Upcoming Surgery and PEDS/Petides

[oldage]

I have decided to post and keep track of an upcoming 3 level Cervical laminectomy to prevent further damage from severe compression of my spinal cord in C4,C5, and moderate compressionat C3. I currently have neuropathy in both hands with very minor loss of strength and speed in both hands as well as clonus in my quads and calfs. Estimated time to be kept out of work and at home is 4 to 6 weeks. Hoping to minimize muscle spasms, inflammation, increase rate of recovery and minimize muscle loss/catabolism.

Nutrition goals: 250g protein, 100g carbs, 65g Fat. ( I will be very sedentary)

Weekly....
200mg-Test U
75mg- Primo
14iu-HGH
10mg TB-500
2.5mg Terz

Not sure what to expect after surgery but starting TB-500 day before. Will probably not be able to take any peptides for 3 days, maybe.... Doc says I won't be able to hold my head much at first but will give me a colar to rest my chin on.

Any thoughts guys???

 

[Bigoldguy]

Nothing other than hope it all works out for ya! Spine surgery scares the hell outta me. Your name is Oldage but just how old are ya?

 

[oldage]

Not very. 43. Young for a surgery based on arthritis and bone spurs.

 

[RockyP]

I have decided to post and keep track of an upcoming 3 level Cervical laminectomy to prevent further damage from severe compression of my spinal cord in C4,C5, and moderate compressionat C3. I currently have neuropathy in both hands with very minor loss of strength and speed in both hands as well as clonus in my quads and calfs. Estimated time to be kept out of work and at home is 4 to 6 weeks. Hoping to minimize muscle spasms, inflammation, increase rate of recovery and minimize muscle loss/catabolism.

Nutrition goals: 250g protein, 100g carbs, 65g Fat. ( I will be very sedentary)

Weekly....
200mg-Test U
75mg- Primo
14iu-HGH
10mg TB-500
2.5mg Terz

Not sure what to expect after surgery but starting TB-500 day before. Will probably not be able to take any peptides for 3 days, maybe.... Doc says I won't be able to hold my head much at first but will give me a colar to rest my chin on.

Any thoughts guys???

Stack looks good - maybe add some anavar?

 

[oldage]

I wish I could. Orals are no go for me. Tried using anavar earlier this year and HDL tanked fast, LDL was up and liver enzymes started to go up. Thanks for the suggestion!

 

[gainslol]

Don't use Tirz if you're going under anesthesia. Most surgeons won't even do the surgery unless you skip 2 weeks of Tirz but possibly longer. It has to do with food being stuck in the stomach, making it essentially impossible to fast. It can lead to you choking on your own vomit during surgery.

 

[gainslol]

Here this might not be the best source, but it explains it better than I do:

Patients Taking Popular Medications for Diabetes and Weight Loss Should Stop Before Elective Surgery, ASA Suggests

With the growing popularity of medications like Ozempic® (semaglutide), Trulicity® (dulaglutide), and other glucagon-like peptide-1 (GLP-1) receptor agonists for the treatment of type 2 diabetes and weight loss, the American Society of Anesthesiologists (ASA) suggests withholding the medication...

www.asahq.org

 

[oldage]

That article actually explains something I couldn't figure out. Thank u!!

 

[Infernalmango]

I have a surgery coming up in January and my doc is having me stop reta a full month prior. Otherwise for your case the only other thing I’d think about is adding bpc with your tb500. Goodluck brother hoping for the best for you

 

[oldage]

It is emergent surgery. I was supposed to go under the knife day after the visit with the neurosurgeon but his dad had a stroke the day of surgery and pushed it out by two weeks. He knows about the Terz, ED'S use and I stopped. Article explains they would have or will have additional protocols for me.

Hey told me if wasnt in as good shape as I am and some luck that there was a good chance I should be in a much worse spot with the progression in damage to my spinal cord.

 

[juicebro]

I have a surgery coming up in January and my doc is having me stop reta a full month prior. Otherwise for your case the only other thing I’d think about is adding bpc with your tb500. Goodluck brother hoping for the best for you

You guys tell your doctors what you're taking? My last surgery was on 20mg reta weekly and 2.5 grams of gear.

 

[Infernalmango]

You guys tell your doctors what you're taking? My last surgery was on 20mg reta weekly and 2.5 grams of gear.

My case isn’t with my pcp. But I didn’t specify reta. I said I take a glp, trt, and misc peptides. He wasn’t super concerned, just said stop taking everything besides my trt 1 month before surgery.

 

[Bigoldguy]

Not very. 43. Young for a surgery based on arthritis and bone spurs.

Sometimes it ain't the age, its the mileage.

 

[PiscesMoon]

Hey @oldage Here is a post from @Ghoul about his experience, maybe he may have some further thoughts or advice to add.

In my case multiple discs had been destroyed by my neck being twisted, pressing them into my spinal cord partially paralyzing my right arm.

The conventional surgery would have fused multiple vertebrae in my neck with a metal "cage" of bars and screws, permanently eliminating the ability of my spine to flex. Think no tilting your head back to look up, limited left and right motion, for life, along with putting pressure on the rest of the spine leading to it's inevitable degradation requiring more surgery.

This procedure installed "sandwiches" made of 2 cobalt discs and a high tech plastic sphere between the affected vertebrae, replacing the (severely damaged) soft discs. The cobalt is biocompatible with bone, which allowed bone growth to hold the discs permanently in place without screws. The result was completely natural function of the cervical spine.

