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Approved Log Road to Recovery: Diagnosis, Surgery and Rehab Journal

rayray01

rayray01

Trusted Brother
EVO VIP
EVO Logger
Hello Evo Family,


Some of you already know I’ve been dealing with a shoulder/rotator cuff issue for a while. I’ve put it off long enough, so I’m finally going to handle it and get the surgery done. The plan is to get past the constant pain/discomfort, recover the right way, and stop worrying about making it worse—so I can (hopefully) get back in the gym pain-free and actually enjoy training again.


I’m starting this log to post updates along the way (pre-op, surgery, rehab, milestones, wins/struggles), mainly to keep myself accountable and also in case it helps anyone else going through something similar.

Diagnosis​

Nontraumatic complete rupture of rotator cuff of right shoulder​


TECHNIQUE Multiplanar multisequence MRI imaging through the shoulder.

FINDINGS ROTATOR CUFF: Mild supraspinatus and infraspinatus tendinosis. There is a 7 mm full-thickness tear of the supraspinatus tendon at the anterior footprint with a adjacent 3 cm intermediate-grade partial-thickness articular sided tear supraspinatus tendon and anterior fibers of the infraspinatus tendon. There is a partial-thickness articular sided tear with thinning and attenuation distal subscapularis tendon.

MUSCLES: Grade 1 fatty atrophy supraspinatus and infraspinatus muscles.

BICEPS: Mild tendinosis proximal long head biceps tendon with medial dislocation out of the bicipital groove, mild fluid within the tendon sheath.

SUBACROMIAL / SUBDELTOID BURSA: Mild bursitis.

ACROMION / AC JOINT: Mild AC joint osteoarthritis with bulky inferior spurring. Type 2 acromion.

GLENOHUMERAL JOINT / LABRUM: No labral tear. The articular cartilage and capsular structures are normal.

BONE MARROW: No osseous Bankart or Hill Sachs lesion.

IMPRESSION

1. Mild tendinosis of the rotator cuff complex. There is a 7 mm full-thickness tear at the anterior footprint of the supraspinatus tendon with an adjacent 3 cm intermediate-grade partial-thickness articular sided tear.

2. Partial-thickness articular sided tear distal subscapularis tendon.

3. Mild tendinosis proximal long head biceps tendon with medial dislocation out of the bicipital groove associated with the subscapularis tendon tear.

4. Mild subacromial subdeltoid bursitis.

5. Mild osteoarthritis of the AC joint with bulky inferior spurring.

6. No discrete labral tear noted.

IMG-20251021-WA0023.webp



Surgery ​

Type of Surgery - SHOULDER ARTHROSCOPY WITH ROTATOR CUFF REPAIR, SHOULDER ARTHROSCOPY EXTENSIVE DEBRIDEMENT​


Post Surgery Gameplan (This is on top of whatever Doctor recommendation)

Start all my supplements again with normal dosage (Non Cycle Dosage)
BPC157/ TB500 - Daily Injection
GHK- Cu - Daily
Ipamorelin - Daily
Reta - Weekly
AOD 9604 - Daily
Deca - 50mg/weekly
Testosterone - TRT Dosage (120mg/weekly)

​

 
Last edited:
rayray01 said:
Hello Evo Family,


Some of you already know I’ve been dealing with a shoulder/rotator cuff issue for a while. I’ve put it off long enough, so I’m finally going to handle it and get the surgery done. The plan is to get past the constant pain/discomfort, recover the right way, and stop worrying about making it worse—so I can (hopefully) get back in the gym pain-free and actually enjoy training again.


I’m starting this log to post updates along the way (pre-op, surgery, rehab, milestones, wins/struggles), mainly to keep myself accountable and also in case it helps anyone else going through something similar.

Diagnosis​

Nontraumatic complete rupture of rotator cuff of right shoulder​


TECHNIQUE Multiplanar multisequence MRI imaging through the shoulder.

FINDINGS ROTATOR CUFF: Mild supraspinatus and infraspinatus tendinosis. There is a 7 mm full-thickness tear of the supraspinatus tendon at the anterior footprint with a adjacent 3 cm intermediate-grade partial-thickness articular sided tear supraspinatus tendon and anterior fibers of the infraspinatus tendon. There is a partial-thickness articular sided tear with thinning and attenuation distal subscapularis tendon.

MUSCLES: Grade 1 fatty atrophy supraspinatus and infraspinatus muscles.

BICEPS: Mild tendinosis proximal long head biceps tendon with medial dislocation out of the bicipital groove, mild fluid within the tendon sheath.

SUBACROMIAL / SUBDELTOID BURSA: Mild bursitis.

ACROMION / AC JOINT: Mild AC joint osteoarthritis with bulky inferior spurring. Type 2 acromion.

GLENOHUMERAL JOINT / LABRUM: No labral tear. The articular cartilage and capsular structures are normal.

BONE MARROW: No osseous Bankart or Hill Sachs lesion.

IMPRESSION

1. Mild tendinosis of the rotator cuff complex. There is a 7 mm full-thickness tear at the anterior footprint of the supraspinatus tendon with an adjacent 3 cm intermediate-grade partial-thickness articular sided tear.

2. Partial-thickness articular sided tear distal subscapularis tendon.

3. Mild tendinosis proximal long head biceps tendon with medial dislocation out of the bicipital groove associated with the subscapularis tendon tear.

4. Mild subacromial subdeltoid bursitis.

5. Mild osteoarthritis of the AC joint with bulky inferior spurring.

6. No discrete labral tear noted.

View attachment 156019


Surgery ​

Type of Surgery - SHOULDER ARTHROSCOPY WITH ROTATOR CUFF REPAIR, SHOULDER ARTHROSCOPY EXTENSIVE DEBRIDEMENT​

​

Click to expand...
Nice first post. Detailed and picturesque too. We will help you through this bro especially the mental aspect.
 
Day Before Surgery – Pre-Op Update

Had my final appointment with the surgeon today to get a clearer picture of what I’m walking into tomorrow and what the recovery is going to look like.

