GHKCU for surgery repair?

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I am going to dig into that more but KLOW might be the way to go. I might get a single vial first though.

We both sound like orthopedic nightmares 🤣 I was back to work for half-days after two weeks, and worked back up to full days over about three weeks. I have a desk job though, so that wasn't too much of an issue. I also did some stuff remotely while I was still early because otherwise I'd have lost my mind. And I can't handle people trying to fill in for me because despite giving them instructions, they still do it wrong, instead of calling and asking for help.

I didn't try driving until last week though, and it went fine. I already drive left handed mostly anyway, it's just the annoying "can't get to anything on the passenger seat" situation.
 
domin8brix said:
I am going to dig into that more but KLOW might be the way to go. I might get a single vial first though.

We both sound like orthopedic nightmares 🤣 I was back to work for half-days after two weeks, and worked back up to full days over about three weeks. I have a desk job though, so that wasn't too much of an issue. I also did some stuff remotely while I was still early because otherwise I'd have lost my mind. And I can't handle people trying to fill in for me because despite giving them instructions, they still do it wrong, instead of calling and asking for help.

I didn't try driving until last week though, and it went fine. I already drive left handed mostly anyway, it's just the annoying "can't get to anything on the passenger seat" situation.
I feel like an Azz! I just saw your 2 girls with green eyes. I knew right away it was Big trouble in little china, good freakin movie and always felt like Kurt Russell was under appreciated. (Snake Plissken wise) Then I saw your Avatar, soo cool. I'm telling you, my feet weren't far removed from where Thunder blew himself up, before I lost the 400lbs 😉

I'm starting to put my Ortho's grandkids through college after 13 operations😅 I'm on concrete 6-7 hours a day, 1/2 that standing in one place and walking the other half. It's like doing Origami 25-30 hours a week, hunched over a 4ft cart. Not doing my neck or back any flavors. I wish I had desk job (I'm not that smart) but I know being on my feet helps keep the weight off. I'm lucky I punch a time clock, I don't have to worry about anything till I get back to 12 weeks of emails 😬

Struggling with the weight regain, I upped to 4mg of Reta and planning to try and walk my Husky tomorrow. Just trying to be smart with this foot and work up to it. I'm out of the sling early, but no strength training till 5/1. Started driving about 1 1/2 weeks ago, no worries there. Only used 2/3 tank of gas in 6 weeks, so saving a couple bucks for now. I feel your passenger seat angst, wish I still had my F150 and then all my crap would fit in the center console😄

If you haven't tried the GHK-cu yet, it does have a bite to it and a single vial might be the way to go. It don't bug me, but I got a bunch of crap mixed in there and it's mostly blunted.
 
RubbaDubba1 said:
I feel like an Azz! I just saw your 2 girls with green eyes. I knew right away it was Big trouble in little china, good freakin movie and always felt like Kurt Russell was under appreciated. (Snake Plissken wise) Then I saw your Avatar, soo cool. I'm telling you, my feet weren't far removed from where Thunder blew himself up, before I lost the 400lbs 😉

I'm starting to put my Ortho's grandkids through college after 13 operations😅 I'm on concrete 6-7 hours a day, 1/2 that standing in one place and walking the other half. It's like doing Origami 25-30 hours a week, hunched over a 4ft cart. Not doing my neck or back any flavors. I wish I had desk job (I'm not that smart) but I know being on my feet helps keep the weight off. I'm lucky I punch a time clock, I don't have to worry about anything till I get back to 12 weeks of emails 😬

Struggling with the weight regain, I upped to 4mg of Reta and planning to try and walk my Husky tomorrow. Just trying to be smart with this foot and work up to it. I'm out of the sling early, but no strength training till 5/1. Started driving about 1 1/2 weeks ago, no worries there. Only used 2/3 tank of gas in 6 weeks, so saving a couple bucks for now. I feel your passenger seat angst, wish I still had my F150 and then all my crap would fit in the center console😄

If you haven't tried the GHK-cu yet, it does have a bite to it and a single vial might be the way to go. It don't bug me, but I got a bunch of crap mixed in there and it's mostly blunted.
It is my absolute favorite movie. I have custom Lego minifigs, built LoPans domain and a Porkchop Express, have custom action figures … it’s the best. As kids, we would rewind Thunder blowing up like 100 times and just laugh out loud. My sister introduced it to my nephew a few weeks ago and he loved it bec all the “bad guys” died, unlike in Spaceballs where they just land on the beach in megamaids head. He said that ruined it for him 🤷‍♀️🤣 (I have minis, megamaid and the Eagle 5 in Lego form as well. This might be why I’m single, though I’m not really interested in looking either.)

