Comment by diath

6 hours ago

> My patient is refusing a drug studied in 170,000 people because of side effects that a 124,000-person analysis just confirmed do not exist — while injecting a compound studied in 14 humans, from unregulated sources, based on the recommendation of someone who profits from selling it. She’s probably not the only one. And those using it believe they are “doing their own research.”

Ok, and? At worst you waste a couple hundred dollars and deem the alternative therapy not worth it and go back to your doctor but I know dozens of people at my gym that used BPC 157 and TB 500 that fixed their chronic tendon/joint issues within weeks of starting the therapy that physios couldn't fix for years.

> I know dozens of people at my gym

I don't think I even know dozens of people, full stop, let alone well enough to talk to them about their peptide use.

  • I go to a gym that has IFBB pros and people competing on elite powerlifting level, steroid and peptide use is an every day chit chat topic.

You know dozens of people from a single place that have chronic tendon/joint issues?

  • I don't doubt it. You make casual friends sometimes at certain gyms, especially if any sort of sports are involved like tennis or even group classes.

    I am a super introvert and know at least half a dozen folks with such issues, more if you include my close friend group.

    Any place that has a lot of physically active people stressing their limits a bit is going to have a lot of injured folks over a decent period of time. And of course it gets talked about quite a lot, since it limits performance and ability.

    My trainer knows I have a chronic shoulder issue, and an adductor issue at the moment I'm working through that we need to avoid stressing too much. The few other folks who tend to work out around my schedule know of this, and I know of theirs.

    Not very uncommon really.

  • Hang out at a BJJ or MMA gym for a bit, and you'll find plenty. Peptides are really popular in combat sports circles, with good reason.

  • You should hang out at a climbing gym sometime. There is nothing that unites climbers more than injury talk.

My partner's grandfather died of cancer because when he was having pains they believed their homeopathic medicine would work. When he finally when in to see a real doctor it was too late. If he had gone in earlier, he would been able to have a chance. This is not a rare occurrence for these types.

  • Why would you stop going to a real doctor though? It's not one or the other.

    I'm very on the fence over BPC-157/TB500, I really want to see some actual clinical trials ran on it. I have a feeling the effects are overstated, but I also have had a number of "insider" conversations where I know these and other compounds are very much being utilized in pro athlete injury recovery programs. Those athletes certainly are getting state of the art medical care via traditional sources, plus elite level physio therapy - so it's hard to say if the illicit injury recovery drugs are doing much or not.

    • I don’t think either of those are patentable so I doubt you’ll see studies or trials any time soon. A lot of strength athletes at all levels, not just elite, are absolutely convinced of their efficacy and their usage sometimes seems as common as ibuprofen.

> Ok, and?

According to our new AI overlords, a short synopsis of potential risks of BPC 157 based on mechanistic and animal work to date (don't know human risks because there haven't been sufficient clinical studies):

* Possible pathologic angiogenesis (abnormal blood‑vessel growth), which theoretically could support tumor growth or inflammatory and autoimmune processes. * Modulation of nitric‑oxide pathways that, at high levels, might contribute to anemia, altered drug metabolism (CYP enzyme activity), and possibly neurodegenerative processes in theory. * Concerns that its pro‑healing, pro‑growth signalling (e.g., FAK–paxillin) could encourage cancer spread if malignant cells are already present; this remains theoretical, with no proof in humans. * Possible liver and kidney toxicity suggested in some commentary and extrapolated from preclinical work, but not well characterized in people. * Immune reactions or allergic responses, including fevers, rash, hives, muscle aches, or systemic inflammatory responses

These do not appear to be results that would appear overnight. It would be "nice" if the folks injecting random shit into their bodies also disclaimed any subsequent medical intervention as a result of said shit, but that I suspect that's unlikely.

  • Have you ever looked at leaflets attached to any medicine prescribed by doctors?

    • You mean the ones that are the result of experience through controlled clinical trials with statistical analyses and error bars, yep, sure. I guess I have a bit more faith in those leaflets and the testing regimes that generates them than the word of some gymbro or influencer who injected themselves and didn't immediately fall over dead.

  • My total layman view is that powerful drugs often have powerful side effects.

    • That's because you grew up in a society still deeply coded to puritan moral viewpoints.

      People for so upset that GLP-1 has no long term side effects.

      There's still the crowd completely sure everyone will get HyperCancer in 10 years or something (they won't).