Here’s what he told me:

  • Around 3 months in, I should be back in the gym doing light lifting.
  • Around 6 months, I should be back to lifting at full capacity (weight-wise).
  • But… he also said there are certain movements I’ll likely need to avoid going forward — things like lateral raises, incline bench, military press/shoulder press, etc. And closer to that 3-month point, the PT team will give me the full list of what’s in and what’s out.
I’ll be honest — that messed with my head a bit. Part of me is thinking: what’s the benefit besides hopefully getting rid of the pain? And if I’m not supposed to do a bunch of the shoulder-related lifts, then what does “back to full capacity” really mean? I can barely do some of those lifts right now anyway, and when I do it’s light, but at least I still feel like I’m training. The idea that after surgery I might lose even that is bothering me.

So yeah… I’m kind of in two minds about the whole thing right now.

Recovery basics he gave me:
  • Sling for 6 weeks
  • Ice every 2–3 hours for 30 minutes (For first week or till swelling subsides)
  • Sleep sitting up (which I’m not excited about to avoid injuring the shoulder)
On the positive side:
  • I should be able to get back to the gym in 7–10 days just to walk on the treadmill
  • And possibly start lower body training around the 3-week mark

Tomorrow is go-time. I’ll update once I’m out and on the other side.
 
rayray01 said:
Day Before Surgery – Pre-Op Update

Had my final appointment with the surgeon today to get a clearer picture of what I’m walking into tomorrow and what the recovery is going to look like.

Here’s what he told me:

  • Around 3 months in, I should be back in the gym doing light lifting.
  • Around 6 months, I should be back to lifting at full capacity (weight-wise).
  • But… he also said there are certain movements I’ll likely need to avoid going forward — things like lateral raises, incline bench, military press/shoulder press, etc. And closer to that 3-month point, the PT team will give me the full list of what’s in and what’s out.
I’ll be honest — that messed with my head a bit. Part of me is thinking: what’s the benefit besides hopefully getting rid of the pain? And if I’m not supposed to do a bunch of the shoulder-related lifts, then what does “back to full capacity” really mean? I can barely do some of those lifts right now anyway, and when I do it’s light, but at least I still feel like I’m training. The idea that after surgery I might lose even that is bothering me.

So yeah… I’m kind of in two minds about the whole thing right now.

Recovery basics he gave me:
  • Sling for 6 weeks
  • Ice every 2–3 hours for 30 minutes (For first week or till swelling subsides)
  • Sleep sitting up (which I’m not excited about to avoid injuring the shoulder)
On the positive side:
  • I should be able to get back to the gym in 7–10 days just to walk on the treadmill
  • And possibly start lower body training around the 3-week mark

Tomorrow is go-time. I’ll update once I’m out and on the other side.
Click to expand...
We'll be here. Send us a thumbs up pic with face blurred pre-op. Let us know too what the doc has you running for Rx post-op
 
rayray01 said:
Hello Evo Family,


Some of you already know I’ve been dealing with a shoulder/rotator cuff issue for a while. I’ve put it off long enough, so I’m finally going to handle it and get the surgery done. The plan is to get past the constant pain/discomfort, recover the right way, and stop worrying about making it worse—so I can (hopefully) get back in the gym pain-free and actually enjoy training again.


I’m starting this log to post updates along the way (pre-op, surgery, rehab, milestones, wins/struggles), mainly to keep myself accountable and also in case it helps anyone else going through something similar.

Diagnosis​

Nontraumatic complete rupture of rotator cuff of right shoulder​


TECHNIQUE Multiplanar multisequence MRI imaging through the shoulder.

FINDINGS ROTATOR CUFF: Mild supraspinatus and infraspinatus tendinosis. There is a 7 mm full-thickness tear of the supraspinatus tendon at the anterior footprint with a adjacent 3 cm intermediate-grade partial-thickness articular sided tear supraspinatus tendon and anterior fibers of the infraspinatus tendon. There is a partial-thickness articular sided tear with thinning and attenuation distal subscapularis tendon.

MUSCLES: Grade 1 fatty atrophy supraspinatus and infraspinatus muscles.

BICEPS: Mild tendinosis proximal long head biceps tendon with medial dislocation out of the bicipital groove, mild fluid within the tendon sheath.

SUBACROMIAL / SUBDELTOID BURSA: Mild bursitis.

ACROMION / AC JOINT: Mild AC joint osteoarthritis with bulky inferior spurring. Type 2 acromion.

GLENOHUMERAL JOINT / LABRUM: No labral tear. The articular cartilage and capsular structures are normal.

BONE MARROW: No osseous Bankart or Hill Sachs lesion.

IMPRESSION

1. Mild tendinosis of the rotator cuff complex. There is a 7 mm full-thickness tear at the anterior footprint of the supraspinatus tendon with an adjacent 3 cm intermediate-grade partial-thickness articular sided tear.

2. Partial-thickness articular sided tear distal subscapularis tendon.

3. Mild tendinosis proximal long head biceps tendon with medial dislocation out of the bicipital groove associated with the subscapularis tendon tear.

4. Mild subacromial subdeltoid bursitis.

5. Mild osteoarthritis of the AC joint with bulky inferior spurring.

6. No discrete labral tear noted.

View attachment 156019


Surgery ​

Type of Surgery - SHOULDER ARTHROSCOPY WITH ROTATOR CUFF REPAIR, SHOULDER ARTHROSCOPY EXTENSIVE DEBRIDEMENT​


Post Surgery Gameplan (This is on top of whatever Doctor recommendation)

Start all my supplements again with normal dosage (Non Cycle Dosage)
BPC157/ TB500 - Daily Injection
GHK- Cu - Daily
Ipamorelin - Daily
Reta - Weekly
AOD 9604 - Daily
Deca - 50mg/weekly
Testosterone - TRT Dosage (120mg/weekly)

​

Click to expand...
rayray01 said:
Day Before Surgery – Pre-Op Update

Had my final appointment with the surgeon today to get a clearer picture of what I’m walking into tomorrow and what the recovery is going to look like.

Here’s what he told me:

  • Around 3 months in, I should be back in the gym doing light lifting.
  • Around 6 months, I should be back to lifting at full capacity (weight-wise).
  • But… he also said there are certain movements I’ll likely need to avoid going forward — things like lateral raises, incline bench, military press/shoulder press, etc. And closer to that 3-month point, the PT team will give me the full list of what’s in and what’s out.
I’ll be honest — that messed with my head a bit. Part of me is thinking: what’s the benefit besides hopefully getting rid of the pain? And if I’m not supposed to do a bunch of the shoulder-related lifts, then what does “back to full capacity” really mean? I can barely do some of those lifts right now anyway, and when I do it’s light, but at least I still feel like I’m training. The idea that after surgery I might lose even that is bothering me.

