Baseline bloodwork CBC, CRP, ferritin, IL-6, cortisol AM, metabolic panel, thyroid function Cardiovascular assessment heart rate variability, orthostatic vitals if POTS is suspected Gut health markers stool testing, zonulin, calprotectin if GI symptoms are prominent Mitochondrial function proxies lactate, organic acids panel if PEM is a primary complaint From there, a typical protocol might be structured as: Phase 1 (Weeks 16): Immune and gut foundation Thymosin Alpha-1: 1.6 mg subcutaneous, twice weekly BPC-157: 250500 mcg daily, route determined by predominant symptom (oral for gut, injectable for systemic) Phase 2 (Weeks 412): Tissue repair and cardiovascular recovery TB-500: 2.02.5 mg subcutaneous, twice weekly Continue BPC-157 as indicated Phase 3 (Weeks 816): Maintenance and metabolic support Taper or pulse doses based on clinical response Add mitochondrial support if fatigue persists (see: Mitochondrial Peptides and Insulin Resistance) These are illustrative dosing ranges based on clinical research and published protocols

Instead it must be determined individually, taking into account the following factors: How the B12 is administers (one large single dose or multiple small doses?) How well the body can absorb and utilise B12 The following matrix shows current dosage recommendations for B12 supplements according to various studies
GHK-Cu is typically associated with collagen signaling, skin remodeling, and tissue regeneration, while BPC-157 is more often discussed in relation to tendon, ligament, muscle, gut, and musculoskeletal recovery models
If you realize you added the wrong amount of liquid, do not guess the new dosage