[Nathan]

The days are racking up. It’s slow, its repetitive, it’s frustrating, it’s still panful, I still don’t have loads of flexion. Still swollen but I’m working. And it’s improving slowly. I’m aiming to be off my crutches by week 8 I’m in to 1 crutch for half of the day in the house. Coming up to week 5 so I have 3 more weeks as a goal to build tolerance and strength so I can be crutch free.

I’d like to light bike work by then too. But again we shall see how things progress. What’s the scar tissue and swelling goes down I will have more ROM. Just patience

Instagram - bignath_styles_ifbbpro



#showthem


https://tb-jp.com/collections/nutrition – The highest quality supps on the market


https://tb-jp.com/collections/men – The most anabolic clothing ever made

[Nathan]

I think 12iu GH is plenty enough IGF-LR3 for a 6-8 week block would be something to trial for yourself and see if you get a nice response.

PWO for me would be the way to go. But pre has been argued also due to half life. But I would prefer PWO into the trained muscle. Be aware of hypoglycaemia risks so 100% have your PWO ready to eat

Instagram - bignath_styles_ifbbpro



#showthem


https://tb-jp.com/collections/nutrition – The highest quality supps on the market


https://tb-jp.com/collections/men – The most anabolic clothing ever made

[Nathan]

Agreed

Instagram - bignath_styles_ifbbpro



#showthem


https://tb-jp.com/collections/nutrition – The highest quality supps on the market


https://tb-jp.com/collections/men – The most anabolic clothing ever made

[Nathan]

Busy day today and my knee is feeling it. In person check in and pull then physio and jus a long day having my leg down. Which means by the end of the day it’s very sore and swollen. So a couple of days trying to freshen up reduce swelling. And just take it steady and not rush

Instagram - bignath_styles_ifbbpro



#showthem


https://tb-jp.com/collections/nutrition – The highest quality supps on the market


https://tb-jp.com/collections/men – The most anabolic clothing ever made

[Nathan]

Trained push today which was great to be fair.

Low incline smith x 3
Flat machine press x 3
Shoulder press x 2
Pec dec x 3
SA cuff lateral x 2
Tricep push down x 3

I can’t plant my feet and brace hard into the floor. So loading isn’t crazy. I’m also very de trained and feel very natty. It’s going to take some work getting back into the groove with everything. But once I’m more capable I will start ramping things up from an assistance point of view too

Instagram - bignath_styles_ifbbpro



#showthem


https://tb-jp.com/collections/nutrition – The highest quality supps on the market


https://tb-jp.com/collections/men – The most anabolic clothing ever made

[Nathan]

Exactly 👍

Instagram - bignath_styles_ifbbpro



#showthem


https://tb-jp.com/collections/nutrition – The highest quality supps on the market


https://tb-jp.com/collections/men – The most anabolic clothing ever made

[Nathan]

Hey bud so before you start chasing LH and FSH numbers on bloodwork you need to understand that that won’t give you an accurate picture of fertility at all.

Because you are taking HCG, which is exogenous LH, and HMG, which contains exogenous FSH, your bloodwork is going to show elevated or present LH and FSH regardless of what your body is actually producing naturally. Sometimes it doesn’t even show on bloods either. Because it’s not bioidentical. So sometimes doesn’t flag even if the protocol is working.

The only meaningful marker here is another sperm test and the timing of that matters.

A full sperm maturation cycle takes approximately 74 days from the point where a sperm cell is first produced to the point where it is fully mature and present in an ejaculate. I’d give it about 2 weeks after that so around 90 days from when you started the HCG and HMG protocol before a repeat sperm analysis is going to give you meaningful data on whether it is working.

Testing earlier than that is not going to tell you anything useful and chasing LH and FSH numbers on bloodwork whilst running exogenous versions of both is misleading.

Stay the course with the protocol, give it the full 90 days minimum, and then repeat the sperm test. That is the only result that actually matters here.​​​​​​​​​​​​​​​​

Instagram - bignath_styles_ifbbpro



#showthem


https://tb-jp.com/collections/nutrition – The highest quality supps on the market


https://tb-jp.com/collections/men – The most anabolic clothing ever made

[Nathan]

A little more progress with flexion today so I’m happy even though it’s still very slow. Going to train locally tomorrow push. When I’ve done my check ins and round 1 rehab. I’m just very much looking forward to getting off crutches over the next 4 weeks and having some independence

Instagram - bignath_styles_ifbbpro



#showthem


https://tb-jp.com/collections/nutrition – The highest quality supps on the market


https://tb-jp.com/collections/men – The most anabolic clothing ever made

[Nathan]

I like COR fridged overnight texture is good 👍

Instagram - bignath_styles_ifbbpro



#showthem


https://tb-jp.com/collections/nutrition – The highest quality supps on the market


https://tb-jp.com/collections/men – The most anabolic clothing ever made

[Nathan]

Knees a little sore today after a solid day of rehab and another session in the gym. I’ve done more walking today and the leg/knee feels a little fatigued.

I am progressing still daily as I should it’s still frustrating, but that because I want more progress. Quicker than I want but I know I can’t force it.

