Im not gonna talk about what is obvious, everyone knows why the top compounds would be used.
rHGH at 15+ IU ED (as much as you can afford basically)
Letrozole 2.5mg ED (or any other AI at a dosage to nuke E2, but letro mogs)
Test + Tren (self explanatory)
Abaloparatide 80mcg ED (again, self explanatory)
Now the unusual stuff I am thinking about, I just put all of these together in a day so correct me if I make any retarded claims.
Infigratinib low dose :Daily treatment at 2 mg/kg significantly increased bone growth, and substantially lower doses of 0.2 and 0.5 mg/kg were sufficient to produce significant improvement of clinical hallmarks of achondroplasia including growth of the axial and appendicular skeleton.
Phase 3 human data also exists: Absolute AHV at week 52 favored infigratinib (5.96 vs 4.22 cm/year), the highest LS mean absolute AHV reported in a randomized achondroplasia trial
Tubastatin A :Wildtype and mutant activated forms of FGFR3 increase expression of HDAC6, and FGFR3 accumulation is compromised in cells lacking HDAC6 or following treatment with small molecule HDAC6 inhibitors. Both HDAC6 deletion and treatment with tubacin reduced FGFR3 accumulation in the growth plate and improved endochondral bone growth. Tubastatin A was likewise effective at reducing the accumulation of both wildtype and mutant FGFR3, and both tubacin and tubastatin A independently increased Sox9 expression in chondrocytes
LIPUS (Low Intensity Pulsed Ultrasound) In a randomized controlled animal trial in healthy immature rabbits, statistically significant differences in microscopic bone growth were observed between the LIPUS-stimulated legs and contralateral control legs (35%, p = 0.04), with no evidence of physeal bar formation
And now the most hypothetical part of this whole thing, trying to trigger growth on closed growth plates:
Surgical Microfracturing: No direct studies exist but in theory it seems possible? Atleast more possible than something like stem cells/yamanaka factors etc. Like I don't even know if it works but you wouldn't be able to do this anyways. I put this in because of this study: epiphyseal fusion is triggered when the proliferative potential of growth plate chondrocytes is exhausted, and once fusion occurs chondrocytes are replaced by bone elements in an abrupt event
rHGH at 15+ IU ED (as much as you can afford basically)
Letrozole 2.5mg ED (or any other AI at a dosage to nuke E2, but letro mogs)
Test + Tren (self explanatory)
Abaloparatide 80mcg ED (again, self explanatory)
Now the unusual stuff I am thinking about, I just put all of these together in a day so correct me if I make any retarded claims.
Infigratinib low dose :Daily treatment at 2 mg/kg significantly increased bone growth, and substantially lower doses of 0.2 and 0.5 mg/kg were sufficient to produce significant improvement of clinical hallmarks of achondroplasia including growth of the axial and appendicular skeleton.
Phase 3 human data also exists: Absolute AHV at week 52 favored infigratinib (5.96 vs 4.22 cm/year), the highest LS mean absolute AHV reported in a randomized achondroplasia trial
Tubastatin A :Wildtype and mutant activated forms of FGFR3 increase expression of HDAC6, and FGFR3 accumulation is compromised in cells lacking HDAC6 or following treatment with small molecule HDAC6 inhibitors. Both HDAC6 deletion and treatment with tubacin reduced FGFR3 accumulation in the growth plate and improved endochondral bone growth. Tubastatin A was likewise effective at reducing the accumulation of both wildtype and mutant FGFR3, and both tubacin and tubastatin A independently increased Sox9 expression in chondrocytes
LIPUS (Low Intensity Pulsed Ultrasound) In a randomized controlled animal trial in healthy immature rabbits, statistically significant differences in microscopic bone growth were observed between the LIPUS-stimulated legs and contralateral control legs (35%, p = 0.04), with no evidence of physeal bar formation
And now the most hypothetical part of this whole thing, trying to trigger growth on closed growth plates:
Surgical Microfracturing: No direct studies exist but in theory it seems possible? Atleast more possible than something like stem cells/yamanaka factors etc. Like I don't even know if it works but you wouldn't be able to do this anyways. I put this in because of this study: epiphyseal fusion is triggered when the proliferative potential of growth plate chondrocytes is exhausted, and once fusion occurs chondrocytes are replaced by bone elements in an abrupt event
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