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Imamoto, T

Functional milestones Functional improvements often tell you more than pain scores alone: Walking distance without symptom increase Sitting tolerance (minutes before symptoms worsen) Ability to perform previously limited activities Sleep quality (reduced nighttime symptoms indicate improvement) Medication usage (decreasing NSAID use is a positive sign) When to adjust the protocol If there is no improvement after 3 to 4 weeks on a BPC-157 only protocol, consider adding TB-500 for systemic support

This built-in safety mechanism prevents excessive growth hormone production and maintains natural regulatory systems

If your cortisol levels are chronically high (due to stress) or very low (due to exhaustion), it can suppress TSH and interfere with T4 to T3 conversion

Enhanced collagen organization and improved cross-linking could theoretically tighten structures that have remained loose due to suboptimal original healing