Tissue Repair · Injury & tissue repair

Heal a shoulder without surgery first

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Who this is for

Active adults with a tendon, ligament or joint injury — recent or years old.

What usually gets in the way

Waiting it out. Tendons have poor blood supply, and the first six weeks set the ceiling for healing.

Start this protocolDesigned by Courtney Contreras, MPAS, PA-C
Where to start

Fix this first.

Tendons and ligaments heal slowly because blood barely reaches them. The first six weeks — the inflammatory window — are when repair signals matter most. An injury from five years ago uses the same compounds, at a longer duration.

Priorities, in order

  • Get imaging if you have not
  • Load the tissue gently — PT matters
  • Start in the acute window if you can

Foundations

  • Physical therapy 2x/week
  • No NSAIDs during the window
  • Sleep 8 hours

Start today — no labs needed

  • BPC-157 oral (no labs needed)
What helps & how

What's in it, in plain language.

Blood-vessel growthinjectable + oral

BPC-157

A stable fragment of a stomach protein that promotes new blood vessel growth into injured tissue.

What to expect: Reduced pain and better range of motion over 2–6 weeks.

Evidence: Emerging (preclinical)
Cell migrationinjectable

TB-500

Fragment of thymosin beta-4 that helps cells migrate to injury sites and organises repair.

What to expect: Pairs with BPC-157 in the acute window.

Evidence: Emerging (preclinical)
The protocol

Your plan, week by week.

  1. WK 1–6
    BPC-157
    500 mcg typicalRange 250–750 mcgDaily
    Changes when: Inflammatory window complete
  2. WK 1–6
    TB-500
    2.5 mg typicalRange 2–5 mg2x/week
    Changes when: Pain and range improving
  3. WK 7–12
    BPC-157
    250 mcg typicalRange 250–500 mcg5x/week
    Changes when: Physician review
Acute phase
Inflammatory window: weeks 1–6
Long-term
Older injuries: 12-week course at maintenance dose
Review cadence
Every 6 weeks with your physician
Get the protocol

Everything in this protocol, in one order.

  • BPC-157
    Blood-vessel growth · 500 mcg, Daily · injectable / oral
    $1794
    6 × $299
  • TB-500
    Cell migration · 2.5 mg, 2x/week · injectable
    $1194
    6 × $199
2 peptides · 6-month supply
$2988
≈ $498/month · Rx — ships only after physician approval
Prefer labs first?
Safety & eligibility

Honest about what this is — and isn't.

This is not a substitute for orthopedic evaluation, imaging or physical therapy. Full tears may need surgery.

Not a fit if you have

  • Active cancer
  • Pregnancy

Your physician will ask

  • Have you seen an orthopedic surgeon?
  • Do you have recent imaging (MRI / ultrasound)?
  • Is the injury a full tear?

A licensed, Vero-contracted physician reviews your intake and decides whether to prescribe. Nothing ships without that review.

About the expert
Portrait of Courtney Contreras
Courtney Contreras
MPAS, PA-C

"Labs first. Optimal ranges, not reference ranges."

Courtney is a board-certified physician assistant who has spent a decade in metabolic and regenerative medicine. Her practice is built on one conviction: most people are not failing their plan, they were never told what to fix first.

More about Courtney →
Start

Two ways to begin.

Recommended

Labs first

  • Order your at-home lab kit
  • Start what doesn't need labs now
  • Physician reviews results before you do
  • Your plan is tuned to your markers
Order lab kit
Fastest

Start the protocol

$229 /month · 6 months
  • Short health questionnaire
  • Physician review & prescription
  • Shipped from a licensed pharmacy
Start intake
The goal · all peptides $2988Start

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