A2M and SuperShot PRP Therapy in Atlanta
Experience the next evolution in regenerative medicine. SuperShot is one form of PRP therapy in Atlanta at Paragon, and it goes further than standard platelet therapy by capturing valuable healing components that conventional processing throws away, including extracellular vesicles (EVs) and Alpha-2-Macroglobulin (A2M). This advanced protocol retains more of these components than standard PRP, giving damaged tissue more to work with. Each treatment is ultrasound guided for precision.

Amplified Healing.
Accelerated Recovery.
At Paragon Sports Medicine, we understand that optimal healing requires more than just platelets – it demands the full spectrum of your body's regenerative biology. SuperShot PRP represents a high-concentration platelet therapy, utilizing a patented three-phase aqueous centrifugation system to capture low-density biomolecules that standard PRP processing discards.
While conventional PRP concentrates only platelets and growth factors, SuperShot additionally isolates extracellular vesicles containing critical proteins and microRNAs, plus Alpha-2-Macroglobulin, a powerful antiprotease that inhibits cartilage breakdown. In laboratory testing supplied by the manufacturer, SuperShot processing recovered about 1.18 trillion more extracellular vesicles per millilitre than standard PRP from the same blood draw, an increase of roughly 75%. That testing measured particle counts only. Published head-to-head outcome data comparing the two preparations remains limited.

The Science Behind
SuperShot PRP
SuperShot PRP takes regenerative medicine to the next level by delivering significantly higher concentrations of the essential growth factors your body needs to heal. This enhanced formulation includes:
Ultra-High Platelet Concentration
Delivers 5-7 billion platelets with PDGF, VEGF, IGF-1, TGF-β, and FGF to reduce inflammation, stimulate collagen production, and accelerate tissue repair.
75% More Extracellular Vesicles
Containing proteins and microRNAs essential for tissue regeneration and healing.
Retains Alpha-2-Macroglobulin
Concentrates this large antiprotease protein that inhibits cartilage breakdown and reduces joint degeneration – typically lost in standard PRP processing.
Patented three-Phase Processing
Uses a specialized aqueous centrifugation system requiring only one additional minute to capture low-density biomolecules while maintaining complete autologous purity.
Accelerated Healing Timeline
Higher growth factor concentrations can lead to faster symptom improvement and more complete tissue restoration.


For Complex Cases
For athletes wanting a more concentrated regenerative option, or individuals with degenerative conditions, SuperShot PRP retains components that standard processing discards. Capturing extracellular vesicles and A2M is intended to give damaged tissue more of the material it uses to repair. This protocol is used in joint degeneration, chronic tendon injuries, and cases where a more complete preparation is wanted.
SuperShot PRP is ideally suited for:

Osteoarthritis & joint degeneration
Knee, hip, or shoulder arthritis where A2M's antiprotease properties help inhibit cartilage breakdown and the enhanced EV content supports tissue regeneration.

Severe tendon/ligament injuries
Tennis elbow, Achilles tendinopathy, rotator cuff tears, ligament sprains, or muscle strains where extracellular vesicles accelerate healing and tissue restoration.

Elite athletic performance & recovery
Athletes who want a more complete preparation, retaining components that standard PRP processing discards.
Your Journey to
Advanced Recovery
Blood Draw
A blood sample is collected in the Paragon office using the same volume as standard PRP procedures (compatible with EmCyte PurePRP systems).
Advanced PRP Preparation
Your blood undergoes conventional dual-spin centrifugation to concentrate platelets (5-7 billion) while separating platelet-poor plasma (PPP) for the next step.
SuperShot Enhancement
The PPP undergoes an additional one-minute spin with patented centrifugation solution, isolating low-density extracellular vesicles and A2M that standard processing discards.
Ultrasound-Guided Injection
Using real-time musculoskeletal ultrasound, Dr. Garten precisely injects the complete SuperShot PRP formulation directly into damaged tissue for maximum therapeutic delivery.
Recovery Protocol
You'll receive a personalized activity plan with instructions to avoid NSAIDs for one week before and 4-6 weeks after treatment, plus follow-up scheduling optimized for SuperShot healing timelines.

