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Protocol 2: chronic muscular back pain (intermediate) Goal: Address long-standing muscular tension, trigger points, and chronic strain patterns Peptides: BPC-157 : 500mcg twice daily for enhanced effect TB-500 : 2.5mg twice weekly during loading, then 2mg weekly Duration: 8-12 weeks for chronic conditions Why this works: Higher BPC-157 dosing addresses stubborn chronic issues

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The Western Ontario Rotator Cuff Index (WORC) was the primary outcome measure, while the secondary outcome measures were the visual analog scale (VAS), range of motion (ROM), and need for cuff repair surgery, which were analyzed at intervals of 6, 12, and 18 months