In our Stamford practice, we: Review your orthopedic and medical history Evaluate concurrent therapies (PRP, stem cells, surgery, physical therapy) Choose dosing schedules tailored to your goals Monitor progress, side effects, and outcomes We also avoid peptides in certain situations (e.g., active cancer, pregnancy, uncontrolled autoimmune flares) unless carefully coordinated with the rest of your care team
Both B 12r and B 12s are stable indefinitely under oxygen-free conditions
We do not put patients on indefinite open-ended protocols by default
He has handled hundreds of SIRVA injury cases (shoulder injury related to vaccine administration), especially those involving bursitis, tendonitis, frozen shoulder, and rotator cuff tears
Any therapeutic use occurs under physician supervision as off-label research application requiring comprehensive informed consent, medical monitoring, and understanding that the peptide is not an approved pharmaceutical agent