The entire procedure took 40 minutes through a 1 inch incision.

This was over a decade ago, and it's now an FDA approved procedure, but still only practiced by a minority of surgeons. If they can't do the procedure they'll try and dismiss, pushing the patient towards ancient fusion rather than suggest you take your business to another surgeon of course.

If you ever hear of someone scheduled for a spinal "fusion", implore them to seek out disc replacement instead, they are now possible at every level of the spine if you find the right surgeon. It's not possible in 100% of cases, but it is in most, and fusion is irreversible.

View attachment 283978

Wishing you a safe and successful surgery + recovery ahead.

 

[LGOP528]

So I just had a transforaminal microdiscectomy about 3 months ago. I used gear and peptides before and after. The GH caused extra edema to some of the surface blood clots in my arms, this was from the IVs during surgery. Doctors kind of freaked out. I would definitely wait to bring GH in. If you jump back on a bunch of gear, then have problems, that makes emergency surgery more complicated.

I would just stay on TRT and add GH in after a few weeks to help the bones heal. Healing is a long slow process. I didn’t realize how much pain I was in until it was gone (I was dealing with it for 9 months and by the time I went in for surgery, I was having to use a walker) I had cauda equina syndrome. I am living a normal life right now and even squatted light this morning.

It isn’t just tissues that need to heal. Your body has shutdown signals to some muscles to help protect the injury. You have to retrain your CNS so your muscles fire normally again. PEDs will not help this.

I get wanting this to be over but I promise, it will be over sooner if you just go through a normal rehab process. Hope I didn’t come off wrong, I made lots of mistakes during this injury.

ARA-290 definitely helped with nerve signaling. I still have a little drop foot in my right leg but it doesn’t affect anything, just very weak. After taking ARA, I feel nerves firing. I take it with KPV. So those 2 TRT and GH after a few weeks would be my suggestion.

 

[oldage]

Hey @oldage Here is a post from @Ghoul about his experience, maybe he may have some further thoughts or advice to add.



Wishing you a safe and successful surgery + recovery ahead.

Thank you. I actually had found that. Luckily I dont have any instability. Because its a tri-level disc replacement wasnt an option. My surgeon reviewed every option avialable.before his recommendation. A laminectomy is just the removal of bone from the spine creating space for the spinal cord. Two of my vertebrae are already partially fused due to the arthritis. So removing the disc's had no benefit. My long term looks decent but getting a baseline MRI after I heal because he wants to keep track of the progression of the arthritis/bone spurs to catch anything else early.

 

[oldage]

So I just had a transforaminal microdiscectomy about 3 months ago. I used gear and peptides before and after. The GH caused extra edema to some of the surface blood clots in my arms, this was from the IVs during surgery. Doctors kind of freaked out. I would definitely wait to bring GH in. If you jump back on a bunch of gear, then have problems, that makes emergency surgery more complicated.

I would just stay on TRT and add GH in after a few weeks to help the bones heal. Healing is a long slow process. I didn’t realize how much pain I was in until it was gone (I was dealing with it for 9 months and by the time I went in for surgery, I was having to use a walker) I had cauda equina syndrome. I am living a normal life right now and even squatted light this morning.

It isn’t just tissues that need to heal. Your body has shutdown signals to some muscles to help protect the injury. You have to retrain your CNS so your muscles fire normally again. PEDs will not help this.

I get wanting this to be over but I promise, it will be over sooner if you just go through a normal rehab process. Hope I didn’t come off wrong, I made lots of mistakes during this injury.

ARA-290 definitely helped with nerve signaling. I still have a little drop foot in my right leg but it doesn’t affect anything, just very weak. After taking ARA, I feel nerves firing. I take it with KPV. So those 2 TRT and GH after a few weeks would be my suggestion.

Awesome advice! I will dive into this.

 

[oldage]

You guys tell your doctors what you're taking? My last surgery was on 20mg reta weekly and 2.5 grams of gear.

Best thing I ever did was find a doctor who will listen and treat me. Its my decision to do what I do and his job is to minimize risk or work with me on harm reduction. We have learned a lot together as he is willing to reach out to colleagues based on information I provide. Having a doctor tied to a University helps a lot. They are exposed and have access to the newest studies, procedures, amd recommendations. I think I am.sorta like a case study for him.

I pick my docs, my wife is a nurse at a major hospital, which allows me to work the Healthcare processes which are a pain in the ass to get around. Getting the neurosurgeon I wanted seemed almost impossible. But the squeaky wheel gets the grease. Just be kind and polite while also being a thorn in their ass.

 

[oldage]

Also, I haven't used as much gear as u. But getting up to a gram by end of next year is hopefully in the cards as long as I commit to eating. Time in a day is my biggest battle. Have 3 of my children in my house, one on the spectrum and I am also raising my granddaughter...... so actually its more a dream to get to a gram total. I should probably worry about getting to over a half gram first
Im 5'11 200lbs on the nose and measuring 8% as of this morning.

 

[oldage]

The Role of Anabolic Hormones for Wound Healing in Catabolic States

The Role of Anabolic Hormones for Wound Healing in Catabolic States - PMC

Objective: The purpose of this paper is to present an overview of the interrelationship between hormones, nutrition, and wound healing. Methods: The data on various hormones and their effects on specific elements of nutrition and wound healing are ...

pmc.ncbi.nlm.nih.gov

Good article. Recognizes what many of us already know but breaks it down.