Live Recovery Log

Achilles Tendon Rupture BPC-157 / TB-500 Protocol

Complete rupture (3.8cm gap). Real-time data, exact dosages, and mechanistic interpretation from a practitioner experiencing it firsthand.

Days Post-Rupture
0
May 29, 2026
Days Post-Surgery
0
June 10, 2026
Injections
24
14 blend + 10 standalone
Pain Meds
0
Zero since PO Day 7
Pain Trajectory (Dependent Position)
Pre-op baseline 5.5/10 → surgery → post-op recovery. Oxy to zero in 7 days. Pain-free with foot down since PO Day 22. Splint off Day 15.
Blood Pressure & Heart Rate
Pre-injury ~140/75 → post-op peak 160/85 → new baseline ~125-131/65. June 20 spike (160/80) likely measurement variance.
Pain Management Taper
Oxycodone every 5-6 hours (Day 1) to zero medication (Day 7). Complete taper in one week.
Swelling Progression
Visual documentation of edema resolution. Two pre-op injections, then surgery.

Day 8
Before
Day 12
Pre-Op
Protocol Details
Full transparency. Exact compounds, doses, timing, and rationale.
Compound: BPC-157/TB-500 blend (50/50, 10mg vials) | Dose: 2.5mg/0.5mL SubQ | Site: Lower lateral calf
Off-day: BPC-157 standalone 250mcg SubQ | Taper (current): Blend Tue+Sat, standalone Thu
Adjuncts: Gelatin + vit C (Baar), Mg, glycine, D3/K2, Zn/Cu, Se, vit E | Avoided: NSAIDs, DIM, ashwagandha
Pre-Op Loading Complete
Days 8-10 (Jun 6-8)
2 doses. Pain 5.5→0.5, edema resolved
Post-Op Acute Complete
Days 1-14 (Jun 11-24)
Blend EOD + standalone BPC-157 on off days
Aspirin 2x daily (DVT prophylaxis)
Post-Splint / Taper Active
Days 15-27+ (Jun 25 - Jul 20)
Blend Tue + Sat, standalone BPC-157 Thu
3 injection days/week (down from daily)
24 total injections through Day 27
Ramp back to EOD before weight bearing July 23
Weight Bearing Phase July 23
Day ~43+ (Jul 23+)
Progressive weight bearing + dorsiflexion
PT integration
Imaging-informed adjustments
Recovery Toolkit
Gear, supplements, and strategies making a real difference. Updated as I find things worth recommending.
Dietary Protocol
Nutrition strategy built around collagen synthesis, anti-inflammatory support, and maintaining metabolic rate during immobilization.
Core principle: The repair site needs raw materials. Collagen synthesis requires glycine, proline, and vitamin C delivered in the right window. Everything else supports the metabolic environment that makes repair possible.
Baar Collagen Synthesis Protocol
Gelatin + Vitamin C, paired within 1 hour

Based on Keith Baar's research (Shaw et al. 2017). 15-20g gelatin consumed with a vitamin C source enhances collagen synthesis at the repair site. This is the foundation of the entire dietary approach. Vitamin C sources I rotate: kiwis, oranges, strawberries, camu camu powder. Paired with every gelatin meal.

Daily Staples
Bone Broth + White Rice

Go-to recovery meal. Glycine-rich, easy on the gut, calorie-dense enough to maintain weight during low activity. When appetite is gone, this is the meal that always goes down.

Ground Beef / Steak

Primary protein source. Red meat for iron, zinc, B12, and complete amino acid profile. Usually 2-3 servings daily.

Coffee + Gelatin

Morning ritual. Gelatin dissolved in coffee with a vitamin C source on the side. Turns the first cup into a collagen synthesis opportunity.

Glycine (supplemental)

3g in the evening. Dual purpose: collagen precursor and sleep support. Glycine is the most abundant amino acid in collagen and also acts on NMDA receptors to improve sleep quality.

Vitamin C Sources (Rotation)
Kiwis Oranges / OJ Strawberries Camu Camu Powder Cherries
What I Avoid & Why
NSAIDs (ibuprofen, naproxen)

NSAIDs suppress the inflammatory cascade that's required for proper tendon healing. The inflammation isn't the problem — it's the repair signal. Suppressing it slows collagen formation. Acetaminophen is the preferred alternative.

Seed Oils / High PUFA Foods

Polyunsaturated fats are prone to oxidation and drive inflammatory signaling through prostaglandin pathways. During active tissue repair, reducing PUFA load helps keep the inflammatory environment cleaner.

Lessons Learned
Vitamin C timing matters

Multiple days where I had gelatin at breakfast and fruit at dinner. That's too far apart. The vitamin C needs to be within about an hour of the collagen source to support synthesis at the tendon. Got better at this after Day 4 post-op.

Evening carbs for sleep

Low carb days consistently produced bad sleep. The mechanism: low glycogen overnight triggers a cortisol spike to mobilize glucose, which wakes you up. Rice at dinner solved this. Day 1 vs Day 2 post-op was the clearest example.

Appetite drops during immobilization

Reduced movement tanks your NEAT and your appetite follows. But your body still needs calories for tissue repair. Bone broth + rice became the fallback meal for days when nothing sounded good. You have to eat even when you don't want to.

Rehab & Exercise Log
Pre-PT maintenance exercises and post-PT protocol. Updated as rehab progresses.
Week 4 post-op. Splint removed June 25. Ankle mobility work active. Non-weight-bearing until July 23. Partial WB experiments at ~25% in boot.
Active Exercise Log
Post-splint mobility work, non-weight-bearing strengthening, and upper body maintenance. Updated as exercises progress.
Coming Soon: July 23+
Progressive Weight Bearing

Full weight-bearing progression begins July 23. Currently experimenting at ~25% in boot.

PT Protocol

Formal PT starting 2-3 weeks post-splint. Exercises, progressions, and ROM tracking.

Range of Motion Measurements

Dorsiflexion and plantarflexion tracking at each milestone. Currently limited by scar tissue.

Imaging Results

Ultrasound or MRI when available. Tissue quality assessment.

Recovery Journal
Practitioner interpretation alongside raw data. Select a day.