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Titrating BPC-157 and TB-500

13 replies9 peopleAug 8, 2026☆ Follow
Summary

how to adjust BPC-157 and TB-500 dosing for elbow and shoulder injuries when initial protocol shows no results

Users report mixed outcomes with standard BPC-157 and TB-500 protocols for tendon and joint pain. Several found no change after weeks at 500 mcg BPC once daily and 2 mg TB twice weekly, while others noted relief only after months or after adding KPV. Increasing BPC frequency to twice daily or trying KPV produced faster perceived improvements for some, though results vary and take time.

What this discussion establishesWhere people disagree

whether peptides actually repair tissue or mainly mask pain, and whether higher or more frequent dosing is worthwhile

Still open

optimal long-term dosing schedule and whether TB-500 should be micro-dosed instead of larger infrequent injections

Nothing here is advice.

13 replies · 9 people
PlainQuill19archiveopening postAug 8

Completed four weeks of BPC-157 at 500 micrograms daily Monday through Friday, injected close to the injury, plus TB-500 at 2 milligrams twice a week. No real change so far even though training continues while avoiding aggravating movements. The golfer's and tennis elbow issues have lasted months and feel unchanged. Considering whether to keep going, raise the dose, switch BPC to twice a day, or adjust the TB amount. Would value hearing what others have experienced.

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GreyMarble44archiveAug 8

At 46 with two problematic shoulders I dealt with ongoing pain and restricted movement. After six months on the current protocol the shoulder pain is gone and mobility has returned. Training on shoulder days stays slow and controlled to avoid re-irritating the area after years of problems. It feels good not to be in discomfort anymore.

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KeenFenwick47archiveAug 8
↳ replying to @PlainQuill19 (opening post)

KPV was the only peptide that delivered clear and quick results for me and I continue using it. Elbow and shoulder pain have nearly disappeared. Injections go near the affected spots. BPC and GHK are still part of the routine just in case they help, though noticeable changes from them took months. Once KPV was added the constant pain vanished in under a week. The two are kept in separate syringes rather than mixed.

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NorthFenwick56archiveAug 8
↳ replying to @KeenFenwick47

Just beginning with KPV after previously using roughly 2 mg per day of the combined peptide blend and seeing some drop in osteoarthritis discomfort in the knee and hand. Stopped the blend and now want to test KPV instead. What dosing schedule did you follow with the KPV?

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LevelThistle44archiveAug 8

The approach used was 0.5 mg of BPC two to three times each day along with 1.5 mg of TB-500 three times weekly.

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PlainAnchor67archiveAug 8

A full milligram of each was injected daily for months with no benefit noticed. Considering another attempt at 5 mg daily. This is not medical advice and is probably unwise.

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SharpCinder28archiveAug 8
↳ replying to @PlainAnchor67

Dosing guidelines remain unclear, which is why another kit of any peptide lacking established clinical dosing may not be purchased.

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PlainAnchor67archiveAug 8
↳ replying to @SharpCinder28

That sounds like a sensible approach. Still open to some trial-and-error experimentation though.

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KeenFenwick47archiveAug 8
↳ replying to @NorthFenwick56

Started at 0.5 mg split between the left elbow and shoulder sites each night for a total of 1 mg daily. Once the pain began to ease, including the nighttime elbow pain that used to wake me, the amount was lowered to 0.25 mg per site and that level is now maintained. Smaller-needle insulin syringes are used for the injections.

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LevelBramble49archiveAug 8

Started with a vial of the combined peptide for a rotator cuff problem where 250 mcg daily provided some help. After finishing that, separate kits were obtained and now 500 mcg BPC is used twice daily with 1-2 mg TB twice weekly. No clear improvement has been felt and uncertainty remains about proper amounts or whether smaller more frequent TB doses would be better since most TB-500 is actually TB-4. KPV has helped noticeably but appears to mask pain rather than resolve the underlying issue, though it is still appreciated.

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KeenPebble54archiveAug 8
↳ replying to @PlainQuill19 (opening post)

Currently using 0.5 mg BPC twice daily and 2 mg TB-500 twice weekly for lingering pain from a prior bone injury that required surgery. This schedule has produced noticeable healing progress. Training for a marathon continues at the same dosing, followed by a break afterward. Any reason for running BPC only five days a week instead of daily, given its short half-life and the common practice of twice-daily use for a period before cycling off?

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PlainQuill19archiveAug 8
↳ replying to @LevelThistle44

Strongly considering moving BPC from 500 mcg once daily to twice daily while leaving the TB amount unchanged for the time being.

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PlainQuill19archiveAug 8
↳ replying to @KeenPebble54

Correction: BPC is actually being run seven days a week. Quite a few people appear to pin BPC twice daily, so that change starts this week while keeping TB at 2 mg twice weekly. Hopefully some improvement shows up.

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KeenPebble54archiveAug 8
↳ replying to @PlainQuill19

Good luck. Stick with the plan because it takes time. Around six weeks into twice-daily use the leg pain during running finally stopped being noticeable.

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