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Grade 2 MCL tear, day three. What do I do now?
The first two weeks decide most of the outcome. Front load it: BPC-157 at 500 mcg twice daily, subcutaneous and close to the knee, plus TB-500 at 5 mg loading twice in week one, then 2 mg weekly.
Is that not a high dose?
It is deliberately high while the tissue is still inflamed, then tapered. Ligament repair is dose and timing sensitive, so I would hold the loading dose for 14 days, drop to 250 mcg twice daily through week six, and add isometric loading from day five once pain allows.
Anything I should watch for?
Sterile technique, tested source, subcutaneous only, never into the joint. Track laxity and swelling weekly, and if the knee is not more stable by week four we change the plan rather than the dose.
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Start at a low dose, five days on, two off, with protein at 1.6 g/kg. Evidence: emerging.
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