Stack for chronic tendinopathy — BPC is working but slow, what do I add

Chronic tendinopathy is slow. 6 weeks on BPC with 3-point reduction is actually a good trajectory. I'd give it 4 more weeks before stacking. That said, TB-500 is the single best systemic add for chronic tendon pathology in my experience.

CJC/Ipa adds collagen synthesis support via IGF. For chronic tendinopathy where you're rebuilding tissue, it's synergistic. Not a fast fix but compounds the BPC work.

GHK-Cu locally is pleasant but the tendon evidence is thinner than BPC/TB. I'd put it last in your priority list.

The eccentric loading is the real driver, peptides are potentiators. Are you still doing Tyler twist or the Alfredson protocol daily? If rehab went on pause while BPC started, THAT'S your yield.

@stackbuilder doing tyler twist 2x/day daily. Hadn't paused. That's real though — I should make sure rehab volume is full before adding compounds.

Medial epi specifically: make sure your wrist flexor stretching is consistent, not just eccentrics. Passive flexibility work is under-rated. Peptides + load + range. All three.

TB-500 for 4 weeks at 5mg loading changed the chronic ache pattern for me on an old elbow issue. Felt different from BPC — more systemic 'quieting' of the area.

If pain went from 6 to 3 in 6 weeks on BPC alone, you're not plateaued. Wait 4 more weeks, re-evaluate. Don't stack on a moving target — you lose the attribution.

Okay, consensus seems to be: hold, keep rehab tight, re-evaluate at week 10. If still stuck, add TB-500 next. Thanks all.