So yeah… I’m kind of in two minds about the whole thing right now.

Recovery basics he gave me:
  • Sling for 6 weeks
  • Ice every 2–3 hours for 30 minutes (For first week or till swelling subsides)
  • Sleep sitting up (which I’m not excited about to avoid injuring the shoulder)
On the positive side:
  • I should be able to get back to the gym in 7–10 days just to walk on the treadmill
  • And possibly start lower body training around the 3-week mark

Tomorrow is go-time. I’ll update once I’m out and on the other side.
Click to expand...
Good to see you share this :D @rayray01 but in the future dont use ai to write things just talk to us the way you do, we need to talk to you not a chatbot :D even if you use it to clean up writing
I think this will be a good thing we can slowly step by step work towards recovery and training.
 
LevButlerov said:
Good to see you share this :D @rayray01 but in the future dont use ai to write things just talk to us the way you do, we need to talk to you not a chatbot :D even if you use it to clean up writing
I think this will be a good thing we can slowly step by step work towards recovery and training.
Click to expand...
Yes sir. Yea I used chatgpt to organize my thought in a structured way rather just rambling on in a messy way.. but yeah on day by day post will be just me speaking about things.
 
rayray01 said:
Yes sir. Yea I used chatgpt to organize my thought in a structured way rather just rambling on in a messy way.. but yeah on day by day post will be just me speaking about things.
Click to expand...
will be waiting :D good luck with surgery @rayray01 EVO family love your way!
 
rayray01 said:
Day Before Surgery – Pre-Op Update

Had my final appointment with the surgeon today to get a clearer picture of what I’m walking into tomorrow and what the recovery is going to look like.

Here’s what he told me:

  • Around 3 months in, I should be back in the gym doing light lifting.
  • Around 6 months, I should be back to lifting at full capacity (weight-wise).
  • But… he also said there are certain movements I’ll likely need to avoid going forward — things like lateral raises, incline bench, military press/shoulder press, etc. And closer to that 3-month point, the PT team will give me the full list of what’s in and what’s out.
I’ll be honest — that messed with my head a bit. Part of me is thinking: what’s the benefit besides hopefully getting rid of the pain? And if I’m not supposed to do a bunch of the shoulder-related lifts, then what does “back to full capacity” really mean? I can barely do some of those lifts right now anyway, and when I do it’s light, but at least I still feel like I’m training. The idea that after surgery I might lose even that is bothering me.

So yeah… I’m kind of in two minds about the whole thing right now.

Recovery basics he gave me:
  • Sling for 6 weeks
  • Ice every 2–3 hours for 30 minutes (For first week or till swelling subsides)
  • Sleep sitting up (which I’m not excited about to avoid injuring the shoulder)
On the positive side:
  • I should be able to get back to the gym in 7–10 days just to walk on the treadmill
  • And possibly start lower body training around the 3-week mark

Tomorrow is go-time. I’ll update once I’m out and on the other side.
Click to expand...
@rayray01 shoulder injuries are super common. i had it too but mine did not require surgery, just a lot of rehab and rest. unfortunately i was told if i kept training heavy it would tear and i would need surgery so i had to give up powerliting.
 
stevesmi said:
@rayray01 shoulder injuries are super common. i had it too but mine did not require surgery, just a lot of rehab and rest. unfortunately i was told if i kept training heavy it would tear and i would need surgery so i had to give up powerliting.
Click to expand...
Yea man any injuries sucks and sh I ukder injuriesare no dofferent. Glad to hear that you did injury or had any tears and avoided it all together.

I am happy to get this started process atleast this is step one towards recovery.
 
rayray01 said:
Hello Evo Family,


Some of you already know I’ve been dealing with a shoulder/rotator cuff issue for a while. I’ve put it off long enough, so I’m finally going to handle it and get the surgery done. The plan is to get past the constant pain/discomfort, recover the right way, and stop worrying about making it worse—so I can (hopefully) get back in the gym pain-free and actually enjoy training again.


I’m starting this log to post updates along the way (pre-op, surgery, rehab, milestones, wins/struggles), mainly to keep myself accountable and also in case it helps anyone else going through something similar.

Diagnosis​

Nontraumatic complete rupture of rotator cuff of right shoulder​


TECHNIQUE Multiplanar multisequence MRI imaging through the shoulder.

FINDINGS ROTATOR CUFF: Mild supraspinatus and infraspinatus tendinosis. There is a 7 mm full-thickness tear of the supraspinatus tendon at the anterior footprint with a adjacent 3 cm intermediate-grade partial-thickness articular sided tear supraspinatus tendon and anterior fibers of the infraspinatus tendon. There is a partial-thickness articular sided tear with thinning and attenuation distal subscapularis tendon.

MUSCLES: Grade 1 fatty atrophy supraspinatus and infraspinatus muscles.

BICEPS: Mild tendinosis proximal long head biceps tendon with medial dislocation out of the bicipital groove, mild fluid within the tendon sheath.

SUBACROMIAL / SUBDELTOID BURSA: Mild bursitis.

ACROMION / AC JOINT: Mild AC joint osteoarthritis with bulky inferior spurring. Type 2 acromion.

GLENOHUMERAL JOINT / LABRUM: No labral tear. The articular cartilage and capsular structures are normal.

BONE MARROW: No osseous Bankart or Hill Sachs lesion.

IMPRESSION

1. Mild tendinosis of the rotator cuff complex. There is a 7 mm full-thickness tear at the anterior footprint of the supraspinatus tendon with an adjacent 3 cm intermediate-grade partial-thickness articular sided tear.

2. Partial-thickness articular sided tear distal subscapularis tendon.

3. Mild tendinosis proximal long head biceps tendon with medial dislocation out of the bicipital groove associated with the subscapularis tendon tear.

