Chronic tendinopathy that hasn't responded to anything — TB alone or stack?

Chronic tendinopathy that's had 5 years of peptide and rehab is mechanically different from an acute tendinopathy. The collagen architecture has actually changed — it's disorganized and fibrotic. Peptides are better at acute repair than at reorganizing old scar-like tissue. Worth considering whether you're chasing the wrong tool.

Chronic rotator. BPC-only got me 60% of the way. Adding TB didn't finish the job — PRP did. Not selling PRP, just reporting what moved a tendon that had resisted 3 years of everything else. TB helped the global feel but didn't fix the specific tendon.

Chronic Achilles, similar profile. TB addition on top of BPC gave me maybe 10% extra. Not worth the money for that alone. Heavy slow resistance loading for 12 weeks did more than the peptides at that stage.

Noted. Probably pivoting to PRP consult + keeping rehab brutal. Peptides have given what they can for this one.

Good call. When a tissue has been chronically abnormal for years, the 'repair' toolkit is limited. Doesn't mean nothing works — it means the things that work are structural (load, PRP, sometimes surgery), not primarily pharmacological.

real question before you spend more money: did you actually establish a baseline of what the tendon looks like structurally before any of the BPC cycles? ultrasound or MRI showing the exact pathology at year 0? because if you didn't, you don't actually know if BPC moved the needle or if it just felt better while the tissue stayed the same. a lot of people think "i felt better" = "it worked" when really they just adapted to the pain or got stronger around the damage. if you've got imaging data showing progression then yeah, TB might be worth a shot, but if not you're basically guessing at what's actually changing in there.