10/29/2025 Weight 219.5bs Food-2811Cals/275P/297C/91F
Meal1- 4whole eggs/1 slice no fat cheese/5 slices 647 toast
Meal2- 8oz chicken breast/250g rice
Intra WO-25g carb drink
Post WO-Shake/Banana
Meal4- 6whole eggs/2 slice no fat cheese/6 slices 647 toast
Meal5-1.5c cottage cheese/blueberries
RP Hypertrophy-Block 2-5 week arm focus
Lat pull-200x6x2sets
Narrow lat pull-200x6x2sets
Close grip seated row-160x8x2sets
Chest supported row-70x8x2sets
Cable pullover-120x12x2sets
Cardio
15min post WO incline treadmill
Supps/Meds
12g fish oil daily
15g fiber daily on top of food fiber
Amlodipine/Benazepril 10/20mg daily
7 caps N2Guard daily
1000mg Citrus Bergamot daily
1200mg NAC
1000mg TUDCA
1000mg astragalus
200mg DHEA
100mg Ashwagandha
10mg Pregnenolone
6mg Boron
15mg Iron
Digestive enzymes
Supps/Meds
12g fish oil daily
15g fiber daily on top of food fiber
Amlodipine/Benazepril 10/20mg daily
7 caps N2Guard daily
1000mg Citrus Bergamot daily
1200mg NAC
1000mg TUDCA
1000mg astragalus
200mg DHEA
100mg Ashwagandha
10mg Pregnenolone
6mg Boron
15mg Iron
Digestive enzymes
Notes
Rest Day. Just crossed 220lbs for the second time in my life. Iām 3lbs away from my all time heaviest of 223.5lbs at the end of last years build and still have +/- 11 weeks to go!!! Could be going over 230lbs this time!!!
Iām not a radiologist, but Grok Expert is pretty, well expertish.
Overall Impression
These findings point to a mix of acute or chronic injury and degenerative changes in the shoulder joint, likely contributing to pain, reduced mobility, or weakness. The key issues are a significant partial tear in the supraspinatus tendon (part of the rotator cuff), a torn and degenerated labrum (possibly a SLAP tear given the superior location), thinning cartilage suggesting early osteoarthritis, and hypertrophy in the acromioclavicular (AC) joint that might cause impingement. The good news is that the other rotator cuff tendons and muscles are intact with no atrophy, no major fluid buildup, and no acute bone fractures. This could stem from overuse, age-related wear, or trauma, and itās common in people over 40.
Breakdown of Findings
Supraspinatus Tendon: High-grade partial-thickness undersurface tear extending to the myotendinous junction. The supraspinatus is one of the four rotator cuff tendons that stabilize the shoulder and help lift the arm. A partial-thickness tear means itās damaged but not completely severedāspecifically on the undersurface (articular side facing the joint). āHigh-gradeā typically indicates it involves more than 50% of the tendonās thickness, making it more serious and potentially at risk of progressing to a full tear if not managed. The extension to the myotendinous junction (where tendon meets muscle) suggests the tear is fairly extensive. This is a common cause of shoulder pain, especially with overhead activities.
Infraspinatus, Subscapularis, and Teres Minor Tendons: Intact. These are the other rotator cuff tendons, responsible for external rotation, internal rotation, and stability. No issues here is positiveāit means the rotator cuff isnāt broadly compromised.
Long Head Biceps Tendon: Intact. This tendon runs through the shoulder joint and helps with arm flexion. No tear or displacement is a good sign, as biceps issues often accompany rotator cuff problems.
Rotator Cuff Muscles: No atrophy. The muscles arenāt wasting away, which suggests the injury isnāt longstanding or severe enough to cause muscle loss yet. This bodes well for recovery potential with treatment.
Labrum: Degenerated and torn, particularly the superior portion. The labrum is a ring of cartilage around the glenoid (socket) that deepens the joint for stability. Degeneration means wear and tear, while a tear (especially superior) could be a SLAP lesion (Superior Labrum Anterior to Posterior), often from repetitive overhead motions or falls. Labral tears are common on MRI and can cause catching, pain, or instability.
Glenohumeral Articular Cartilage: Thinned. This is the smooth lining of the ball-and-socket joint (humerus and glenoid). Thinning indicates early arthritis or wear, which can lead to pain and stiffness over time. Itās often seen alongside labral issues.