Anywho, I think I might try KLOW, I am dancing around that one (and Cagri) in a single vial and may just get some to try.
 
Whoa! Okay, this thread sure was informative. Alright, I have a very similar situation. I have a torn rotator cuff and biceps tendinosis. The rotator is torn in 3 places, or it was when I had an MRI done last year. I wanted to avoid shoulder surgery at all costs. I had a sleeve gastrectomy done in 2022 and the weight loss made the rotator tears worse. I had horrible range of motion on my left shoulder. But anyway, in July 2025, I had stem cell treatment in India. I got around 60% range of motion in the joint, when it was around 40% before. Then, while in India, a week after the stem cell treatment, I used BPC-157 and TB-500 subq injections daily, both injected in the abdomen. It didn't do much, except increase ROM of the left shoulder joint to around 65%. It did nothing for the biceps tendinosis pain.

Now last Feb, I began hitting the gym regularly, and my left arm was practically useless. Starting from April 11th of this year, I hit the lower front delt of the left shoulder with BPC-157, and used TB-500 as usual in the stomach. I have had 5 injections of BPC-157 so far and three injections of TB-500.

At the beginning of April, I struggled to do a bicep curl with 70lb barbells. Today, I have my range of motion on the left shoulder at around 90%. Oh and I did 6 reps of biceps curl on a 100lb barbell, and 2 reps on the 110lb barbell. My biceps tendinosis pain has reduced.

I am consuming collagen peptides as well.
 
domin8brix said:
It is my absolute favorite movie. I have custom Lego minifigs, built LoPans domain and a Porkchop Express, have custom action figures … it’s the best. As kids, we would rewind Thunder blowing up like 100 times and just laugh out loud. My sister introduced it to my nephew a few weeks ago and he loved it bec all the “bad guys” died, unlike in Spaceballs where they just land on the beach in megamaids head. He said that ruined it for him 🤷‍♀️🤣 (I have minis, megamaid and the Eagle 5 in Lego form as well. This might be why I’m single, though I’m not really interested in looking either.)

Anywho, I think I might try KLOW, I am dancing around that one (and Cagri) in a single vial and may just get some to try.
OMGarsh, those are Awesome! That's a pretty good Pork Chop Express, those guys are on pointe love the detail and Kurt needs a shave. Damn, that looks like Rick Moranis too. I'm feeling old meow, I remember John Candy & Joan Rivers. They just happen to be sitting out for pics right 😉

I got my sister to try some KLOW, but that copper stung too much for her. I do have her on the BPC/TB4 mix, she just had a Neck fusion 2 weeks ago. Fun times 💀
 
Ah, yes, I forgot to add on the previous message. For me, BPC worked best when injected near the injury site. TB-500 works systemically, so choosing a Blend may not be the most optimal choice, imo.
 
I would like to get in some grouptesting for this. Its hard to communicate without being able to send personal messages.
 
Smiter said:
Whoa! Okay, this thread sure was informative. Alright, I have a very similar situation. I have a torn rotator cuff and biceps tendinosis. The rotator is torn in 3 places, or it was when I had an MRI done last year. I wanted to avoid shoulder surgery at all costs. I had a sleeve gastrectomy done in 2022 and the weight loss made the rotator tears worse. I had horrible range of motion on my left shoulder. But anyway, in July 2025, I had stem cell treatment in India. I got around 60% range of motion in the joint, when it was around 40% before. Then, while in India, a week after the stem cell treatment, I used BPC-157 and TB-500 subq injections daily, both injected in the abdomen. It didn't do much, except increase ROM of the left shoulder joint to around 65%. It did nothing for the biceps tendinosis pain.

