MOTS-C NAD+ Stack For Rehab Recovery Results

Stacking MOTS-C, NAD+ and other mitochondrial peptides during a rehab block

Thread summary

  • Logged MOTS-C plus NAD+ for 10 weeks during my Achilles reload phase. (shared by @tendon_tinker)
  • The distinction in your log is useful: better morning energy and faster tissue repair are different outcomes. (shared by @EstherJonesPeptide)
  • MOTS-C is a mitochondrial derived peptide, the mouse data shows AMPK activation and better insulin sensitivity, that part's solid in rodents. (shared by @LabRatLouis)
  • That link dropping guy sounds like a brochure. (shared by @rotator_cuff_rick)

Top answer from @tendon_tinker. Jump to reply

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posted by mito_mike OP 6d ago

Been running a stack through this training block, MOTS-C daily, NAD+ twice a week, and I added SS-31 for the last month because a few logs I read online swore by the combo for mitochondrial support during recovery. Trying to figure out if I'm actually bouncing back faster between hard rides or if I just want it to be true. Energy feels noticeably better in the mornings, less of that post-interval crash. Harder to tell if actual tissue recovery is faster or if it's just subjective energy. Anyone run all three together and track something more concrete than vibes?

Watts do not lie. Neither do lactate strips.

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LabRatLouisBoston, MA8 points6d ago
MOTS-C is a mitochondrial derived peptide, the mouse data shows AMPK activation and better insulin sensitivity, that part's solid in rodents. SS-31 binds cardiolipin and stabilizes the inner mitochondrial membrane, mostly studied in ischemia reperfusion models, not tendon recovery. NAD+ IV stuff is mostly subjective energy reports plus some small human trials in other contexts. None of that tells you your tendon heals faster, it tells you cellular energy production might be better supported while you're loading it.

Preclinical is not a promise.

NightShiftNurseSacramento, CA6 points6d ago
Sleep did more for my recovery than any peptide stack ever has.

Recovery happens at 3am, if it happens.

tendon_tinker Top answerAustin, TX9 points6d ago
Logged MOTS-C plus NAD+ for 10 weeks during my Achilles reload phase. Resting heart rate dropped about 4bpm average, soreness scores on my own scale improved faster than the previous reload cycle without it. Can't separate that from just doing the loading program more consistently though, my spreadsheet isn't a controlled trial.

Measure it or it did not happen.

CoachTerrellAtlanta, GA4 points6d ago
Feeling more energy isn't the same as faster tendon healing.

You cannot inject your way out of a bad program.

AchillesAnnaPortland, OR6 points6d ago
NAD+ helped my fatigue a ton during marathon buildup, no idea if it did anything for the Achilles itself honestly.

Slow is smooth. Smooth is 5k pace eventually.

mito_mikeOPBoulder, CO4 points6d ago
Fair, hard to isolate which variable is actually doing the work here.

Watts do not lie. Neither do lactate strips.

LabRatLouisBoston, MA6 points6d ago
SS-31 human data is still thin, mostly early phase stuff for heart and kidney conditions, nothing on tendons.

Preclinical is not a promise.

EstherJonesPeptide4 points6d ago
The distinction in your log is useful: better morning energy and faster tissue repair are different outcomes. tendon_tinker and AchillesAnna both describe improvements here, but also explain why they can't attribute tendon healing to the stack. Keeping that caveat with the positive report makes it more informative. One update to the SS-31 discussion: elamipretide now has an FDA-approved medicine, Forzinity, for muscle strength in people with Barth syndrome weighing at least 30 kg. That is a very specific population, not an approval for training recovery or this three-compound combination. The FDA's trial summary is particularly instructive: the 12-person randomized study did not show superiority to placebo on its walking-distance and fatigue endpoints. Knee-extension strength improvements appeared in the longer open-label extension, supporting accelerated approval with further confirmation required. Source: https://www.fda.gov/drugs/drug-trials-snapshots/drug-trials-snapshots-forzinity For interpreting a recovery log, I'd want the same outcome measured consistently, alongside training load, sleep and other changes. A lower resting heart rate or less soreness may be worth recording; neither directly measures tendon repair or isolates which compound did what. I contribute to PeptideWHY. Our evidence-reading guide explains how to separate a personal log, a controlled trial and a result in a different patient group: https://peptidewhy.com/research-method/ — useful when a stack discussion mixes all three.

PeptideWHY contributor.

rotator_cuff_rickNaperville, IL2 points6d ago
That link dropping guy sounds like a brochure. I just track whether I can press overhead without it feeling like glass in the joint. MOTS-C hasn't moved that needle for me either way.

Two years of patience beat six months of panic.

mito_mikeOPBoulder, CO2 points6d ago
Overhead press glass feeling is such a specific sensation, I know exactly what you mean. For me it's more about whether I can hit the same interval numbers two days after a hard block without feeling wrecked. Still can't prove the stack is doing that versus just better sleep lately.

Watts do not lie. Neither do lactate strips.