First of all, if you're post-surgery, I hope it went well. I've had to deal with the aftermath of what was supposed to be, fairly unobtrusive arthroscopic surgery that turned into a lot of slicing and dicing: think multiple anchors in a small subacromial space coupled with "Crossfit-style" 'kipping' pull-ups, over years [not me]. But I know shoulder surgeries can be a bitch.
I actually had written a whole section in Bolus about [Potentially] Using RhGH for Post-Surgery and Return from Immobilization, and besides it being just pure medical advice that I cannot give, I came to two conclusions about this topic:
1. The human body is so remarkably, brilliantly, awesomely adaptive… that we cannot even begin to fathom the grand design of its recoveryability. Tied up in here somewhere is some recognition of "God," even – or "intelligent design."
We're all, really and truly, about a million times dumber than our body when it comes to even understanding how it heals.
The pure conceit that we might be able to enhance the body's natural healing processes belies what is just, at bottom, our own impulse to feel like we're in the "driver's seat." Injections give us a illusory, fleeting sense of control – and nothing more – actually… a whole lot less since there are recorded cases of people who injected a bunch of GH during recovery ending up with complications from scar tissue (literally collagen deposition in muscle). Please don't make me dig em up; I assuredly could eventually, but don't want to have to sort through fucking Reddit and ProM… but these anecdotes are out there.
2. If these drugs actually worked why wouldn't they be prescribed?
Don't you think your surgical team wants you to get off their docket right away? Do you think they have qualms about…what, diversion? Side effects?
If you need it, they'll Rx you 360 30-mg oxycodone tablets for pain… there are quarter-billion-dollar industries devoted to speeding-up post-surgical outcomes (think E-stim. machines, supercooling tech, etc.) by a couple days (maybe + 2 - 7%)
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Finally, there are a couple small-scale studies that concluded that direct intra-articular injection of Increlex® (mecasermin; recombinant IGF-1) might… maybe… speed up return from immobilization (being "bed-bound"). There's just a stark difference between that versus pinning a few IU GH.
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Alas, my answer to your incomplete sentence is:
As far away as possible from the surgery and as close as possible to your next PRs.
to quantify my trade-off as well between pre-workout (wake up and pin at 6:30, workout, eat 9:30) vs pre-bed (2h after dinner [100g carbs, 700kcal + Retatrutide])