Now last Feb, I began hitting the gym regularly, and my left arm was practically useless. Starting from April 11th of this year, I hit the lower front delt of the left shoulder with BPC-157, and used TB-500 as usual in the stomach. I have had 5 injections of BPC-157 so far and three injections of TB-500.

At the beginning of April, I struggled to do a bicep curl with 70lb barbells. Today, I have my range of motion on the left shoulder at around 90%. Oh and I did 6 reps of biceps curl on a 100lb barbell, and 2 reps on the 110lb barbell. My biceps tendinosis pain has reduced.

I am consuming collagen peptides as well.
Sounds like you've been staying after it, good to hear someone is having luck with Stem cells. It's always fascinated me a bit, did they use your cells or others? I almost went to Mexico for my WLS and later plastics. But I had a Dr mention if you have a problem, who do you follow up with? So I stayed stateside and I'm so broke, I can't afford to pay attention 😀

The BPC/TB sounds like its working well for you, I've done a couple courses of that in rehab for my shoulders and it did help me with pain, range of motion and fatigue but never really healed it. It just got worse and had to have surgery and need the other done as well. Could be Stem cells or PRP could be helpful, but surgery for me as I need the fix and someone else to pay the bills.

How much weight did you lose with the VSG?
 
The stem cells were from my fat cells. With the sleeve gastrectomy, I went down from 140 kg to 102. That's around 80lbs then I was forced to take the Covid shot. 40lbs gained after that. Lost 12lbs since then. I paid around 2000 dollars for the stem cell treatment.

RubbaDubba1 said:
Sounds like you've been staying after it, good to hear someone is having luck with Stem cells. It's always fascinated me a bit, did they use your cells or others? I almost went to Mexico for my WLS and later plastics. But I had a Dr mention if you have a problem, who do you follow up with? So I stayed stateside and I'm so broke, I can't afford to pay attention 😀

The BPC/TB sounds like its working well for you, I've done a couple courses of that in rehab for my shoulders and it did help me with pain, range of motion and fatigue but never really healed it. It just got worse and had to have surgery and need the other done as well. Could be Stem cells or PRP could be helpful, but surgery for me as I need the fix and someone else to pay the bills.

How much weight did you lose with the VSG?
 
Smiter said:
Whoa! Okay, this thread sure was informative. Alright, I have a very similar situation. I have a torn rotator cuff and biceps tendinosis. The rotator is torn in 3 places, or it was when I had an MRI done last year. I wanted to avoid shoulder surgery at all costs. I had a sleeve gastrectomy done in 2022 and the weight loss made the rotator tears worse. I had horrible range of motion on my left shoulder. But anyway, in July 2025, I had stem cell treatment in India. I got around 60% range of motion in the joint, when it was around 40% before. Then, while in India, a week after the stem cell treatment, I used BPC-157 and TB-500 subq injections daily, both injected in the abdomen. It didn't do much, except increase ROM of the left shoulder joint to around 65%. It did nothing for the biceps tendinosis pain.

Now last Feb, I began hitting the gym regularly, and my left arm was practically useless. Starting from April 11th of this year, I hit the lower front delt of the left shoulder with BPC-157, and used TB-500 as usual in the stomach. I have had 5 injections of BPC-157 so far and three injections of TB-500.

At the beginning of April, I struggled to do a bicep curl with 70lb barbells. Today, I have my range of motion on the left shoulder at around 90%. Oh and I did 6 reps of biceps curl on a 100lb barbell, and 2 reps on the 110lb barbell. My biceps tendinosis pain has reduced.

I am consuming collagen peptides as well.
Well that is a wild commonality! One of my PTs mentioned the stem cell therapy but finding someone locally that can do that is near impossible and those who do are not on my insurance, which would really be needed to cover the amount of that stuff.

I did not have any further issue with the shoulders in relation to the sleeve, that was really just from falling hard with bad catches, and also working out enough over the years to continue making it worse.

The KLOW thing is more of a "I want the skin benefits from that" vs the rest of it, the repair quality in addition was what was like ok maybe that over GLOW.

