i'm currently recovering from shoulder reco surgery. had some very frank discussions with surgeons prior.interestingly one was 100% clear about NOT using GH in the first month or two. WEnt to the point of saying there is research that it interferes with tendons and ligaments healing early on.
I don't know the underlying mechanism,, but I'm going to wildly speculate (and may bde way way off here) that gh interferes with insulin sensitivity and as we know insulin dependant diabetics can get fucking big but threy don't heal well from cuts and the like.
so I'm using bpc157 and tb500 and currently 400mg per week of test e and 200mg of eq. I'd played around with those two before surgery and that ratio left my estrogen in a good range, so I'm sticking with it, was probably going to go higher overall but at this stage can't really see a reason to.
Anyone with more knowledge on possible reasons why gh wouldn't be great immediately post surgery ( amd to be clear in all cases on my shoulder the tendon/ligament snapped mid way, nmone of them ripped out at the bone insertion taking a piece of bone with the,m (the more ideal of tears as far as surgery and overall post surgical return to max abilitities go)
2018 - Effect of recombinant human growth hormone on rotator cuff healing after arthroscopic repair: preliminary result of a multicenter, prospective, randomized, open-label blinded end point clinical exploratory trial
https://pubmed.ncbi.nlm.nih.gov/29337026/2013 - Human growth hormone may be detrimental when used to accelerate recovery from acute tendon-bone interface injuries
https://pubmed.ncbi.nlm.nih.gov/23636184/In as far as I can see (from reading into this) is that 4 - 6 weeks post surgery HGH is no bueno. After that when you get farther into the rehab, it would be much more beneficial.
The wound healing problems come more from chronic high blood sugar levels which results in poor circulation (especially in the small capillaries which are near the skin) and nerve damage.
One thing to consider is the effect of test on tendons. There is the thought that the effect of test on the muscle more so than the tendon leads to injury, but then there is some research on the improvement of collagen in a tendon causing it to become stronger. Both times I had surgery on my shoulder (rotator repair and then bicep repair) I was asked if I used test. The surgeries were 8 years apart so it seems its a common thing.
I do know it takes a lot more force to produce an avulsion fraction (tendon pulled from insertion) than a partial (or full) thickness tear. Maybe the avulsion is better due to how fast bone healing occurs but I would imagine there is still more for the surgeon to do with it.
