Strong Indication BMI of 30 or above, or 27 with a metabolic comorbidity (diabetes, prediabetes, hypertension, dyslipidemia, sleep apnea) Comorbid obesity contributing to mobility limits, joint pain, or surgical risk Pre-operative optimization before scheduled tumescent liposuction Possible Indication BMI of 25 to 29 without metabolic comorbidity, with significant inflammatory pain that hasnt responded to CDT, anti-inflammatory diet, and compression Patient has tried 6 months of conservative care with inadequate symptom relief Weak or No Indication BMI under 25 Goal of shrinking lipedema legs specifically Patient hasnt yet tried compression or anti-inflammatory diet What Should Patients Expect From the First 6 Months
While most people tolerate both well, some may experience mild digestive upset when first starting probiotics
About this article Cite this article Dave, B.P., Chorawala, M.R., Shah, I.V
Developed to support healthy energy metabolism for improved stamina, strength and recovery without causing short term fizz
USA 106 , 59135918 (2009)