My post-surgery rehab stack — what I'd do different next time

A
Joined 2026
31 posts
acl_againMember
3/14/2026 · 2152 views

6 months post-ACL reconstruction. Ran BPC + TB-500 + CJC/Ipa from week 2 post-op through month 4. Now at PT discharge phase, cleared for return to sport.

What I'd do different:

  • Started peptides week 2 but my immobilization was only week 3. Could've started day 3 post-op with surgeon sign-off.
  • Ran BPC systemic only, not local to the graft site. Probably missed local yield.
  • TB-500 at 5mg/week loading was good. Maintained 2.5 through month 3, dropped it at month 4. Could've carried maintenance to month 5.

Next time (hopefully never): earlier start, local BPC around graft, longer TB tail.

6 Replies

T
Joined 2025
52 posts
3/15/2026

Your instinct on earlier start is right for general recovery but graft-specific, the first 4-6 weeks is incorporation phase where the peptide concern is theoretical. Systemic is the safer choice during incorporation.

Pulley A2
  • BPC-157 · 250 mcg · 2x/day local · sub-Q
  • TB-500 · 2 mg · weekly · sub-Q
P
Joined 2026
12 posts
3/15/2026

Local BPC around the graft is a debated practice — some surgeons have concerns about interfering with graft incorporation in the first few weeks. Worth discussing with yours. After week 6, local is fine.

M
Joined 2026
24 posts
3/16/2026

TB-500 tail out to month 5-6 is where I landed for my meniscus. Agree that cutting early can leave yield on the table.

A
Joined 2026
31 posts
acl_againMember
3/16/2026

@tendon_theory fair. So the 'wait week 2-3 systemic only' was probably fine. Local after incorporation is what I'd change.

S
Joined 2025
97 posts
3/17/2026

Glad you're at RTS. Post this in the recovery category too — will help others in the same post-ACL window.

Growth + recovery
  • CJC-1295 no DAC · 100 mcg · pre-bed · sub-Q
  • Ipamorelin · 200 mcg · pre-bed · sub-Q
  • BPC-157 · 250 mcg · 2x/day · sub-Q
S
Joined 2026
47 posts
4/23/2026

Honestly the local vs systemic thing is way overblown IMO. I did local BPC starting week 5 on my shoulder and it healed faster than my buddy who waited till week 8, both of us got cleared by our docs. The graft incorporation thing sounds smart in theory but I think surgeons are just being cautious cause there's not a ton of data either way. Either way congrats on hitting RTS, that's the real win here not the peptide minutiae.

Focus stack
  • Semax · 600 mcg · AM intranasal · intranasal
  • Selank · 250 mcg · as needed · intranasal
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