[Freddie Baker]

Primo is a derivative, it’s not DHT, so adding it in, especially at 100mg, isn’t going to negatively impact your hair. I’d still wait to add anything over test until you’re back in the gym though. If you’re wanting to ensure there are no speed bumps, don’t change anything just now in your hair recovery.

Perfect thank you for that Andy, is it advised to wait the full 30 days before returning to the gym?

[Freddie Baker]

They will most likely tell you to stop all PEDs assuming you’ve been honest with them. I was on TRT at the time anyway, so I just stayed on that, and added in 2IU/GH as I knew this would help with healing. They’re most likely just covering their end by telling you to come off everything, rather than it impacting the transplant itself.

How long post transplant did you stay on just TRT? Also did you wait the full month before returning to the gym?

[Freddie Baker]

This isn’t medical advice since I’m no doctor, and hopefully someone else has a better more accurate answer but if it was me, I’d drop down to trt and remove everything else just to be safe. Hormones / meds effect a lot chemical reactions and actions in our body so when it comes to surgery I’d rather let the body run its course or at least just use the drugs that aid in that surgery / recovery

I like that plan thank you, I think dropping to TRT for 2-4 weeks sounds logical

[Freddie Baker]

They will most likely tell you to stop all PEDs assuming you’ve been honest with them. I was on TRT at the time anyway, so I just stayed on that, and added in 2IU/GH as I knew this would help with healing. They’re most likely just covering their end by telling you to come off everything, rather than it impacting the transplant itself.

I told them I was on TRT, but I didnt mention the primo – would you advise just sticking to a TRT 150mg dose of only test for 2 weeks whilst I heal and the grafts implant?

Im worried by coming off everything for 2 weeks id throw my hormones out of whack! Admittedly ive done this poorly and probably should have dropped down sooner or come off and PCT whilst I had the procedure

[Freddie Baker]

Daily doses if goal is fat loss

If it’s mostly appetite

One larger dose in one

Hi kuba,

From Peters voice note – I will run it at 1.2mg weekly – split into 4 x 0.3 jabs as it makes the maths nice and easy ln the syringe!

[Freddie Baker]

I would start with 1mg per week split into 3 doses and then asses as you go. If feel the need to titrate up I would work up slowly.

For example

1.3mg
1.6mg
1.9mg

Would you titrate the doses up weekly via the jumps youve mentioned assuming no issues, until you hit the 2mg mark?

[Freddie Baker]

I would start with 1mg per week split into 3 doses and then asses as you go. If feel the need to titrate up I would work up slowly.

For example

1.3mg
1.6mg
1.9mg

Thank you, other than injecting pre bed – what can I take to minimise the reported stomach issues and acid that reta gives. Would a prebiotic aid in the slow bowel transition that causes the bloat etc

[Freddie Baker]

Have you had this prior to running anabolics or just since you have run them?

I would take a guess and say ive had this for years, as especially my stomach issues predated me taking anabolics

[Freddie Baker]

Fantastic stuff from Adam here and i fully agree.

i would also be going back to docs/surgeon if you still dont have the feeling in the foot back properly and think they have nicked a nerve or something to be honest.

Hi Peter,

I did speak to the surgeon and it would be interesting to get your take on what he said. I had feeling in my big toe, just not the rest of my foot. He told me to just wait, the feeling will return on its own it’ll just take months to years.

I didnt know enough to debate this, but it doesnt sit right with me

[Freddie Baker]

Looks good from an ankle point of view. I would up the balance work to 3 times a week prior to your strength work.

How many single leg standing calf raises can you currently do compared to your right leg?

Prior to the inflammation that happened over the past 2 weeks I could do 23 on my good ankle and around 11 on my injured one, I stopped when pain went above a 4/10.

Currently I cant do a single rep without going above that pain range

[Freddie Baker]

What was the injury? Has lower limb strength and ROM returned to pre injury levels? Have these been measured?

Hi adam,

I had a lateral stabilization and arthroscopy of my left ankle.

Swelling is still noticeable a year post surgery and feeling hasn’t fully returned to the foot – as I believe the surgeon nicked a nerve.