4. Mild subacromial subdeltoid bursitis.

5. Mild osteoarthritis of the AC joint with bulky inferior spurring.

6. No discrete labral tear noted.

View attachment 156019


Surgery ​

Type of Surgery - SHOULDER ARTHROSCOPY WITH ROTATOR CUFF REPAIR, SHOULDER ARTHROSCOPY EXTENSIVE DEBRIDEMENT​


Post Surgery Gameplan (This is on top of whatever Doctor recommendation)

Start all my supplements again with normal dosage (Non Cycle Dosage)
BPC157/ TB500 - Daily Injection
GHK- Cu - Daily
Ipamorelin - Daily
Reta - Weekly
AOD 9604 - Daily
Deca - 50mg/weekly
Testosterone - TRT Dosage (120mg/weekly)

​

Click to expand...
Had one of these had surgery years ago it sucks and sucked u will get through it
 
rayray01 said:
Yea man any injuries sucks and sh I ukder injuriesare no dofferent. Glad to hear that you did injury or had any tears and avoided it all together.

I am happy to get this started process atleast this is step one towards recovery.
Click to expand...
injuries are part of the game we play. i always laugh when a 20 something thinks they can train balls the wall and not have consequences. i was like that too
 
rayray01 said:
Hello Evo Family,


Some of you already know I’ve been dealing with a shoulder/rotator cuff issue for a while. I’ve put it off long enough, so I’m finally going to handle it and get the surgery done. The plan is to get past the constant pain/discomfort, recover the right way, and stop worrying about making it worse—so I can (hopefully) get back in the gym pain-free and actually enjoy training again.


I’m starting this log to post updates along the way (pre-op, surgery, rehab, milestones, wins/struggles), mainly to keep myself accountable and also in case it helps anyone else going through something similar.

Diagnosis​

Nontraumatic complete rupture of rotator cuff of right shoulder​


TECHNIQUE Multiplanar multisequence MRI imaging through the shoulder.

FINDINGS ROTATOR CUFF: Mild supraspinatus and infraspinatus tendinosis. There is a 7 mm full-thickness tear of the supraspinatus tendon at the anterior footprint with a adjacent 3 cm intermediate-grade partial-thickness articular sided tear supraspinatus tendon and anterior fibers of the infraspinatus tendon. There is a partial-thickness articular sided tear with thinning and attenuation distal subscapularis tendon.

MUSCLES: Grade 1 fatty atrophy supraspinatus and infraspinatus muscles.

BICEPS: Mild tendinosis proximal long head biceps tendon with medial dislocation out of the bicipital groove, mild fluid within the tendon sheath.

SUBACROMIAL / SUBDELTOID BURSA: Mild bursitis.

ACROMION / AC JOINT: Mild AC joint osteoarthritis with bulky inferior spurring. Type 2 acromion.

GLENOHUMERAL JOINT / LABRUM: No labral tear. The articular cartilage and capsular structures are normal.

BONE MARROW: No osseous Bankart or Hill Sachs lesion.

IMPRESSION

1. Mild tendinosis of the rotator cuff complex. There is a 7 mm full-thickness tear at the anterior footprint of the supraspinatus tendon with an adjacent 3 cm intermediate-grade partial-thickness articular sided tear.

2. Partial-thickness articular sided tear distal subscapularis tendon.

3. Mild tendinosis proximal long head biceps tendon with medial dislocation out of the bicipital groove associated with the subscapularis tendon tear.

4. Mild subacromial subdeltoid bursitis.

5. Mild osteoarthritis of the AC joint with bulky inferior spurring.

6. No discrete labral tear noted.

View attachment 156019


Surgery ​

Type of Surgery - SHOULDER ARTHROSCOPY WITH ROTATOR CUFF REPAIR, SHOULDER ARTHROSCOPY EXTENSIVE DEBRIDEMENT​


Post Surgery Gameplan (This is on top of whatever Doctor recommendation)

Start all my supplements again with normal dosage (Non Cycle Dosage)
BPC157/ TB500 - Daily Injection
GHK- Cu - Daily
Ipamorelin - Daily
Reta - Weekly
AOD 9604 - Daily
Deca - 50mg/weekly
Testosterone - TRT Dosage (120mg/weekly)

​

Click to expand...
Bros, this is a good setup on this recovery stack. I got a lot of respect for it. maybe the only one you missing KLV, which will be in KLOW stack @rayray01
 
Got back home now, surgery went well, noted just have ice every couple of hours and do the pendulum with am ever few hours, the nerve block is a life saver so far not feeling any discomfort, but as it wears off over the next 12 hours am sure I will find out the pain levels.

I keep forgetting that my right arm is a complete noodle at this point, every time I took it out to do the pendulum it just flops around as if it v is not even attached to me anymore. Waiting for the effects of anesthesia to wear off as well.

For post op have given me oxycodone..
 

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Last edited:
ceo said:
Bros, this is a good setup on this recovery stack. I got a lot of respect for it. maybe the only one you missing KLV, which will be in KLOW stack @rayray01
Click to expand...
Thanks, I will order it today, should have it in couple of days. Challenge will be learning to do this with arm, as an draw it in the syringe part, pinning would be fine
 
rayray01 said:
Got back home now, surgery went well, noted just have ice every couple of hours and do the pendulum with am ever few hours, the nerve block is a life saver so far not feeling any discomfort, but as it wears off over the next 12 hours am sure I will find out the pain levels.

I keep forgetting that my right arm is a complete noodle at this point, every time I took it out to do the pendulum it just flops around as if it v is not even attached to me anymore. Waiting for the effects of anesthesia to wear off as well.

For post op have given me oxycodone..
Click to expand...
Now definitely comes the hard part. @rayray01 the rest and rehab is going to be crucial. Hopefully, you'll be back like new pretty soon.
 
ROIDDERS said:
Now definitely comes the hard part. @rayray01 the rest and rehab is going to be crucial. Hopefully, you'll be back like new pretty soon.
Click to expand...
Agreed, patience, being mindful at all times, and follow directions to the T during physical therapy will be the key. I am determined to bounce back strong and hopefully sooner than later... but not rushing anything.
 
rayray01 said:
Got back home now, surgery went well, noted just have ice every couple of hours and do the pendulum with am ever few hours, the nerve block is a life saver so far not feeling any discomfort, but as it wears off over the next 12 hours am sure I will find out the pain levels.

I keep forgetting that my right arm is a complete noodle at this point, every time I took it out to do the pendulum it just flops around as if it v is not even attached to me anymore. Waiting for the effects of anesthesia to wear off as well.