Precision Expertise. Proven Excellence.
SuperShot PRP requires advanced processing protocols and technical expertise. Success depends on critical factors that set Paragon apart:
With over two decades of experience in regenerative medicine, Dr. Garten brings elite sports medicine expertise to the Atlanta area. He performs every SuperShot injection under real-time ultrasound guidance.
The SuperShot Advantage

More Complete Healing Biology
Captures extracellular vesicles and Alpha-2-Macroglobulin that standard PRP processing discards, recovering about 75% more extracellular vesicles from the same blood draw in the manufacturer's laboratory testing.
Sustained Long-Term Outcomes
When standard treatments haven't provided adequate results.
Enhanced Cartilage Protection
Higher A2M concentration acts as a broad antiprotease, inhibiting enzymes that break down cartilage – particularly beneficial for osteoarthritis and joint degeneration.
Accelerated Tissue Regeneration
For elite athletes and high performers, SuperShot PRP provides maximum regenerative capacity to ensure the strongest possible tissue repair and minimize reinjury risk.
More Complete Preparation
Our SuperShot technique uses a higher platelet concentration and retains components that standard processing discards.
SuperShot PRP Therapy:
Your Questions, Answered
SuperShot PRP achieves platelet concentrations 10-15 times higher than normal blood levels – nearly double that of standard PRP. This ultra-high concentration delivers significantly more growth factors to damaged tissue, creating a more powerful healing response. The advanced processing protocol requires specialized equipment and technical expertise to maximize concentration while maintaining cell viability. For severe injuries, chronic conditions that haven't responded to other treatments, or elite athletes requiring optimal tissue repair, SuperShot PRP provides enhanced regenerative capacity that standard PRP may not deliver.
SuperShot PRP is used for osteoarthritis and joint degeneration, where A2M's antiprotease properties are intended to help protect cartilage, and for chronic or recalcitrant tendon problems such as rotator cuff tendinopathy, tennis elbow and Achilles tendinopathy. Whether it suits you depends on your diagnosis, your imaging and how long the problem has been present. During your consultation Dr. Garten will assess whether SuperShot PRP's protocol is appropriate for your specific condition and healing goals.
SuperShot retains extracellular vesicles and Alpha-2-Macroglobulin that standard PRP processing discards, so the two preparations are not biologically identical. Published head-to-head outcome data remains limited, so we do not claim one is more effective than the other for your condition. Dr. Garten will talk through what is reasonable to expect given your diagnosis, and will say so if standard PRP is the more sensible option.
Recovery protocols mirror standard PRP with specific timeline considerations. You'll experience mild soreness for 24-72 hours post-injection. Initial healing begins within days, with peak improvements typically observed between 6-12 weeks. Clinical data shows sustained gains continuing through six months. You must avoid NSAIDs (ibuprofen, naproxen) for one week before treatment and 4-6 weeks afterward to optimize healing. Most patients require minimal activity modification and can return to normal daily activities within a few days, with gradual return to more demanding activities as tissue healing progresses. You'll receive a personalized rehabilitation plan optimized for SuperShot's healing timeline.
Most patients achieve significant results with a single SuperShot treatment due to the complete regenerative formulation. However, depending on injury severity, tissue condition, and individual healing response, Dr. Garten may recommend 1-2 injections for optimal outcomes. Because SuperShot delivers more comprehensive healing biology – including components that standard PRP discards – sustained improvement from a single treatment is common. Your personalized treatment plan will be developed based on comprehensive evaluation, condition severity, and therapeutic goals.
SuperShot PRP requires the patented centrifugation solution and additional processing steps beyond standard PRP, resulting in modestly higher costs. Some patients choose it because the preparation retains extracellular vesicles and Alpha-2-Macroglobulin that standard processing removes. The additional one-minute processing step adds minimal time while significantly enhancing the completeness of the formulation. Our office will discuss specific pricing during your consultation, including HSA/FSA documentation for this autologous blood derivative therapy.
Like all regenerative medicine procedures, SuperShot PRP is not typically covered by insurance as it is considered an autologous blood derivative therapy. Our office can provide documentation for HSA/FSA reimbursement and discuss payment options during your consultation.
That depends on your condition, and it is not a question a webpage can answer. Some musculoskeletal problems respond well to injection-based treatment. Others, including complete tendon tears and advanced structural damage, are surgical problems where an injection is not a substitute. During your consultation Dr. Garten will examine you, review your imaging, and tell you whether SuperShot PRP is a reasonable option for your specific condition and surgical risk profile, or whether a surgical referral would serve you better.