RubbaDubba1 said:
Sounds like you've been staying after it, good to hear someone is having luck with Stem cells. It's always fascinated me a bit, did they use your cells or others? I almost went to Mexico for my WLS and later plastics. But I had a Dr mention if you have a problem, who do you follow up with? So I stayed stateside and I'm so broke, I can't afford to pay attention 😀
My insurance covers WLS if you meet the comorbidities, but not GLPs unless youre diabetic and tried literally every option available first. WLS was required for me to get my back fixed though, and I wish I'd done it when I originally looked into it several years prior. Unfortunately, skin removal is not covered for any reason at all, so I'd have to cash pay or go overseas and if there are complications, my insurance would not cover those because I did cash pay or went overseas. My stomach is where most of it is, and it's not tremendously awful, but I do wear compression to keep it locked down. Unfortunately that also smashes what little chest I have left lol

RubbaDubba1 said:
OMGarsh, those are Awesome! That's a pretty good Pork Chop Express, those guys are on pointe love the detail and Kurt needs a shave. Damn, that looks like Rick Moranis too. I'm feeling old meow, I remember John Candy & Joan Rivers. They just happen to be sitting out for pics right 😉

I got my sister to try some KLOW, but that copper stung too much for her. I do have her on the BPC/TB4 mix, she just had a Neck fusion 2 weeks ago. Fun times 💀
I took those photos when I got them, because I was SO EXCITED they were so perfect. I have a guy that has made all my good customs, and I am trying to not come up with any more "ideas."
 
Smiter said:
The stem cells were from my fat cells. With the sleeve gastrectomy, I went down from 140 kg to 102. That's around 80lbs then I was forced to take the Covid shot. 40lbs gained after that. Lost 12lbs since then. I paid around 2000 dollars for the stem cell treatment.
Damn that's a good price, I can see why you went to India. I know medical tourism is a thing.
 
Yeah guys, about that... Rotator cuff tears and biceps tendinosis are all tendon tears, not muscle tears. BPC & TB-500 work mainly through increased angiogenesis, i.e., new blood vessel creation to promote increased nutrient flow to the area. But tendons are hardly vascular with very little blood supply. IMO, I focus on tendon hyperplasia training along with the BPC-TB injections to try to recover. Tendon strengthening is different from muscle hypertrophy. Massive collagen consumption is needed too.
 
RubbaDubba1 said:
Damn that's a good price, I can see why you went to India. I know medical tourism is a thing.
Errr...yeah I am also originally from there. Amongst everything else, I also wanted to start a micro-mini mango farm.
 
domin8brix said:
Well that is a wild commonality! One of my PTs mentioned the stem cell therapy but finding someone locally that can do that is near impossible and those who do are not on my insurance, which would really be needed to cover the amount of that stuff.

I did not have any further issue with the shoulders in relation to the sleeve, that was really just from falling hard with bad catches, and also working out enough over the years to continue making it worse.

The KLOW thing is more of a "I want the skin benefits from that" vs the rest of it, the repair quality in addition was what was like ok maybe that over GLOW.

My insurance covers WLS if you meet the comorbidities, but not GLPs unless youre diabetic and tried literally every option available first. WLS was required for me to get my back fixed though, and I wish I'd done it when I originally looked into it several years prior. Unfortunately, skin removal is not covered for any reason at all, so I'd have to cash pay or go overseas and if there are complications, my insurance would not cover those because I did cash pay or went overseas. My stomach is where most of it is, and it's not tremendously awful, but I do wear compression to keep it locked down. Unfortunately that also smashes what little chest I have left lol

I took those photos when I got them, because I was SO EXCITED they were so perfect. I have a guy that has made all my good customs, and I am trying to not come up with any more "ideas."
It's funny, all the things I had to pay for originally (WLS, Plastics, Tirz etc) Were covered like 10 years later after my company got bought out. I had a gynecomastia, umbilical hernia repair & what I thought was a tummy tuck. Of course this was the surgery where I had a Pulmonary Embolism, spent 9 days in the hospital and kinda almost died (some great memories)

Two things in all seriousness, if you go that route. There is a procedure called a Panniculectomy (what I had) it just gets the worst of the excess off, it can save you alot of money. At least here, some of the weight loss surgeons will do it really cheap for there patients or some plastic surgeons do it for a good price. I regained a 140lbs after my plastics operation, wish I woulda had Tirz at the time and I could have plastics again now uggh! Or if you go the tummy tuck route, visit multiple surgeons and find ones that specialize in patients that have lost alot of weight. We now have the tools, to help us stay in check. I'm alllll about a good compression shirt too☺️

Sorry, not trying to sound preachy. I had a shitty experience and would hate for someone to repeat it. I got the batwings, but can't fly.
 
