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What actually happens to your body after ACL surgery — and what it needs from you.

Your surgeon rebuilds the ligament in 90 minutes. Your body spends the next 9 months rebuilding everything around it. Here's the biology — and where nutrition decides the outcome.

NSF Certified for Sport Certified for Sport®
★★★★★ 4.84 · 104 ACL reviews
Surgeon-formulated
OVIAL Surgical Nutrition Kit

Three biological events. Three windows.

EVENT 01 · STARTS DAY 0

Muscle protein breakdown outpaces synthesis

Immobilization and surgical stress flip your quad into net catabolism within 48 hours. You can lose measurable cross-sectional area in the first 10 days — before PT even begins. Quad weakness at 6 months is the strongest predictor of re-injury.

What it needs: EAA + leucine, creatine — pre-loaded before surgery
EVENT 02 · WEEKS 0–12

Your graft becomes a ligament — cell by cell

The tendon graft (hamstring, BPTB, or quad) isn't a ligament yet. Over ~12 weeks it's invaded by cells that remodel its collagen and anchor it into bone tunnels — "ligamentization." This process consumes collagen precursors and vitamin C at rates a normal diet rarely supplies.

What it needs: clinical-dose collagen + vit C, 30–45 min before PT
EVENT 03 · WEEKS 2–24

Inflammation lingers — but NSAIDs carry a cost

Low-grade inflammation drives swelling, pain flares, and rehab plateaus for months. The catch: chronic NSAID use during the 6-week tunnel-healing window can impair bone-graft integration. You need inflammation modulated through a different pathway.

What it needs: curcumin, D3 + K2, magnesium — daily through Mo6

Why each ingredient is in the box.

No proprietary blends. Every ingredient maps to one of the three events above, at the doses used in the research.

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NSF Certified for Sport®. Every batch tested for banned substances — safe for NCAA, professional, and Olympic athletes returning to competition.

Ingredient Mechanism Evidence
TendoForte® collagen + vit CDoubles collagen synthesis markers when taken ~45 min before loading the tissueShaw 2017, AJCN¹
EAA + leucineKeeps muscle protein synthesis switched on while the leg is immobilizedDreyer 2018, JBJS²
Creatine monohydrateSupports strength retention and speeds strength recovery during rehabHespel 2001³
Curcumin (bioavailable)Modulates inflammatory signaling without the COX-inhibition that concerns bone healingMultiple RCTs
Vit D3 + K2, magnesiumBone-tunnel mineralization support; magnesium aids sleep quality — when healing happensConsensus guidelines
"Can't I just eat more protein?"

Protein helps — but it doesn't solve timing or specificity. Collagen synthesis peaks when precursors arrive before tissue loading, not with dinner. Post-surgical appetite drops exactly when requirements spike. And no amount of chicken provides clinical-dose curcumin or the collagen peptide fractions used in the studies. The Kit exists because the food-only version of this protocol is a part-time job.

104 ACL recoveries. 4.84 stars.

Verified buyers · graft type disclosed
★★★★★

"My PT noticed the difference in quad activation by week 3. Wish I'd had this for my first ACL."

MARCUS T. · ACL + MENISCUS, 34
★★★★★

"Cleared for cutting sport at 8.5 months. My surgeon asked what I'd been doing differently."

JAKE W. · HAMSTRING AUTOGRAFT, 22
★★★★★

"Second ACL. The recovery difference vs. my first — where I took nothing — is night and day."

TOMÁS E. · REVISION ACL, 29
★★★★★

"The phase system removed all the guesswork. Six months out my surgeon called my quad symmetry 'unusual for this timeline.'"

DANIELA R. · BPTB GRAFT, 27
★★★★★

"D1 soccer — the NSF certification is why my athletic trainer approved it. Back on the pitch at month 9."

AVERY L. · NCAA ATHLETE, QUAD TENDON, 20
★★★★☆

"Powder tastes better than any recovery formula I've tried. Wish the capsule count survived past month 5 — buying a second round."

PRIYA S. · QUAD TENDON, 31

Priming starts 14 days before surgery. Your date is the deadline.

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All 3 phases · 45-day supply · 60-day guarantee · Free shipping · HSA/FSA

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Surgery not scheduled yet? Get the pre-op nutrition checklist + 15% off when you're ready.

¹ Shaw et al., Am J Clin Nutr 2017 · ² Dreyer et al., JBJS 2018 · ³ Hespel et al., J Physiol 2001. Educational content only — not a substitute for individualized medical advice. Confirm your regimen with your surgeon.