SuperShot PRP achieves platelet concentrations 10-15 times higher than normal blood levels – nearly double that of standard PRP. This ultra-high concentration delivers significantly more growth factors to damaged tissue, creating a more powerful healing response. The advanced processing protocol requires specialized equipment and technical expertise to maximize concentration while maintaining cell viability. For severe injuries, chronic conditions that haven't responded to other treatments, or elite athletes requiring optimal tissue repair, SuperShot PRP provides enhanced regenerative capacity that standard PRP may not deliver.
SuperShot PRP is used for osteoarthritis and joint degeneration, where A2M's antiprotease properties are intended to help protect cartilage, and for chronic or recalcitrant tendon problems such as rotator cuff tendinopathy, tennis elbow and Achilles tendinopathy. Whether it suits you depends on your diagnosis, your imaging and how long the problem has been present. During your consultation Dr. Garten will assess whether SuperShot PRP's protocol is appropriate for your specific condition and healing goals.
SuperShot retains extracellular vesicles and Alpha-2-Macroglobulin that standard PRP processing discards, so the two preparations are not biologically identical. Published head-to-head outcome data remains limited, so we do not claim one is more effective than the other for your condition. Dr. Garten will talk through what is reasonable to expect given your diagnosis, and will say so if standard PRP is the more sensible option.
Recovery protocols mirror standard PRP with specific timeline considerations. You'll experience mild soreness for 24-72 hours post-injection. Initial healing begins within days, with peak improvements typically observed between 6-12 weeks. Clinical data shows sustained gains continuing through six months. You must avoid NSAIDs (ibuprofen, naproxen) for one week before treatment and 4-6 weeks afterward to optimize healing. Most patients require minimal activity modification and can return to normal daily activities within a few days, with gradual return to more demanding activities as tissue healing progresses. You'll receive a personalized rehabilitation plan optimized for SuperShot's healing timeline.
Most patients achieve significant results with a single SuperShot treatment due to the complete regenerative formulation. However, depending on injury severity, tissue condition, and individual healing response, Dr. Garten may recommend 1-2 injections for optimal outcomes. Because SuperShot delivers more comprehensive healing biology – including components that standard PRP discards – sustained improvement from a single treatment is common. Your personalized treatment plan will be developed based on comprehensive evaluation, condition severity, and therapeutic goals.
SuperShot PRP requires the patented centrifugation solution and additional processing steps beyond standard PRP, resulting in modestly higher costs. Some patients choose it because the preparation retains extracellular vesicles and Alpha-2-Macroglobulin that standard processing removes. The additional one-minute processing step adds minimal time while significantly enhancing the completeness of the formulation. Our office will discuss specific pricing during your consultation, including HSA/FSA documentation for this autologous blood derivative therapy.
Like all regenerative medicine procedures, SuperShot PRP is not typically covered by insurance as it is considered an autologous blood derivative therapy. Our office can provide documentation for HSA/FSA reimbursement and discuss payment options during your consultation.
That depends on your condition, and it is not a question a webpage can answer. Some musculoskeletal problems respond well to injection-based treatment. Others, including complete tendon tears and advanced structural damage, are surgical problems where an injection is not a substitute. During your consultation Dr. Garten will examine you, review your imaging, and tell you whether SuperShot PRP is a reasonable option for your specific condition and surgical risk profile, or whether a surgical referral would serve you better.
If your pain is centered in the knee, see our dedicated page on PRP knee injections in Atlanta.
Schedule a
consultation
We treat injuries and we work on what caused them. Whether you're an athlete returning to peak form or an active individual who wants to move better, our programs are built on clinical assessment, testing, and published evidence.
Our multidisciplinary approach blends diagnostics, rehabilitation, strength training, and recovery to support your body through every stage of its performance journey. Progress here isn't accidental – it's intentional.
Adipose and bone marrow derived cell therapies are not FDA approved for the treatment of any orthopedic condition.
Schedule a
consultation
We treat injuries and we work on what caused them. Whether you're an athlete returning to peak form or an active individual who wants to move better, our programs are built on clinical assessment, testing, and published evidence.
Our multidisciplinary approach blends diagnostics, rehabilitation, strength training, and recovery to support your body through every stage of its performance journey. Progress here isn't accidental – it's intentional.
Adipose and bone marrow derived cell therapies are not FDA approved for the treatment of any orthopedic condition.