Rom is still slightly limited on both dorsiflexion & plantarflexion. Im still prone to inversion on Uneven ground

[/quote]
Ok my check list from a rehab point of view:

1) Get the ankle ROM back as close to other side as possible. Knee to wall sets of 15-20 multiple times a day. Coming back from my Achilles reattachment I did this every time I went into the kitchen to get my meals and it made a huge difference.

2) Get stable. Are you currently doing proprioception exercises as part of your ongoing rehab? single leg balance work to strengthen ankle stability. You mentioned that your job requires running on uneven ground. I would suggest that getting your ankle resistant to inversion would be a must. It’s boring AF but I think it is super important in your case.

3) Get strong. Single leg, closed chain exercises for your strength work. SL leg press, step ups, skater squats etc. Get your ankle strong through its full range of motion.

All of the above should be recorded and compared to the non injured side. You are basically trying to get them back completely even or at worst case within 5%.

I hope this helps, I know it’s not the exact question you asked but understanding WHY your ankle is swollen is the real key here.

Also while you are working on the above you have to expect some inflammation to exist. Be mindful of how your ankle is when you wake up. I expect it to have some swelling at the end of each day but this should go down over time. Don’t be afraid to manage swelling with icing if necessary – while I don’t agree with icing soft tissue injuries such as muscle tears, I find it very beneficial to manage swelling in joints especially when trying to maintain function to keep training. Bucket of ice water is best here. 15-20mins at a time.[/quote]

Hi Adam,

Thanks a lot for the detailed breakdown — that really helps clarify what I should focus on. I had my ankle in a somewhat good place for months, then 2 heavy weeks of running at work have seriously inflamed it, so clearly work to be done.

I’ve been doing some balance and single-leg strength work, but clearly need to be more consistent and structured with the ROM and proprioception side of things. I’ll start adding the knee-to-wall drills multiple times a day and track progress against my good side like you suggested.

My next 4 weeks is :

– Begin light strength work

Daily Mobility Routine (Every Day)

– Ankle CARs: 2×10 each side

– Banded joint distraction: 3×30 sec (forward/side)

– Towel scrunches: 3×20

– Toe yoga: 3×10

Strength (3x/week)

– Seated calf raises: 3×12

– Standing calf raises: 3×10 (progress to single leg)

– Tibialis raises: 3×15

– Band inversion/eversion: 3×15

– Bodyweight split squats: 3×8/leg

– Glute bridges: 3×12

Balance & Proprioception (2x/week)

– Single-leg balance: 3×30 sec

– Balance pad/BOSU: 3×20 sec

– Star excursion reaches: 2×5 each direction

What else would you recommend adding?

I’ll also incorporate more single-leg closed chain work and keep an eye on daily swelling and morning stiffness. I’ll use ice baths in the evenings if it’s still inflamed after sessions.

Appreciate the guidance — I’ll work on this consistently

Thank you

[Freddie Baker]

What was the injury? Has lower limb strength and ROM returned to pre injury levels? Have these been measured?

Hi adam,

I had a lateral stabilization and arthroscopy of my left ankle.

Swelling is still noticeable a year post surgery and feeling hasn’t fully returned to the foot – as I believe the surgeon nicked a nerve.

Rom is still slightly limited on both dorsiflexion & plantarflexion. Im still prone to inversion on Uneven ground

[Freddie Baker]

What was the injury? Has lower limb strength and ROM returned to pre injury levels? Have these been measured?

Hi adam,

I had a lateral stabilization and arthroscopy of my left ankle.

Swelling is still noticeable a year post surgery and feeling hasn’t fully returned to the foot – as I believe the surgeon nicked a nerve.

Rom is still slightly limited on both dorsiflexion & plantarflexion. Im still prone to inversion on Uneven ground

[Freddie Baker]

Have you tried hitting it hard with a healing peptide phase ?

I have used BPC157, TB500 & GHK-CU, however maybe not with the aggressive dosages I should have. What would you recommend protocols wise?

[Freddie Baker]

Looks fine to me bud.

As long you’re getting no high E2 sides then I would be ok with this.

You are happy with the doses, compounds and cycle length for the end goal – providing regular blood work looks good?