For post op have given me oxycodone..
Click to expand...
@rayray01 should you inject the peptides after surgery or wait a little bit? that is a good question. some people say to wait a bit before you start using them and let the healing process work
 
Ulter said:
@rayray01 should you inject the peptides after surgery or wait a little bit? that is a good question. some people say to wait a bit before you start using them and let the healing process work
Click to expand...
Hmm oops!!!! A little late for today!!! But will hold from tomorrow onwards for sure. I guess I was ready for the bpc/tb to get in there start it's magic... lol
 
rayray01 said:
Oh yeah for sure I always pin the peptides in my belly subconscious fat. And deca was upper glutes.
Click to expand...
I'm very curious to see how you recover, and you're not the first person who has had this issue with their shoulders and who have tried to recover through it. You will get back to where you were at, trust me. @rayray01
 
rayray01 said:
Got back home now, surgery went well, noted just have ice every couple of hours and do the pendulum with am ever few hours, the nerve block is a life saver so far not feeling any discomfort, but as it wears off over the next 12 hours am sure I will find out the pain levels.

I keep forgetting that my right arm is a complete noodle at this point, every time I took it out to do the pendulum it just flops around as if it v is not even attached to me anymore. Waiting for the effects of anesthesia to wear off as well.

For post op have given me oxycodone..
Click to expand...
Please be careful with the percocet. Take PRN as needed.
 
HarleyGuy said:
Please be careful with the percocet. Take PRN as needed.
Click to expand...
Oh yea I have a very high tolerance for pain even when I got them for my kidney removal surgery, I had more than half left over, that i ended up throwing away once they expired. I haven't even picked them up from the pharmacy for this procedure. Will get them if I absolutely feel the need for them...
 
Last edited:
I stayed active post surgery, completed all my daily activities, without much issues, granted it took a bit longer because my right arm was just numb doe to nerve block but at te end of itnincompelted what I wanted to do. Even so much so that I am feeling encouraged en I ugh to go to the gym tomorrow morning and start my walking on the treadmill just no push, pull or anything with the right arm might try to see how lower body excersizes go. Let's see how it goes at the minimum will do the treadmill walk.

@LevButlerov @HarleyGuy
 
rayray01 said:
I stayed active post surgery, completed all my daily activities, without much issues, granted it took a bit longer because my right arm was just numb doe to nerve block but at te end of itnincompelted what I wanted to do. Even so much so that I am feeling encouraged en I ugh to go to the gym tomorrow morning and start my walking on the treadmill just no push, pull or anything with the right arm might try to see how lower body excersizes go. Let's see how it goes at the minimum will do the treadmill walk.

@LevButlerov @HarleyGuy
Click to expand...
happy to hear :d can you walk? @rayray01
 
LevButlerov said:
happy to hear :d can you walk? @rayray01
Click to expand...
Don't see why I won't be able to walk. Been walking all day, will start slowly on the treadmill no speed walking or anything hate want to keep my habit of going to the gym. Will skip sauna for about 2 weeks till the stitches after our atleast.

The doc said to give it a week, but I think I will try tomorrow my fat % has gone up 1% in about a week of no proper excersizing and up 4 lbs... need to stay active somehow.
 
I wish to really use this time to focus on lower body workout and really grow the size of my thighs and calc, so much so that i want to add like good 5 lbs combined of muscle in legs. Would progressive lifting get me there and trt test get me there?? Or waking am hours everyday would be counter productive to it. Please advise or up the deca a read but to assist with that. @LevButlerov
 
rayray01 said:
Hello Evo Family,


Some of you already know I’ve been dealing with a shoulder/rotator cuff issue for a while. I’ve put it off long enough, so I’m finally going to handle it and get the surgery done. The plan is to get past the constant pain/discomfort, recover the right way, and stop worrying about making it worse—so I can (hopefully) get back in the gym pain-free and actually enjoy training again.


I’m starting this log to post updates along the way (pre-op, surgery, rehab, milestones, wins/struggles), mainly to keep myself accountable and also in case it helps anyone else going through something similar.

Diagnosis​

Nontraumatic complete rupture of rotator cuff of right shoulder​


TECHNIQUE Multiplanar multisequence MRI imaging through the shoulder.

FINDINGS ROTATOR CUFF: Mild supraspinatus and infraspinatus tendinosis. There is a 7 mm full-thickness tear of the supraspinatus tendon at the anterior footprint with a adjacent 3 cm intermediate-grade partial-thickness articular sided tear supraspinatus tendon and anterior fibers of the infraspinatus tendon. There is a partial-thickness articular sided tear with thinning and attenuation distal subscapularis tendon.

MUSCLES: Grade 1 fatty atrophy supraspinatus and infraspinatus muscles.

BICEPS: Mild tendinosis proximal long head biceps tendon with medial dislocation out of the bicipital groove, mild fluid within the tendon sheath.

SUBACROMIAL / SUBDELTOID BURSA: Mild bursitis.

ACROMION / AC JOINT: Mild AC joint osteoarthritis with bulky inferior spurring. Type 2 acromion.

GLENOHUMERAL JOINT / LABRUM: No labral tear. The articular cartilage and capsular structures are normal.

BONE MARROW: No osseous Bankart or Hill Sachs lesion.

IMPRESSION

1. Mild tendinosis of the rotator cuff complex. There is a 7 mm full-thickness tear at the anterior footprint of the supraspinatus tendon with an adjacent 3 cm intermediate-grade partial-thickness articular sided tear.

2. Partial-thickness articular sided tear distal subscapularis tendon.

3. Mild tendinosis proximal long head biceps tendon with medial dislocation out of the bicipital groove associated with the subscapularis tendon tear.

