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TB-500 for Climbers: Protocol and Injury Type Comparison

A2 Pulley Strain (Grade I-II) 2mg twice weekly for 6 weeks, then 2mg once weekly for 6 weeks 8–10 weeks to return to moderate climbing Combine with graded hangboard loading starting week 3–4 TB-500 reduces inflammation and supports collagen synthesis but canno

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  • A2 Pulley Strain (Grade I-II)
  • 2mg twice weekly for 6 weeks, then 2mg once weekly for 6 weeks
  • 8–10 weeks to return to moderate climbing
  • Combine with graded hangboard loading starting week 3–4
  • TB-500 reduces inflammation and supports collagen synthesis but cannot replace mechanical loading. Start rehab exercises early
  • Flexor Tendon Partial Tear
  • 5mg twice weekly for 4 weeks, then 3mg twice weekly for 4 weeks, taper to 2mg once weekly
  • 10–14 weeks to return to crimp positions
  • Often paired with BPC-157 for synergistic collagen deposition
  • Front-loaded dosing is critical. Starting after week 6 post-injury has minimal benefit once scar tissue forms
  • Elbow Tendinopathy (golfer's elbow)
  • 2mg twice weekly for 8 weeks
  • 6–8 weeks to pain-free climbing
  • Eccentric wrist flexor exercises (Tyler Twist protocol) are non-negotiable
  • TB-500's anti-inflammatory effect is most useful here, but tendinopathy requires mechanical stimulus to resolve
  • Prophylactic Use (high-volume training)
  • 2mg once weekly during training block
  • N/A. Prevents microtrauma accumulation
  • Works best during 8–12 week periodised training phases
  • Not a replacement for proper warm-up, mobility work, or deload weeks. Use as one tool in a complete training plan
  • Shoulder Labral Fraying
  • 3mg twice weekly for 6 weeks, then 2mg once weekly for 6 weeks
  • 10–12 weeks; surgical repair may still be required for full-thickness tears
  • Physical therapy for scapular stability is mandatory
  • TB-500 can support healing of partial tears but cannot regenerate cartilage. Imaging follow-up is essential
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