# @nickpappasmd on Instagram

- **Type:** Video
- **Original URL:** https://www.instagram.com/p/DXXcXJ0ialK
- **Gondola URL:** https://gondola.cc/posts/64591510-nickpappasmd-instagram
- **Thumbnail:** https://img.gondola.cc/tr:w-,h-,fo-auto/postThumbnails/d5f7f4353c.jpg
- **Posted:** 2026-04-20T20:08:27.000+00:00
- **Account Owner:** Nick Pappas, MD (@nickpappasmd) — https://gondola.cc/nickpappasmd

## Caption

Comment NEWSLETTER for more similar health information, and I will send you a link to my free weekly newsletter 🗞️

👉 Starting from the top…

🧬 Taking peptides like BPC-157 which don't have high-quality human data is not advisable at this point, especially those that are being sold on TikTok (and yes, they are currently available on TikTok shop, which is super sketchy).

💪 As for Ozempic and other GLP-1 agonists…if you lose a bunch of weight, you need to make sure you maintain your muscle mass and bone strength through resistance training and a diet rich in protein with appropriate amounts of calcium / vitamin D.  Otherwise, your bone density can suffer and lead to fractures.

🚨 Turmeric and ibuprofen are both effective anti-inflammatories.  I like turmeric (liposomal delivery) and take it daily to reduce inflammation.  However, we do not recommend taking turmeric and ibuprofen together, as that can increase your risk of stomach irritation as well as bleeding.

😷 In general, you should not eat eight hours before surgery to avoid risk of aspiration of stomach contents.

🚶 Simply walking while wearing a weighted vest does not create enough stress across your bones to significantly improve the bone density—stick with resistance training and jumping activities like a drop jump.

🦵You still do need physical therapy after a joint replacement even if you're in shape in order to get your range of motion and strength back.

💉 If you get an injection with a corticosteroid, you need to refrain from strenuous physical activity on that body part for at least three days if not longer.

❤️ As for getting an orthopedic surgeon like me to try to read an EKG, I'm sure there are many other better candidates for doing so.

#orthopedicsurgeon #peptides #Ozempic #glp

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## Tags

orthopedicsurgeon, glp, peptides, ozempic

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