4. Mild subacromial subdeltoid bursitis.

5. Mild osteoarthritis of the AC joint with bulky inferior spurring.

6. No discrete labral tear noted.

View attachment 156019


Surgery ​

Type of Surgery - SHOULDER ARTHROSCOPY WITH ROTATOR CUFF REPAIR, SHOULDER ARTHROSCOPY EXTENSIVE DEBRIDEMENT​


Post Surgery Gameplan (This is on top of whatever Doctor recommendation)

Start all my supplements again with normal dosage (Non Cycle Dosage)
BPC157/ TB500 - Daily Injection
GHK- Cu - Daily
Ipamorelin - Daily
Reta - Weekly
AOD 9604 - Daily
Deca - 50mg/weekly
Testosterone - TRT Dosage (120mg/weekly)

​

Click to expand...
@rayray01 Lets go bro! Wishing you a speedy recovery!
 
rayray01 said:
. @LevButlerov
Click to expand...
I wish to really use this time to focus on lower body workout and really grow the size of my thighs and calf muscles, so much so that i want to add like good 5 lbs combined of muscle in legs. Would progressive lifting get me there along with trt test?? walking an hours everyday hopefully would not be counter productive to it. Please advise or should we up the deca a bit a read to assist with that name it a lower body bulk cycle. What are c your thoughts. @LevButlerov
 
rayray01 said:
I wish to really use this time to focus on lower body workout and really grow the size of my thighs and calf muscles, so much so that i want to add like good 5 lbs combined of muscle in legs. Would progressive lifting get me there along with trt test?? walking an hours everyday hopefully would not be counter productive to it. Please advise or should we up the deca a bit a read to assist with that name it a lower body bulk cycle. What are c your thoughts. @LevButlerov
Click to expand...
its possible lets get there when you're more recovered :D I think after recovery +5lbs is hard, we should go slow 8 weeks and then ramp up @rayray01
 
rayray01 said:
Don't see why I won't be able to walk. Been walking all day, will start slowly on the treadmill no speed walking or anything hate want to keep my habit of going to the gym. Will skip sauna for about 2 weeks till the stitches after our atleast.

The doc said to give it a week, but I think I will try tomorrow my fat % has gone up 1% in about a week of no proper excersizing and up 4 lbs... need to stay active somehow.
Click to expand...
lets walk on treadmill after a week, and get bone broth ed
 
LevButlerov said:
its possible lets get there when you're more recovered :D I think after recovery +5lbs is hard, we should go slow 8 weeks and then ramp up @rayray01
Click to expand...
Ok let's do that. We'll if was using 5lbs as an example, but what i meant was need to put on some muscles on my skinny twigs for legs. Lol. I was c thick to start back up on clen to ensure I am keeping my fat burn rate high. Same as before 20mcg 2 weeks on and 2 weeks off, between that and reta I should be able to avoid gaining any weight over v the course of next 6 months. @LevButlerov .
 
rayray01 said:
Ok let's do that. We'll if was using 5lbs as an example, but what i meant was need to put on some muscles on my skinny twigs for legs. Lol. I was c thick to start back up on clen to ensure I am keeping my fat burn rate high. Same as before 20mcg 2 weeks on and 2 weeks off, between that and reta I should be able to avoid gaining any weight over v the course of next 6 months. @LevButlerov .
Click to expand...
I get what you mean :D we just need to go slow on it @rayray01
dont use clen in recovery it can be an issue
 
LevButlerov said:
The only thing you should be taking is low dose TRT like 125mgs of test thats all @rayray01
Click to expand...
This is what i had planned. @LevButlerov

BPC157/ TB500 - Daily Injection
GHK- Cu - Daily
Ipamorelin - Daily
Reta - Weekly
AOD 9604 - Daily
Deca - 50mg/weekly
Testosterone - TRT Dosage (120mg/weekly)

Please advise??
 
rayray01 said:
This is what i had planned. @LevButlerov

BPC157/ TB500 - Daily Injection
GHK- Cu - Daily
Ipamorelin - Daily
Reta - Weekly
AOD 9604 - Daily
Deca - 50mg/weekly
Testosterone - TRT Dosage (120mg/weekly)

Please advise??
Click to expand...
This is perfect, 125 or 120 depends mg/ml on the test bottle @rayray01
AOD is not that crucial but you can keep.
 
rayray01 said:
Thanks, I will order it today, should have it in couple of days. Challenge will be learning to do this with arm, as an draw it in the syringe part, pinning would be fine
Click to expand...
Bros, you're going to come back like a warrior. We believe in you
 
rayray01 said:
Agreed, patience, being mindful at all times, and follow directions to the T during physical therapy will be the key. I am determined to bounce back strong and hopefully sooner than later... but not rushing anything.
Click to expand...
That is a great approach to have and very smart. I'm glad you have that mentality.
 
rayray01 said:
Hello Evo Family,


Some of you already know I’ve been dealing with a shoulder/rotator cuff issue for a while. I’ve put it off long enough, so I’m finally going to handle it and get the surgery done. The plan is to get past the constant pain/discomfort, recover the right way, and stop worrying about making it worse—so I can (hopefully) get back in the gym pain-free and actually enjoy training again.


I’m starting this log to post updates along the way (pre-op, surgery, rehab, milestones, wins/struggles), mainly to keep myself accountable and also in case it helps anyone else going through something similar.

Diagnosis​

Nontraumatic complete rupture of rotator cuff of right shoulder​


TECHNIQUE Multiplanar multisequence MRI imaging through the shoulder.

FINDINGS ROTATOR CUFF: Mild supraspinatus and infraspinatus tendinosis. There is a 7 mm full-thickness tear of the supraspinatus tendon at the anterior footprint with a adjacent 3 cm intermediate-grade partial-thickness articular sided tear supraspinatus tendon and anterior fibers of the infraspinatus tendon. There is a partial-thickness articular sided tear with thinning and attenuation distal subscapularis tendon.

MUSCLES: Grade 1 fatty atrophy supraspinatus and infraspinatus muscles.

BICEPS: Mild tendinosis proximal long head biceps tendon with medial dislocation out of the bicipital groove, mild fluid within the tendon sheath.

SUBACROMIAL / SUBDELTOID BURSA: Mild bursitis.

ACROMION / AC JOINT: Mild AC joint osteoarthritis with bulky inferior spurring. Type 2 acromion.

GLENOHUMERAL JOINT / LABRUM: No labral tear. The articular cartilage and capsular structures are normal.

BONE MARROW: No osseous Bankart or Hill Sachs lesion.

IMPRESSION

1. Mild tendinosis of the rotator cuff complex. There is a 7 mm full-thickness tear at the anterior footprint of the supraspinatus tendon with an adjacent 3 cm intermediate-grade partial-thickness articular sided tear.

2. Partial-thickness articular sided tear distal subscapularis tendon.

3. Mild tendinosis proximal long head biceps tendon with medial dislocation out of the bicipital groove associated with the subscapularis tendon tear.

