Recovering from injury or surgery can present formidable challenges, often accompanied by muscle shutdown and inflammation in the soft tissues. Traditionally, managing these issues has relied on physical therapy, over-the-counter medications like NSAIDs, and time. However, emerging evidence suggests a new frontier in recovery assistance: Medical Peptides*.
At Bridger Orthopedics, we're excited to offer a groundbreaking approach to recovery enhancement through the use of select peptides. These peptides, commercially available and backed by promising research, have shown remarkable potential in promoting muscle mass increase, expediting recovery, and reducing inflammation.
The following three peptides have shown great promise, and there is strong clinical evidence to support them. Unfortunately, these peptides are not covered by insurance and are a cash pay item. For that reason, pricing for these peptides is included here. Depending on the injury or surgery, these peptides may be administered anywhere from 6 weeks to 9 months although some individuals may choose to use them longer for improved physical performance, enhanced recovery, or anti-aging properties.
*It's important to note that while these peptides are not intended to replace traditional treatments, they serve as potent adjuncts, capable of significantly shortening recovery times and potentially making the recovery process more predictable. Peptide treatment may be covered by your Health Savings Account. For coverage specifications, please contact your individual HSA management team directly. Treatment with the peptides listed below is available for patients that are 18+ years of age.
NAD is an important coenzyme central to energy metabolism. It is intimately linked to forming new cells and repair of damaged cells. NAD has also been shown to increase energy levels, which are often depleted after surgery or injury. Lastly, NAD plays a key role in the aging process, including reducing genomic instability, addressing mitochondrial dysfunction, and decreasing age-related inflammation.
NAD is typically prescribed as a subcutaneous injection (into the superficial fat on the abdomen) administered once daily, typically in the evening**. The dose is 0.5ml. Long-term side effects of NAD treatment have not been described.
NAD is provided in a 10ml vial.
Short-term side effects include flushing (related to vasodilation), nausea (mitigated by maintaining appropriate hydration status), brief headache, or dizziness/lightheadedness. These side effects are typically very short-lived, if they occur at all, and should predictably resolve within 15 minutes of administration.
**These peptides will be provided by Bridger Orthopedics along with any necessary injection supplies including a sharps container. It is recommended that injectable medications be stored refrigerated.
Sermorelin is a peptide that mimics Growth Hormone Releasing Hormone (GHRH), which stimulates the body to produce and secrete Human Growth Hormone (hGH). Growth Hormone plays a pivotal role in increasing lean body mass and increasing insulin sensitivity. In addition to its role in muscle development and recovery, hGH has also been linked to weight loss, improved bone mineralization density, increased mental focus, and improved libido in both men and women.
Sermorelin is also injected subcutaneously**. Typical dosing is 0.2ml administered in the evening, on an empty stomach, five out of seven days of the week.
Sermorelin is provided in a 7.5ml vial.
Side effects of Sermorelin are typically uncommon. Long-term risks have not been identified. The most common side effects are injection site inflammation or swelling. Less common side effects include flushing, headache, or nausea.
**These peptides will be provided by Bridger Orthopedics along with any necessary injection supplies including a sharps container. It is recommended that injectable medications be stored refrigerated.
BPC-157 is a peptide that is linked to wound healing and has strong anti-inflammatory properties. It is thought that BPC-157 functions to improve post-surgical recovery by promoting angiogenesis, or new blood vessel development. It has been shown to improve healing in multiple tissue types, including muscle, tendons, and bone. In addition, BPC-157 can improve muscle strength and endurance.
BPC-157 is administered as an oral supplement. The dose is one tablet twice daily.
BPC-157 side effects are relatively uncommon, but may include nausea, diarrhea, and dizziness.
Testosterone is a hormone essential for the development and maintenance of male physical characteristics and muscle mass. It plays a crucial role in increasing muscle mass, improving strength, and boosting overall physical performance. Appropriately dosed testosterone therapy can also enhance recovery times, improve mood, increase libido, and enhance mental clarity.
Testosterone is most accurately administered as an intramuscular injection although a topical cream is also an option. The dosage and frequency depend on individual needs and medical advice. Side effects of testosterone therapy can include acne, increased body hair, mood swings, and potential cardiovascular risks. These side effects are significantly more common when dosing is above physiological levels. It is important to discuss these risks with a healthcare provider.
Testosterone is provided in a 10ml vial.
A blood test is required. Unlike the other medication’s in this section, testosterone is this stored at room temperature.
**These peptides will be provided by Bridger Orthopedics along with any necessary injection supplies including a sharps container.
Semaglutide is a glucagon-like peptide-1 (GLP-1) analog that was initially approved in 2020 as a treatment method for improving glycemic control in patients with Type 2 diabetes. Since then, Semaglutide has shown great promise for patients who are having difficulty losing weight.
Studies have demonstrated that Semaglutide reduces appetite, improves control of eating, and reduces food cravings in addition to improving glycemic control. The greatest weight loss benefits were observed when Semaglutide is used in combination with lifestyle changes, such as improved diet and consistent exercise.
Semaglutide is administered as a subcutaneous injection. Typical dosing starts at 0.05-0.1ml once weekly and then titrated up. Typical treatment dose is 0.2-0.5ml once weekly. Side effects may include nausea, vomiting, diarrhea, constipation, and abdominal pain. These side effects are usually mild and decrease over time. In addition, starting at a lower dose tends to reduce or eliminate these symptoms. Semaglutide is contraindicated in the setting of thyroid cancer (you or a family member).
Safety is paramount in our practice. While peptide therapy is generally safe, it's crucial to note that they may provide significant advantages in recovery and muscle development. As such, they are typically prohibited for high-level amateur and professional athletes. Athletes engaged in competitive sports are advised to consult their organization's governing body to ensure compliance with regulations regarding peptide usage.
Please note that prices are subject to change and may vary depending on individual treatment plans. For the most accurate pricing information and to inquire, please contact Bridger Orthopedic.
Contact Bridger Orthopedics today to learn more about how medical peptides can help you on your journey to optimal recovery and well-being.