Protocol approach: partial rotator cuff tear Goal: Promote tissue healing, prevent tear progression, avoid surgery if possible Peptide approach: BPC-157: 300 to 500 mcg daily, split doses, local injection near shoulder preferred TB-500: 750 to 1000 mcg twice weekly (loading phase first four weeks), then 500 mcg twice weekly GHK-Cu: 300 to 600 mcg daily from week two onward Duration: Twelve weeks minimum Critical notes: Partial tears require imaging to determine severity and location
But and this is a big but we still need longer-term, controlled clinical trials to fully understand how GLP-1 RAs affect testosterone, sperm production, and fertility outcomes in healthy men and those with pre-existing fertility concerns
Some practitioners combine both approaches, using steroids for immediate relief while peptides work on longer-term repair
Less common reports include fatigue 1224 hours after dosing, injection-site redness, and brief flushing