Acromioclavicular Joint: Moderate hypertrophy with mild impression on the subacromial space. The AC joint is where the collarbone meets the shoulder blade. Hypertrophy means bony overgrowth (like arthritis), which can narrow the space under the acromion (subacromial space) and pinch the rotator cuff tendonsācontributing to impingement syndrome. āMild impressionā suggests itās not severe but could irritate the supraspinatus tear.
Bones: Degenerative marrow changes, no acute osseous abnormalities. Degenerative changes in the bone marrow are signs of chronic stress or early osteoarthritis, but nothing acute like a fresh fracture or bone disease.
Fluid: Small amount of joint fluid, no bursal collections. A small effusion (fluid) in the joint is normal or mild inflammation. No fluid in the bursae (sacs that cushion tendons) means no significant bursitis.
What This Might Mean Clinically
This profile is consistent with rotator cuff pathology, possibly impingement syndrome exacerbated by the AC joint changes, plus glenohumeral (shoulder joint) degeneration. Symptoms could include pain at night, difficulty raising the arm, or weakness. If itās high-grade, it might not heal on its own and could worsenāpartial tears sometimes progress. Treatment options often start conservative: physical therapy, anti-inflammatories, or injections. Surgery (like arthroscopic repair) might be considered if symptoms persist, especially for the tear and labrum. MRI is great for spotting these, but correlation with your clinical picture is key.
When are you starting BPC157 and TB500?
Iād go 500mcg both daily, but im not afraid to throw drugs at the problem.
I wouldnāt touch anything that aggravates this at the moment, but I would continue training everything that you are still able to, including the other side. Seems you are already doing this, just giving my opinion.
Iāve already run it for 8 weeks a few months back. Didnāt help. Also had a cortisone shot that didnāt help.
Iām basically limiting my training to machines that I can keep controlled. Still making great progress. It actually feels better now than a few weeks ago. Just gonna stay the course for now and possibly try the peptides again once Iām done building. May also add in ghk.
Did your doctor(s) say anything about surgery or recovery of any sort?
The only injury revovery method I know is to go very high reps for movements that dont hurt, but train the muscles around it. Youād still be using progressive overload, but in the 40-50 rep range.
Havenāt been to follow up yet. Physio is good with what Iām doing.
Would never do this. Iām completely fine to train the way I want. Nothing Iām doing is agrivating it. Is it hindering the healing? Maybe but it is getting better just slowly.
10/31/2025 Weight 220.8bs Food-2811Cals/275P/297C/91F
Meal1- 4whole eggs/1 slice no fat cheese/5 slices 647 toast
Meal2- 8oz chicken breast/250g rice
pre/intra-Carb drink
Post WO-Banana/shake
Meal4- 6whole eggs/2 slice no fat cheese/6 slices 647 toast
Meal5-1.5c cottage cheese/blueberries/20g dark chocolate chips
RP Hypertrophy-Block 2-5 week arm focus
Rope hammers-100x12x3sets
Rope extensions-100x12x3sets
Alternating DB curls-40x8x3sets
EZ bar skull crusher-70x10x3sets
Preacher curl-60x12x3sets
Machine tricep pushdown-200x12x3sets
Hanging leg raises-15x3sets
Cardio
15min post WO incline treadmill
Supps/Meds
12g fish oil daily
15g fiber daily on top of food fiber
Amlodipine/Benazepril 10/20mg daily
7 caps N2Guard daily
1000mg Citrus Bergamot daily
1200mg NAC
1000mg TUDCA