Smiter said:
Yeah guys, about that... Rotator cuff tears and biceps tendinosis are all tendon tears, not muscle tears. BPC & TB-500 work mainly through increased angiogenesis, i.e., new blood vessel creation to promote increased nutrient flow to the area. But tendons are hardly vascular with very little blood supply. IMO, I focus on tendon hyperplasia training along with the BPC-TB injections to try to recover. Tendon strengthening is different from muscle hypertrophy. Massive collagen consumption is needed too.
I've been drinking 10mg of collagen and supplementing some as well. I take 10mg of Tadalafil and nitric oxide to help with blood supply. Might be something to consider as well.
 
Smiter said:
Errr...yeah I am also originally from there. Amongst everything else, I also wanted to start a micro-mini mango farm.
That's cool, my coworker is from Kerala. I know her family really well, somehow I got adopted by them (long story) and been to many parties and a couple local festivals with them. I have a lot of respect for your culture and the food of course.
 
RubbaDubba1 said:
That's cool, my coworker is from Kerala. I know her family really well, somehow I got adopted by them (long story) and been to many parties and a couple local festivals with them. I have a lot of respect for your culture and the food of course.
WTF!!! I'm from Kerala too. 😀 😃😮.. Ah yes, the food. The original spice capital of the world.

About 10g of collagen, that could be the issue. I have been taking near 30grams, but also type of training is crucial too. Oh yes, I love cialis and NO. Thank you. I'll try putting my AI-crafted recommendation below. I'm using the BPC/TB 500 with this type of training.

Yes. The best evidence says collagen can help tendon remodeling, but only modestly and only when paired with the right loading stimulus . A true pooled meta-analysis is difficult because the studies use different tendons, doses, training styles, and outcomes; even the 2026 systematic review chose narrative synthesis for this reason. (MDPI)

Best-supported practical conclusion​[archived internal link]
For tendon growth/CSA :

5–15 g/day collagen peptides + progressive heavy resistance training for 12–15 weeks has the strongest signal.

For tendon stiffness/material quality :

15–30 g hydrolyzed collagen or collagen peptides + vitamin C, timed ~60 minutes before tendon-loading exercise , looks more promising than low-dose collagen. The 2026 review found higher-dose studies, especially 30 g with vitamin C, were more likely to improve stiffness/Young’s modulus, while ~5 g often improved tendon size but not stiffness. (MDPI)

What the studies collectively suggest​[archived internal link]

Goal Best evidence-supported approach Tendon CSA/growth Progressive resistance training, 3×/week, 12–15 weeks Tendon stiffness High-load resistance, likely ≥70% 1RM, possibly eccentric-biased Collagen dose 15 g/day is the practical minimum target; 30 g may be better for stiffness Timing ~60 minutes before loading is biologically most logical Add vitamin C Yes, at least 50 mg; many studies used 50–500 mg Training alone Works; collagen is an adjunct, not the main driver Muscle strength Collagen usually does not add strength beyond training

Study-by-study pattern​[archived internal link]
The Jerger Achilles tendon trial used 5 g collagen peptides daily with 14 weeks of high-load resistance training . Achilles tendon CSA increased more with collagen than placebo, about +11.0% vs +4.7% , but stiffness and strength improved similarly in both groups. (Universität Wien)

The Balshaw patellar tendon study used 15 g collagen peptides daily with 15 weeks of lower-body resistance training , but found no extra benefit over placebo for tendon size or mechanical properties, though both groups improved tendon stiffness and Young’s modulus from training. (SHURA)

The Lee female soccer study used 30 g collagen hydrolysate + 500 mg vitamin C around training and found improved patellar tendon stiffness/Young’s modulus but not CSA. The 2026 review notes that the lack of CSA effect may be because elite soccer players already had high habitual tendon loading. (MDPI)

The Nulty study appears especially important because it used 30 g collagen hydrolysate + vitamin C with lower-body resistance training and reported increases in patellar tendon CSA, stiffness, and Young’s modulus . (MDPI)

The 2024 Sports Medicine meta-analysis found a significant pooled effect for tendon morphology with collagen peptide supplementation, but not for tendon mechanical properties overall; it rated certainty for tendon outcomes as very low because of heterogeneity and small samples. (Springer)

Best training style for tendon adaptation​[archived internal link]
The winning pattern is not bodybuilding-style high-rep pump work. Tendons respond best to high mechanical strain .