4. Mild subacromial subdeltoid bursitis.

5. Mild osteoarthritis of the AC joint with bulky inferior spurring.

6. No discrete labral tear noted.

View attachment 156019


Surgery ​

Type of Surgery - SHOULDER ARTHROSCOPY WITH ROTATOR CUFF REPAIR, SHOULDER ARTHROSCOPY EXTENSIVE DEBRIDEMENT​


Post Surgery Gameplan (This is on top of whatever Doctor recommendation)

Start all my supplements again with normal dosage (Non Cycle Dosage)
BPC157/ TB500 - Daily Injection
GHK- Cu - Daily
Ipamorelin - Daily
Reta - Weekly
AOD 9604 - Daily
Deca - 50mg/weekly
Testosterone - TRT Dosage (120mg/weekly)

​

Click to expand...
@rayray01 way to break it down force man really shows what you’re going through. I think I may have the same issue going on. I just don’t wanna go have surgery on it. Can’t wait to see you push through this.
 
Warthog61 said:
IMO those kits arent really accurate. Best bet if you plan to test compounds send them out for testing. You are looking at primo?
Click to expand...
yea i just ordered 8 vials of it from pharmaqo labs, through naps, since it has been in short supply, wanna validate it is what they are claiming it to be, i asked for coa from them they shared one from 2022 and 2024, not from the current batch. hence wanna check at least 1 vial. i ordered 5 trens A & E mix, 5 masteron P& E mix, 3 winstrol AQ (all injectables) so whenever i am ready and recovered i can start any cycle as per advice from lev. already have 3 eq, 3 deca, 6 vials of test cyp on hand, so i will be able to run any combo advised without delay or ordering and waiting. (kind of an overkill) but i have this fear of stuff running out...lol @Warthog61
 
rayray01 said:
yea i just ordered 8 vials of it from pharmaqo labs, through naps, since it has been in short supply, wanna validate it is what they are claiming it to be, i asked for coa from them they shared one from 2022 and 2024, not from the current batch. hence wanna check at least 1 vial. i ordered 5 trens A & E mix, 5 masteron P& E mix, 3 winstrol AQ (all injectables) so whenever i am ready and recovered i can start any cycle as per advice from lev. already have 3 eq, 3 deca, 6 vials of test cyp on hand, so i will be able to run any combo advised without delay or ordering and waiting. (kind of an overkill) but i have this fear of stuff running out...lol @Warthog61
Click to expand...
Tren??? Thats not a typo? I believe pharmaqo runs batch numbers so you could see if they have updated HPLC's direct from them or email naps for an updated one. Its a great choice but not sure of tren in the future for you, wouldnt be my 1st choice. Seems a little aggressive with a solitary kidney, but i'm not one for accurate advice. LISTEN TO @LevButlerov @HarleyGuy and other vets on this, i know you are in recovery which will be a long road ahead but stay positive. I also know you a very eager person and you need to be smart about all of this.

There isnt much you can't get done on a low dose of test, especially with your size
 
Warthog61 said:
Tren??? Thats not a typo? I believe pharmaqo runs batch numbers so you could see if they have updated HPLC's direct from them or email naps for an updated one. Its a great choice but not sure of tren in the future for you, wouldnt be my 1st choice. Seems a little aggressive with a solitary kidney, but i'm not one for accurate advice. LISTEN TO @LevButlerov @HarleyGuy and other vets on this, i know you are in recovery which will be a long road ahead but stay positive. I also know you a very eager person and you need to be smart about all of this.

There isnt much you can't get done on a low dose of test, especially with your size
Click to expand...
I ordered it just to have it in stock will only do what @LevButlerov will advise. But I would like to try it one day. Yea first gotta get to a point to where I can workout full body, hopefully in 3 months time will able do another recomp cycle.

I did ask naps and they shared 2022 and 2024 test results nothing from this batch but will look into what you shared about batch number and validating through pharmaco. @Warthog61
LevButlerov said:
looking good :D @rayray01

no need, how do you figure you have low salt?
Click to expand...
My.labs came back with low sodium, hence asked about this. @levbuterlov
 
rayray01 said:
Ok i am glad I asked. I will waitand stick to the original gameplan.
Click to expand...
I'm glad too, go easy on the sauce and all compounds. Add in some extra collagen too and go easy for 8-10 weeks. Marathon, not a sprint. What matters is how you feel and look in a years' time and not next month.
 
rayray01 said:
I ordered it just to have it in stock will only do what @LevButlerov will advise. But I would like to try it one day. Yea first gotta get to a point to where I can workout full body, hopefully in 3 months time will able do another recomp cycle.

I did ask naps and they shared 2022 and 2024 test results nothing from this batch but will looak into what you shared about batch number and validating through pharmaco. @Warthog61

My.labs came back with low sodium, hence asked about this. @levbuterlov
Click to expand...
HarleyGuy said:
I'm glad too, go easy on the sauce and all compounds. Add in some extra collagen too and go easy for 8-10 weeks. Marathon, not a sprint. What matters is how you feel and look in a years' time and not next month.
Click to expand...

Yes sir.. that is the gameplan.
 
rayray01 said:
Yesterday diet and excersize
Click to expand...
Good macros and calories when you're not moving as much.

Have you got the collagen peptide powder yet?

For the leg extension machine are you not hanging on to one side, same with leg press?
 
HarleyGuy said:
Good macros and calories when you're not moving as much.

Have you got the collagen peptide powder yet?

For the leg extension machine are you not hanging on to one side, same with leg press?
Click to expand...

Yes I just ordered it today. And my chicken bone broth arrived today as well.

No using both legs, they are seated leg extention machine and leg press machine, was able to.comfortably do so, leg press a bit hard yesterday so just did one set and I think it will get easier going forward. @HarleyGuy
 

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Got Naps Delivery and it was all messed up.

What i recieved is completely different from what I had ordered.

10 Test E - 300
3 Nandrolone D 300
1 Trenbolone E 200
1 Ment 50
1 Primobolan Depot 175

1 Tadalafil
1 Anavar
1 Proviron


I believe this has to be someone else's order. What do I do with all this. Please advice on how to get this resolved amd receive the order I had originally placed.

@LevButlerov
 

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rayray01 said:
Got Naps Delivery and it was all messed up.

What i recieved is completely different from what I had ordered.

