Neuropathic Pain & Nerve Repair Protocol

Overview

A targeted regenerative framework designed to address neuropathic pain and peripheral nerve injury. This protocol integrates neurotrophic support peptides, mitochondrial stabilizers, immune modulators, and central sensitization regulators to promote nerve repair while reducing chronic neuropathic pain signaling. The objective is to interrupt pain chronification, restore neuronal integrity, and improve functional neurological recovery.

Clinical Targets

Peripheral neuropathy
Post-surgical nerve damage
Diabetic neuropathy
Complex Regional Pain Syndrome (CRPS)
Radiculopathy
Post-herpetic neuralgia

Expected Outcomes

Reduction in neuropathic pain intensity
Improved nerve conduction and sensory function
Decreased central sensitization
Enhanced mitochondrial stability within neurons
Reduced risk of pain chronification

Core Neuro-Regenerative Stack

BPC-157

Administration Route: SubQ
Dose: 500 mcg
Frequency: Twice daily
Duration: 8–12 weeks

ARA-290

Administration Route: SubQ
Dose: 2–4 mg
Frequency: Three times weekly
Duration: 8–12 weeks

SS-31

Administration Route: SubQ
Dose: 1.0 mg
Frequency: Daily
Duration: 8 weeks

Selank

Administration Route: Intranasal
Dose: 400 mcg
Frequency: Twice daily
Duration: 4–8 weeks

KPV

Administration Route: SubQ
Dose: 500 mcg
Frequency: Daily
Duration: 6–8 weeks

Phase Structure

Phase 1: Neuro-Inflammatory Control (Weeks 1–4)

BPC-157 twice daily
ARA-290 three times weekly
SS-31 daily mitochondrial support
KPV daily for inflammatory modulation
Selank twice daily to reduce central sensitization

Phase 2: Active Nerve Regeneration (Weeks 5–8)

Maintain BPC-157 and ARA-290
Continue SS-31 through Week 8
Assess sensory improvement and pain trend
Taper Selank if central symptoms stabilize

Phase 3: Remodeling & Consolidation (Weeks 9–12)

Continue BPC-157 and ARA-290 as indicated
Discontinue SS-31 after 8 weeks unless clinically necessary
Taper KPV
Reassess neurological recovery and pain thresholds

Rationale

ARA-290 serves as the centerpiece of this protocol. As an innate repair receptor (IRR) agonist derived from erythropoietin, it promotes nerve repair and reduces neuropathic pain through non-opioid pathways. BPC-157 provides neurotrophic support and has demonstrated reparative effects in preclinical nerve injury models. SS-31 stabilizes neuronal mitochondrial membranes and reduces oxidative stress, a key contributor to neuropathic pain chronification. Selank modulates GABAergic signaling and reduces central sensitization. KPV supports inflammatory regulation without broad immunosuppression.


Monitoring

Neuropathic pain scoring (VAS or neuropathic pain scale)
Sensory assessment (light touch, vibration, temperature)
Functional neurological evaluation
Metabolic markers in diabetic patients
Clinical reassessment at Weeks 4, 8, and 12

Contraindications

Active malignancy
Pregnancy or breastfeeding
Uncontrolled systemic infection
Severe hepatic or renal impairment
Known hypersensitivity to any compound

Mathematical Calculation Tool

The calculator below allows mathematical concentration and volume calculations using variable vial strengths and reconstitution volumes. This tool is provided strictly for arithmetic reference.

Peptide Reconstitution Calculator

For Educational & Professional Reference Only

⚠️ This is a mathematical reference tool only. No medical or dosing advice is provided.

Clinical Disclaimer

This protocol is intended for informational and educational purposes for licensed healthcare professionals. These compounds and strategies are not intended to diagnose, treat, cure, or prevent any disease. Clinical evaluation and individualized medical judgment are required prior to implementation.