1000mg astragalus
200mg DHEA
100mg Ashwagandha
10mg Pregnenolone
6mg Boron
15mg Iron
Digestive enzymes
11/3/2025 Weight 219.4bs Food-2811Cals/275P/297C/91F
Meal1- 4whole eggs/1 slice no fat cheese/5 slices 647 toast
Meal2- 8oz chicken breast/250g rice
pre/intra-Carb drink
Post WO-Banana/shake
Meal4- 6whole eggs/2 slice no fat cheese/6 slices 647 toast
Meal5-1.5c cottage cheese/blueberries/20g dark chocolate chips
RP Hypertrophy-Block 2-5 week arm focus
HS incline press-300x6x3sets plus BO
Converging chest press-170x12x2/170x11x1
Pec deck-1890x10x3sets
Pushups-BWx15x3sets
Reverse pec deck-150x12x3sets
Plate raise-25x15x3sets
Three way raise-20x30x3sets
Machin abs-110x15x3sets
Cardio
15min post WO incline treadmill
Supps/Meds
12g fish oil daily
15g fiber daily on top of food fiber
Amlodipine/Benazepril 10/20mg daily
7 caps N2Guard daily
1000mg Citrus Bergamot daily
1200mg NAC
1000mg TUDCA
1000mg astragalus
200mg DHEA
100mg Ashwagandha
10mg Pregnenolone
6mg Boron
15mg Iron
Digestive enzymes
RP Hypertrophy-Block 2-5 week arm focus
Lying leg curl-145x8x2sets
Leg extension-210x9x2sets
Cybex squat press-650z6x2sets
BB RDL-225x6x2sets
Seates calces-90x15x2sets
Cardio
15min post WO incline treadmill
Supps/Meds
12g fish oil daily
15g fiber daily on top of food fiber
Amlodipine/Benazepril 10/20mg daily
7 caps N2Guard daily
1000mg Citrus Bergamot daily
1200mg NAC
1000mg TUDCA
1000mg astragalus
200mg DHEA
100mg Ashwagandha
10mg Pregnenolone
6mg Boron
15mg Iron
Digestive enzymes
RP Hypertrophy-Block 2-5 week arm focus
Cable pullover-100x15x2sets
Lat pull-200x7x2sets
Narrow lat pull-200x7x2sets
Seated narrow cable row-165x8x2sets
Arsenal chest supported row-80x8x2sets Cardio
15min post WO incline treadmill
Supps/Meds
12g fish oil daily
15g fiber daily on top of food fiber
Amlodipine/Benazepril 10/20mg daily
7 caps N2Guard daily
1000mg Citrus Bergamot daily
1200mg NAC
1000mg TUDCA
1000mg astragalus
200mg DHEA
100mg Ashwagandha
10mg Pregnenolone
6mg Boron
15mg Iron
Digestive enzymes
11/8/2025 Weight 219.6bs Food-?
Meal1- 4whole eggs/1 slice no fat cheese/5 slices 647 toast
Meal2- 8oz chicken breast/300g rice
pre/intra-Carb drink
Post WO-Banana/shake
Meal4-Sausage&Capicola sandwich/1 french fry
RP Hypertrophy-Block 2-5 week arm focus
Cable EZbar curl-100x13x3sets
Rope extensions-100x13x3sets
Alternating DB curl-40x9x3sets
EZBar skull crusher-70x11x3sets
Preacher curl-60x13x2/70x10x1set
Machine pushdown-220x12x3sets
Hanging leg raises-15x3sets
Cardio
15min post WO incline treadmill
Supps/Meds
12g fish oil daily
15g fiber daily on top of food fiber
Amlodipine/Benazepril 10/20mg daily
7 caps N2Guard daily
1000mg Citrus Bergamot daily
1200mg NAC
1000mg TUDCA
1000mg astragalus
200mg DHEA
100mg Ashwagandha
10mg Pregnenolone
6mg Boron
15mg Iron
Digestive enzymes
Notes
Went out to dinner with the Wife. Had a huge sandwich. Totally stuffed. Was so good. I told her we canāt go ther anymore knowing thatās on ther menu!!!
RP Hypertrophy-Block 2-5 week arm focus
Cybex incline chest press-310x6x3sets plus BO
Incline converging chest press-175x12x3sets
Pec deck-190x12x3sets
Pushups-BWx15
Reverse pec deck-145x12x3sets
Plate raise-25x15x3sets
Three way raise-15x30x3sets
Handing leg raise-15x3sets
Cardio
15min post WO incline treadmill
Supps/Meds
12g fish oil daily
15g fiber daily on top of food fiber
Amlodipine/Benazepril 10/20mg daily
7 caps N2Guard daily
1000mg Citrus Bergamot daily
1200mg NAC
1000mg TUDCA
1000mg astragalus
200mg DHEA
100mg Ashwagandha
10mg Pregnenolone
6mg Boron
15mg Iron
Digestive enzymes