A practical tendon-strength protocol would look like:

3 days/week, 12–16 weeks

Use slow, controlled heavy loading for the target tendon:

For patellar tendon:

Leg press

Squat or hack squat

Knee extension

Spanish squat or heavy isometric holds

For Achilles tendon:

Standing calf raise

Seated calf raise

Heavy eccentric calf lowers

Isometric calf holds

Use approximately:

3–5 sets

6–10 reps

70–85% 1RM

Slow tempo, especially controlled eccentric

Progress load over time

The review’s included protocols commonly used 3 sessions/week and intensities around 70–85% 1RM , with examples including knee extension, calf raise, leg press, squats, deadlifts, and progressive lower-body resistance training. (MDPI)

Best collagen protocol​[archived internal link]
Most evidence-informed version:

15–30 g collagen peptides or hydrolyzed collagen

+ 50–500 mg vitamin C

~60 minutes before tendon-loading training

3–7 days/week for at least 12 weeks

Why timing matters: collagen amino acids such as glycine, proline, and hydroxyproline peak roughly around an hour after ingestion, and vitamin C supports collagen cross-linking chemistry. (MDPI)

My verdict​[archived internal link]
For tendon remodeling, the best-supported stack is:

Heavy, progressive tendon-specific resistance training + 15–30 g collagen + vitamin C taken about 1 hour before training.

For tendon size , 5–15 g may be enough.

For tendon stiffness/quality , I would favor 15–30 g , with 30 g looking most promising but not yet definitively proven.

The most important variable is still loading . Collagen without proper tendon strain is unlikely to do much.
 
Smiter said:
WTF!!! I'm from Kerala too. 😀 😃😮.. Ah yes, the food. The original spice capital of the world.

About 10g of collagen, that could be the issue. I have been taking near 30grams, but also type of training is crucial too. Oh yes, I love cialis and NO. Thank you. I'll try putting my AI-crafted recommendation below. I'm using the BPC/TB 500 with this type of training.

Yes. The best evidence says collagen can help tendon remodeling, but only modestly and only when paired with the right loading stimulus . A true pooled meta-analysis is difficult because the studies use different tendons, doses, training styles, and outcomes; even the 2026 systematic review chose narrative synthesis for this reason. ( MDPI )

Best-supported practical conclusion​
For tendon growth/CSA :

5–15 g/day collagen peptides + progressive heavy resistance training for 12–15 weeks has the strongest signal.

For tendon stiffness/material quality :

15–30 g hydrolyzed collagen or collagen peptides + vitamin C, timed ~60 minutes before tendon-loading exercise , looks more promising than low-dose collagen. The 2026 review found higher-dose studies, especially 30 g with vitamin C, were more likely to improve stiffness/Young’s modulus, while ~5 g often improved tendon size but not stiffness. ( MDPI )

What the studies collectively suggest​

Goal Best evidence-supported approach Tendon CSA/growth Progressive resistance training, 3×/week, 12–15 weeks Tendon stiffness High-load resistance, likely ≥70% 1RM, possibly eccentric-biased Collagen dose 15 g/day is the practical minimum target; 30 g may be better for stiffness Timing ~60 minutes before loading is biologically most logical Add vitamin C Yes, at least 50 mg; many studies used 50–500 mg Training alone Works; collagen is an adjunct, not the main driver Muscle strength Collagen usually does not add strength beyond training

Study-by-study pattern​
The Jerger Achilles tendon trial used 5 g collagen peptides daily with 14 weeks of high-load resistance training . Achilles tendon CSA increased more with collagen than placebo, about +11.0% vs +4.7% , but stiffness and strength improved similarly in both groups. ( Universität Wien )

