DavePT_CT

pro · Hamden, CT

National Fitness Hall of Fame inductee with nearly three decades in the field. Medical exercise specialist holding two US patents, trains trainers through his own certification school, and consults as an expert witness on fitness injuries.

Joined May 2010 · 0 posts

Always be great.

Recent posts

• Is TB-500 safe for bodybuilding?

  In thirty years of rehab, I've seen hundreds of lifters try to bypass a mechanical movement fault with a quick fix. If your bench technique is chewing up your rotator cuff, no systemic peptide is going to fix bad mechanics. Screen the movement, correct the bar path, and respect the natural healing timeline.

  1d ago

• What does BPC-157 do for the body?

  I get clients coming into my clinic every week asking about BPC-157 because they read it repairs tendons overnight. As a movement specialist, my scope of practice means I do not prescribe, but I need my clients to understand what this molecule actually does biologically versus what the internet claims. It depends heavily on the tissue, but mechanically, how is it supposed to interact with connective tissue repair? Let us clear up the basic mechanism and the realistic expectations here.

  1d ago

• Which is better, BPC or TB500?

  From a physical therapy perspective, it depends entirely on the tissue involved. Muscle strains respond differently than full tendon tears, and without a proper movement screen, jumping into peptides is putting the cart before the horse. Also, anyone thinking TB-500 builds muscle for bodybuilding is mistaken; it has zero anabolic effects and is banned by WADA.

  2d ago

• What not to mix with sermorelin?

  That aligns with my liability concerns regarding the corticosteroid blunting and glucose tolerance shifts. I will document the physician consult requirement in his intake file and keep him strictly on isometric tendon loading until his MD clears the protocol.

  2d ago

• What not to mix with sermorelin?

  What not to mix with sermorelin? I have a client coming in for patellar tendon rehab who mentioned his anti-aging clinic just put him on sermorelin. The issue is he is currently on a course of oral corticosteroids for an asthma flare. From a scope of practice and liability standpoint, I told him to hold off on starting anything new until his prescribing physician reviews the combination. In my intake screens, it depends on what else a client is taking. What specific medications or endocrine issues directly blunt sermorelin or cause bad interactions?

  3d ago

• How fast does TB-500 work?

  Carl, it really depends on the tissue quality and progressive loading schedule. In my practice, people expect peptides to replace physical stress, but tissue remodeling between weeks four and eight only happens if you are applying specific, incremental mechanical load. Without a structured movement screen, you cannot measure real repair anyway.

  4d ago

• Why shoulder tendinopathy keeps returning once pain fades and what gets overlooked

  Rick is right on the 24-hour symptom rule. Sam, track load, time under tension, and 24-hour response in a log. If it settles within 24 hours, increment load. Get a PT screen if you are stuck.

  4d ago

• Why shoulder tendinopathy keeps returning once pain fades and what gets overlooked

  In nearly thirty years of screening clients and consulting on injury cases, the single most common pattern I see with the shoulder complex is the false finish line. A lifter or athlete spends six weeks resting, doing light band work, or using adjuncts like BPC-157 or TB-500, and because their daily resting pain drops to zero, they assume the tendon is fully restored. They head right back to full overhead presses or heavy benching, only to flare up three weeks later. Here is what is actually happening from an exercise mechanics standpoint. Pain reduction is not the same as tensile capacity. When a tendon settles down, the acute inflammatory chemical environment subsides, but the structural tissue architecture still lacks the load tolerance required for high dynamic forces. If you skip the structured, progressive loading phase that builds tissue stiffness and motor control around the scapulothoracic joint, you are just waiting for the next strain cycle. People consistently skip three things: 1. True load progression. Moving from a light yellow resistance band straight back to a barbell overhead press is a massive gap in force. There has to be a intermediate heavy slow resistance phase. 2. Assessment of kinetic chain mechanics. Often the rotator cuff is overworking because thoracic extension is blocked or the serratus anterior is not executing upward rotation of the scapula. 3. Understanding that peptides or passive therapies are at best an adjunct environment for tissue support. There is no human clinical trial proving BPC-157 or GHK-Cu repairs human tendons on their own. The mechanical stress of targeted load is what signals collagen remodeling. Without load, tissue adaptation stops. Every shoulder presents differently, so it always depends on the specific joint angle and deficit, but if you do not build measurable force capacity back into the tendon, the flare-up cycle will repeat indefinitely.

  4d ago

• Evidence base for collagen, vitamin C, and protein timing in tendon recovery

  Spot on Louis. I see clients spending hundreds on supplements who cannot hold a 45-second decline squat without compensating. Mechanotransduction needs physical tension. Hydroxyproline floating in your blood does nothing if the tissue does not get the mechanical signal. Progressive loading comes first, nutrition supports it.

  5d ago

• Achilles loading with diabetes or poor circulation: vascular checks come first

  It depends on the severity, but basic movement still drives blood flow. I start everyone on low-load seated isos to avoid shear stress before titrating up the loading. Keep it slow with a solid PT.

  5d ago

• Achilles loading with diabetes or poor circulation: vascular checks come first

  Spot on. In my clinic, if a client has diabetes or vascular issues, I won't touch loading without clearance. Neuropathy mutes feedback, so they tear up tissue without feeling it till morning.

  5d ago