10 Test E - 300
3 Nandrolone D 300
1 Trenbolone E 200
1 Ment 50
1 Primobolan Depot 175

1 Tadalafil
1 Anavar
1 Proviron


I believe this has to be someone else's order. What do I do with all this. Please advice on how to get this resolved amd receive the order I had originally placed.

@LevButlerov
Click to expand...
Thanks for the honesty and pointing this out bro. Tagging @LevButlerov for his que. It will get squared away.
 
rayray01 said:
Got Naps Delivery and it was all messed up.

What i recieved is completely different from what I had ordered.

10 Test E - 300
3 Nandrolone D 300
1 Trenbolone E 200
1 Ment 50
1 Primobolan Depot 175

1 Tadalafil
1 Anavar
1 Proviron


I believe this has to be someone else's order. What do I do with all this. Please advice on how to get this resolved amd receive the order I had originally placed.

@LevButlerov
Click to expand...
Tagged jason for you, he will get it sorted out for you in a timely manner
 
rayray01 said:
Got Naps Delivery and it was all messed up.

What i recieved is completely different from what I had ordered.

10 Test E - 300
3 Nandrolone D 300
1 Trenbolone E 200
1 Ment 50
1 Primobolan Depot 175

1 Tadalafil
1 Anavar
1 Proviron


I believe this has to be someone else's order. What do I do with all this. Please advice on how to get this resolved amd receive the order I had originally placed.

@LevButlerov
Click to expand...
We should tag @jasonhill800 here I'll let him know as well. did you put in support ticket?
 
rayray01 said:
Got Naps Delivery and it was all messed up.

What i recieved is completely different from what I had ordered.

10 Test E - 300
3 Nandrolone D 300
1 Trenbolone E 200
1 Ment 50
1 Primobolan Depot 175

1 Tadalafil
1 Anavar
1 Proviron


I believe this has to be someone else's order. What do I do with all this. Please advice on how to get this resolved amd receive the order I had originally placed.

@LevButlerov
Click to expand...
Pharmaqo messed up man. They will make this right
 
LevButlerov said:
We should tag @jasonhill800 here I'll let him know as well. did you put in support ticket?
Click to expand...
Yes I have submitted a ticket and DM Jason as well for this. I was so excited when I received it that all my primo are here but when I opened it, i was like what is this? Even the tracking number on the box does not match any tracking number listed at Naps for my orders marked shipped. I feel bad for the person whose order got delivered to me..

The only thing common between this order and mine is one tren E amd one Nandrolone D, rest all is different.
 
rayray01 said:
Got Naps Delivery and it was all messed up.

What i recieved is completely different from what I had ordered.

10 Test E - 300
3 Nandrolone D 300
1 Trenbolone E 200
1 Ment 50
1 Primobolan Depot 175

1 Tadalafil
1 Anavar
1 Proviron


I believe this has to be someone else's order. What do I do with all this. Please advice on how to get this resolved amd receive the order I had originally placed.

@LevButlerov
Click to expand...
Wow that’s a huge order. Lot of stuff there
 
rayray01 said:
Yes I have submitted a ticket and DM Jason as well for this. I was so excited when I received it that all my primo are here but when I opened it, i was like what is this? Even the tracking number on the box does not match any tracking number listed at Naps for my orders marked shipped. I feel bad for the person whose order got delivered to me..

The only thing common between this order and mine is one tren E amd one Nandrolone D, rest all is different.
Click to expand...
Good news it has primobolan right? @rayray01
 
rayray01 said:
Yes I have submitted a ticket and DM Jason as well for this. I was so excited when I received it that all my primo are here but when I opened it, i was like what is this? Even the tracking number on the box does not match any tracking number listed at Naps for my orders marked shipped. I feel bad for the person whose order got delivered to me..

The only thing common between this order and mine is one tren E amd one Nandrolone D, rest all is different.
Click to expand...
You’re going to run tren? I’m curious about that
 
rayray01 said:
Yesterday's diet and excersize
Click to expand...
Good to see you're choosing exercises that are working around your injury and you're not pushing the envelope.

How is the shoulder feeling? Pain levels?
 
HarleyGuy said:
Good to see you're choosing exercises that are working around your injury and you're not pushing the envelope.

How is the shoulder feeling? Pain levels?
Click to expand...
Oh lower body only for next 3-4 months is all I see in my future... lol till ky physical therapy is completed and the doc say I can start lifting with right side shoulder. Hopefully all these legs days add a pound or two on my thighs
 
rayray01 said:
Yesterday's diet and excersize
Click to expand...
This is too early, don't do ANY exercises minimum 10 days post surgery, you are causing inflammation and limiting recovery, just walk please @rayray01
 
rayray01 said:
You got it sor. So i had already worked out in the morning today, but won't be doing so.from tomorrow.
Click to expand...
sure keep us posted :D and add bone broth ED
 
Today's activity and diet. Calories burned is reporting low because I forgot to wear my fitbit for like first 3-4hours of the day so didn't count my walking at the gym.
 

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rayray01 said:
Today's activity and diet. Calories burned is reporting low because I forgot to wear my fitbit for like first 3-4hours of the day so didn't count my walking at the gym.
Click to expand...
Good day, but add 1 avocado ed from now on @rayray01
 
rayray01 said:
Yes sir started bone broth today, still waiting collagen peptide will start when it gets here.
Click to expand...
Great job getting the collagen peptides have you decided on dose? I think you'll wanna keep it high for a while. I take 20g ED.
 
rayray01 said:
No I have not whatever you recommend will roll with that...
Click to expand...
If you have the discipline add one scoop with each meal. You're around 3-4 meals a day so there's your 15-20g.
 
HarleyGuy said:
If you have the discipline add one scoop with each meal. You're around 3-4 meals a day so there's your 15-20g.
Click to expand...
Each meal, slightly confused the collagen peptide is a powder, so would i not drink it similarly as I do protien shake, or you are saying to add a scoop of it with my protein drink?? Please advise. @HarleyGuy
 
rayray01 said:
Each meal, slightly confused the collagen peptide is a powder, so would i not drink it similarly as I do protien shake, or you are saying to add a scoop of it with my protein drink?? Please advise. @HarleyGuy
Click to expand...
Protein drink = add scoop
With each meal = swirl in with some water and chug

There's your 20g.
 
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