The Balshaw patellar tendon study used 15 g collagen peptides daily with 15 weeks of lower-body resistance training , but found no extra benefit over placebo for tendon size or mechanical properties, though both groups improved tendon stiffness and Young’s modulus from training. ( SHURA )

The Lee female soccer study used 30 g collagen hydrolysate + 500 mg vitamin C around training and found improved patellar tendon stiffness/Young’s modulus but not CSA. The 2026 review notes that the lack of CSA effect may be because elite soccer players already had high habitual tendon loading. ( MDPI )

The Nulty study appears especially important because it used 30 g collagen hydrolysate + vitamin C with lower-body resistance training and reported increases in patellar tendon CSA, stiffness, and Young’s modulus . ( MDPI )

The 2024 Sports Medicine meta-analysis found a significant pooled effect for tendon morphology with collagen peptide supplementation, but not for tendon mechanical properties overall; it rated certainty for tendon outcomes as very low because of heterogeneity and small samples. ( Springer )

Best training style for tendon adaptation​
The winning pattern is not bodybuilding-style high-rep pump work. Tendons respond best to high mechanical strain .

A practical tendon-strength protocol would look like:

3 days/week, 12–16 weeks

Use slow, controlled heavy loading for the target tendon:

For patellar tendon:

Leg press

Squat or hack squat

Knee extension

Spanish squat or heavy isometric holds

For Achilles tendon:

Standing calf raise

Seated calf raise

Heavy eccentric calf lowers

Isometric calf holds

Use approximately:

3–5 sets

6–10 reps

70–85% 1RM

Slow tempo, especially controlled eccentric

Progress load over time

The review’s included protocols commonly used 3 sessions/week and intensities around 70–85% 1RM , with examples including knee extension, calf raise, leg press, squats, deadlifts, and progressive lower-body resistance training. ( MDPI )

Best collagen protocol​
Most evidence-informed version:

15–30 g collagen peptides or hydrolyzed collagen

+ 50–500 mg vitamin C

~60 minutes before tendon-loading training

3–7 days/week for at least 12 weeks

Why timing matters: collagen amino acids such as glycine, proline, and hydroxyproline peak roughly around an hour after ingestion, and vitamin C supports collagen cross-linking chemistry. ( MDPI )

My verdict​
For tendon remodeling, the best-supported stack is:

Heavy, progressive tendon-specific resistance training + 15–30 g collagen + vitamin C taken about 1 hour before training.

For tendon size , 5–15 g may be enough.

For tendon stiffness/quality , I would favor 15–30 g , with 30 g looking most promising but not yet definitively proven.

The most important variable is still loading . Collagen without proper tendon strain is unlikely to do much.
I'm lucky enough to have a made a couple of good friends over the years from different countries where I work, I've gotten to try food the way they make it vs what they serve in a restaurant. I'm more about quality of food at this point, than quantity.

Damn bro, you're on top of it. I'm gonna book mark this, so I can come back too it. I'll need to make some dietary adjustments, Thank you 🙂

I can start strength training 5/1, I was hoping for sooner as my range of motion is well ahead of schedule and I don't have to wear that arm sling anymore. They don't want me to push it though and nice to be able to type with two hands again.
 
RubbaDubba1 said:
I'm lucky enough to have a made a couple of good friends over the years from different countries where I work, I've gotten to try food the way they make it vs what they serve in a restaurant. I'm more about quality of food at this point, than quantity.

Damn bro, you're on top of it. I'm gonna book mark this, so I can come back too it. I'll need to make some dietary adjustments, Thank you 🙂

I can start strength training 5/1, I was hoping for sooner as my range of motion is well ahead of schedule and I don't have to wear that arm sling anymore. They don't want me to push it though and nice to be able to type with two hands again.
Mate, that bit about food quality is spot on. Oh yeah do as you need. I'm a lazy ass so I put my collagen and glutamine into my mega whey protein shake. And for the important bit, the training. Look up Dr.Andy Galpin, Dorian Yates, Time under Tension. Now here are the magic words-overcoming isometrics, and the miracle words- Slow stretching eccentric Partials. Thank me later.
 
I have been very happy using KLOW for recovery with a little extra KVP on top. I have been thinking about doing the blend as all separate pins instead of one blend.
 
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