plan?

R
Joined 2026
31 posts
1/14/2026 · 2145 views

Hi all, 34M, been lifting 10+ years, tweaked my right shoulder back in January doing incline press. MRI showed a small partial supraspinatus tear, PT has helped but it's been plateau'd for 6 weeks. Doc doesn't want to do PRP yet.

Ordered BPC-157 5mg vial + bac water. Plan:

  • Reconstitute with 2mL bac water = 2.5mg/mL
  • 250mcg 2x/day SubQ, in the belly (about an inch from the navel)
  • 30 days on, evaluate

A few q's:

  1. Should I be injecting closer to the shoulder instead? heard conflicting things
  2. Do I need to pair with TB500 or is BPC enough to start?
  3. How long before I should expect to feel anything?

Don't want to rush into this. Thanks in advance.

17 Replies

H
Joined 2025
205 posts
hexaclinicContributor
1/14/2026

Second tendon_theory. I'd also extend to 6 weeks rather than 30 days for a partial tear — tendon remodeling is slow. 30 days is enough to see trajectory but not enough to judge outcome.

Q2 stack
  • CJC-1295 no DAC · 100 mcg · pre-bed · sub-Q
  • Ipamorelin · 200 mcg · pre-bed · sub-Q
  • BPC-157 · 500 mcg · 2x/day · sub-Q
T
Joined 2025
50 posts
1/15/2026

Your plan is fine but I'd go site-specific. Inject SubQ into the fatty tissue near the front of the shoulder (delt area, superficial — you're not aiming for the tendon). BPC seems to work better closer to the injury for soft tissue stuff. Dose is fine. 500mcg/day total is a solid starting point.

Pulley A2
  • BPC-157 · 250 mcg · 2x/day local · sub-Q
  • TB-500 · 2 mg · weekly · sub-Q
S
Joined 2026
14 posts
1/15/2026

Ran this exact protocol last year for an AC joint issue (not the same as yours but similar area). Felt nothing for 3 weeks, week 4-5 had noticeable reduction in the grinding sensation on overhead pressing. Kept going to week 8. Was one of the things that actually worked for me. YMMV.

T
Joined 2025
50 posts
1/15/2026

Yep, pinch + insulin needle at 45 degrees. You're going into subcutaneous fat, not muscle. Don't overthink it.

Pulley A2
  • BPC-157 · 250 mcg · 2x/day local · sub-Q
  • TB-500 · 2 mg · weekly · sub-Q
R
Joined 2026
31 posts
1/16/2026

@tendon_theory so I'd pinch the skin over the front delt and inject into the pinch? just want to make sure I'm not going to hit something

T
Joined 2026
26 posts
1/16/2026

TB500 adds something for muscle/tendon belly issues, less clear for partial tears. I'd start with BPC alone so you know what it's doing. Add TB later if you're stalling.

R
Joined 2026
31 posts
1/16/2026

@showmethestudy fair point, appreciated. I'm going in knowing it's n=1. PT isn't going away.

S
Joined 2026
115 posts
1/16/2026

Just flagging: the BPC-157 evidence for human rotator cuff outcomes is ~zero. The tendon/ligament rat studies are promising but extrapolating to a human partial supra tear is a leap. Go in eyes open. If it works, great. If it doesn't, PT + time + eventually PRP is still your path.

D
Joined 2025
119 posts
dr_doubtRegular
1/18/2026

Your reconstitution math is right. 2mL bac into 5mg = 2.5mg/mL = 2500mcg/mL. On a U-100 insulin syringe, 10 units = 250mcg. Write it down on the vial with a sharpie so you don't second-guess yourself at 6am.

A
Joined 2026
23 posts
acl_againMember
1/18/2026

Following. I have a similar question lined up for an AC joint thing. Not hijacking, just lurking here.

M
Joined 2026
14 posts
1/21/2026

One more vote for site-specific. I did belly injections for my knee for 3 weeks and saw nothing, switched to around-the-knee injections and the response was noticeably different within ~10 days.

R
Joined 2026
31 posts
1/28/2026

UPDATE week 2: did site-specific near front delt as suggested. no side effects, no obvious change yet. PT session yesterday was about the same as baseline. will keep going.

R
Joined 2026
31 posts
2/11/2026

UPDATE week 4: overhead press pain noticeably reduced. still there but like 4/10 instead of 7/10. not claiming BPC is the cause, PT is also going well, but it's been stalled for 6 weeks before this so the timing is interesting. extending to 8 weeks.

S
Joined 2026
14 posts
2/12/2026

@rotator_rebuild that tracks with my experience. week 4-6 is usually when things shift.

P
Joined 2025
71 posts
2/12/2026

Nice update. For the permanent record: this is what a good beginner thread looks like — ask a question, get advice, try it, report back. Bookmarking.

Healing + skin
  • BPC-157 · 500 mcg · 2x/day · sub-Q
  • GHK-Cu · 2 mg · nightly topical · topical
R
Joined 2026
31 posts
3/11/2026

FINAL UPDATE week 8: done. Pain is about 2/10 now and only at end range. PT moved me into a more aggressive phase. not cured but dramatically better than 8 weeks ago. taking a month off peptides and seeing how it holds.

J
Joined 2026
27 posts
24d ago

Reading this thread top to bottom was worth more than three hours of youtube. thanks for documenting it.

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