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What actually happens to your shoulder after rotator cuff repair — and what it needs from you.

Published re-tear rates run 20–40%. Your surgeon anchors the tendon in an hour; your body spends 6 months making that repair hold. Nutrition is one of the few factors you control — here's the biology.

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★★★★★ 4.84 · 104 reviews
Surgeon-formulated
OVIAL Surgical Nutrition Kit

Three biological events. Three windows.

EVENT 01 · WEEKS 0–12

Tendon-to-bone healing is collagen-limited

Unlike muscle, tendon has limited blood supply and slow remodeling kinetics. The repair interface your surgeon anchored must biologically re-attach over ~12 weeks — the window that decides whether the repair holds. 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 ROM work or PT
EVENT 02 · SLING WEEKS 0–6

Sling immobilization melts muscle

4–6 weeks in a sling means measurable deltoid and cuff atrophy — before active PT even begins. Weak surrounding muscle compounds re-tear risk: the repair recovers into whatever scaffold you preserved. EAA + leucine and creatine keep muscle protein synthesis switched on during immobilization.

What it needs: EAA + leucine, creatine — pre-loaded before surgery, continued in the sling
EVENT 03 · WEEKS 2–24

Inflammation lingers — but NSAIDs carry a cost

Shoulder rehab is long, and pain flares tempt chronic NSAID use. The catch: animal and human data show chronic NSAIDs during the 6–8 week tendon-to-bone window can impair healing at exactly the interface you're trying to protect. 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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Ingredient Mechanism Evidence
TendoForte® collagen + vit CDoubles collagen synthesis markers when taken ~45 min before loading the tissue — the tendon-to-bone interface is the targetShaw 2017, AJCN¹
EAA + leucineKeeps muscle protein synthesis switched on while the shoulder is immobilized in the slingDreyer 2018, JBJS²
Creatine monohydrateSupports strength retention and speeds strength recovery during rehabHespel 2001³
Curcumin (bioavailable)Modulates inflammatory signaling without the COX-inhibition that concerns tendon-to-bone healingMultiple RCTs
Vit D3 + K2, magnesiumBone-side mineralization support at the repair anchor; 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. One-armed cooking in a sling drops food quality 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 recoveries. 4.84 stars.

Verified buyers · repair type disclosed
★★★★★

"Six weeks in a sling and my PT said my shoulder looked like it had barely deconditioned. The powder was the only thing I did differently from my first repair."

ROBERT K. · REVISION CUFF REPAIR, 58
★★★★★

"One-armed cooking meant my diet fell apart after surgery. The packets carried me through the sling weeks."

LINDA S. · SUPRASPINATUS REPAIR, 61
★★★★★

"Massive tear, second opinion said 40% re-tear odds. MRI at 6 months: intact. I wasn't leaving anything on the table."

DAVE M. · MASSIVE CUFF REPAIR, 54
★★★★★

"My surgeon was clear about not living on ibuprofen. The capsules gave me something proactive to do about the aching instead."

MARIA G. · CUFF + BICEPS TENODESIS, 49
★★★★★

"Masters swimmer — the NSF certification mattered to me. Back in the pool at month 7 with full overhead range."

TOM H. · SUPRASPINATUS + INFRASPINATUS, 52
★★★★☆

"Wish I'd started the PRE phase earlier — only had 8 days before surgery. Everything else was seamless."

JANET P. · PARTIAL-THICKNESS REPAIR, 45

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

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¹ Shaw et al., Am J Clin Nutr 2017 · ² Dreyer et al., JBJS 2018 · ³ Hespel et al., J Physiol 2001. Re-tear rate ranges reflect the published literature across small to massive tears and varying repair techniques (Galatz et al., Boileau et al., among others). Educational content only — not a substitute for individualized medical advice. Confirm your regimen with your surgeon.