Instagram - bignath_styles_ifbbpro



#showthem


https://tb-jp.com/collections/nutrition – The highest quality supps on the market


https://tb-jp.com/collections/men – The most anabolic clothing ever made

[Nathan]

Time to diet 100% if your going to use a GLP the I wouldn’t opt for mounjaro. I would be opting for Reta.

But again getting leaner will help this straight off the bat.

Be helpful to see your current body composition what you class as 12% and your current food setup. And supps

Instagram - bignath_styles_ifbbpro



#showthem


https://tb-jp.com/collections/nutrition – The highest quality supps on the market


https://tb-jp.com/collections/men – The most anabolic clothing ever made

[Nathan]

Personally for me clen will always be a staple. But we can now get away with using less and keep overall systematic stress lower across the prep and keep sleep in a better place. With the use of multiple pathways.

But if you don’t get in with it don’t use it.

My go to with clients has been:-

Clen
MOTS-C
SLU

Thyroid introduced as needed when bloods dictate or metabolic adaptation occurs. I usually have T4 in at replacement and then T3 layered on top as and when needed usually pull bloods at 6-8 weeks out and go from bloods.

Yohimbine I’m not massively keen on. But it has a place for some.

L-carnitine I like but again not going to be a game changer.

5 amino has a place when your already lean towards the back end.

With this I’ve not had to move clen past 40mcg for most clients. And only had to introduce thyroid in some at very minimal dosage.

Instagram - bignath_styles_ifbbpro



#showthem


https://tb-jp.com/collections/nutrition – The highest quality supps on the market


https://tb-jp.com/collections/men – The most anabolic clothing ever made

[Nathan]

Still running

BPC 157/TB 500 blend from Proforma 2mg of each daily

Plus 5mg klow blend

3.2mg GHKCU
660mcg BPC, TB & KPV

Ran my 2 bottles of LL37 for infection.

Instagram - bignath_styles_ifbbpro



#showthem


https://tb-jp.com/collections/nutrition – The highest quality supps on the market


https://tb-jp.com/collections/men – The most anabolic clothing ever made

[Nathan]

Updated rehab next 7-10 days

Day A = Load day (no gym)
Day B = Lighter day + gym

We’ll alternate these.

I’m happy for you to start trialling 1 crutch around the house this weekend.

Remember short steps, heel – midfoot – big toe.

Crutch on non surgical leg. Go crutch – surgical leg – non surgical leg.

To start with I want slow steps. Build confidence and then add speed.

BIG FOCUS THIS WEEK

• Build knee bend towards 90–110° (no forcing it)
• Keep full extension every day
• Improve walking confidence
• Start introducing light loading
• Keep swelling under control (THIS IS STILL OUR PRIORITY)

DAY A – LOAD DAY

Morning (10–15 mins reset)

• Ankle pumps – 20–30
• Ankle circles – 10 each way
• Heel prop / extension – 2 × 60–90 sec
• Quad sets – 2 × 10
• Straight leg raises – 2 × 8
• TKEs – 2 × 12–15

Midday (main session)

Flexion (pick one only – don’t do both)

• Heel slides (seated OR lying) – 3 × 6–8
• Hold 2–3 seconds
• Stop at tightness, not pain

Foot

• Pronation reps – 2 × 8–10

Strength

• Sit-to-stand (assisted) – 3 × 5–6
• Step-ups (low step) – 3 × 4–6
• Quad into ball – 2 × 10

Hip

• Standing abduction – 2 × 10
• Standing extension – 2 × 10

Optional

• Bike – 5–10 mins (very light)

Walking

• 2–3 walks
• 3–5 minutes each
• Start trying 1 crutch if it feels smooth (no limp)

Evening

• Heel prop – 1–2 × 60 sec
• Quad sets – 1–2 × 10

DAY B – LIGHT DAY + GYM

Morning

• Ankle pumps – 20–30
• Heel prop – 2 × 60–90 sec
• Quad sets – 2 × 10
• TKEs – 2 × 12

Midday (light movement)

Flexion

• Heel slides – 2 × 6–8
• Hold 2–3 sec

Foot

• Pronation reps – 2 × 8

Hip (pick one)

• Side-lying abduction – 2 × 10–12
OR
• Standing abduction – 2 × 10

• Standing Weight shifts – 4–5 × 10 sec

Optional

• Bike – 5–8 mins easy

Gym

All seated and controlled:

No leg drive, no standing lifts.

Walking

• 2–3 short walks
• Keep them easy

Evening

• Heel prop – 1–2 sets

IMPORTANT RULES

• Do NOT chase knee bend, let it come
• Always finish the day with your leg fully straight
• If you limp → step back with crutches
• If swelling goes up the next morning → we pull volume back slightly

WHAT I WANT TO SEE

• Knee bending a bit more each day (no force)
• No swelling spikes
• Walking getting smoother
• Quad staying strong

Instagram - bignath_styles_ifbbpro



#showthem


https://tb-jp.com/collections/nutrition – The highest quality supps on the market


https://tb-jp.com/collections/men – The most anabolic clothing ever made

[Nathan]

No need to add food yet. With 9lb in 2 weeks ride. this hunger out for a little while yet.

Keep doing what your doing

Instagram - bignath_styles_ifbbpro



#showthem


https://tb-jp.com/collections/nutrition – The highest quality supps on the market


https://tb-jp.com/collections/men – The most anabolic clothing ever made