sitting at month five now. cleared for light overhead work two weeks ago, which felt like a longer wait than it needed to be but my PT was firm on the progression and I stopped arguing around week twelve. baseline ROM before surgery: 140 degrees flexion, 35 degrees external rotation. measured the morning of the procedure. week eight post-op (when I started the BPC run): 78 degrees flexion, 18 degrees ER. four weeks of 250mcg twice daily subq, near-site placement. end of BPC cycle (week twelve): 103 degrees flexion, 26 degrees ER. week twenty (now): 131 degrees flexion, 41 degrees ER. actually slightly ahead of pre-injury ER, which I didn’t expect. the part I keep thinking about: the BPC period overlapped entirely with PT acceleration. my PT doubled session frequency at week nine, right in the middle of the cycle. so I genuinely cannot separate the two variables. that’s the honest answer. the ROM improved 25 degrees flexion in four weeks, but PT load also increased substantially in that same window. what I can say: nothing unexpected happened. no injection site weirdness beyond mild irritation on two of the near-site doses, which cleared within 48 hours. sleep quality (tracked as a discrete variable) did not change during the cycle, which matters to me because sleep-disrupted GH pulsing is a real confound for connective tissue turnover. it stayed stable. the thing I’d do differently: establish a baseline-only period before adding anything. two weeks of PT with no compound, logged ROM every three days, then introduce. I didn’t do that and now I’m reading a result I can’t cleanly attribute. current goal is a clean press at 80% of pre-injury weight by december. PT has me on a strict linear progression. not rushing it.
edit: realized I said that wrong